[34M] With nausea and acid reflux symptoms

Patient Description

A 34-year-old male, Rodney Jones, reports experiencing nausea and a sensation of acid reflux immediately after eating or drinking for almost 4 days. The symptoms began after working with old molded wood. The nausea is severe and occurs with every bite or sip, including water. The patient has tried various remedies without relief. Vomiting has occurred twice, both times immediately after eating or drinking. No specific foods or drinks exacerbate the symptoms more than others.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Gastroesophageal Reflux Disease (GERD): GERD occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause symptoms like heartburn, nausea, and vomiting.

    • Typical Treatments: Lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down after eating. Over-the-counter medications like antacids, H2 blockers, or proton pump inhibitors (PPIs) can also help.
  • Gastritis: This is an inflammation of the stomach lining that can cause nausea, vomiting, and a burning sensation in the stomach. It can be caused by infections, certain medications, or excessive alcohol consumption.

    • Typical Treatments: Avoiding irritants like alcohol and NSAIDs, eating smaller and more frequent meals, and taking medications to reduce stomach acid.
  • Esophagitis: Inflammation of the esophagus, which can be caused by acid reflux, infections, or certain medications. Symptoms include difficulty swallowing, heartburn, and nausea.

    • Typical Treatments: Similar to GERD, including dietary changes and medications to reduce acid production.
  • Foodborne Illness: Given that you were working with old, molded wood, it's possible you might have ingested something that caused a temporary gastrointestinal upset.

    • Typical Treatments: Staying hydrated, resting, and avoiding solid foods until symptoms improve.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Avoid Trigger Foods: Stay away from spicy, fatty, or acidic foods that can exacerbate symptoms.
  2. Eat Smaller Meals: Try eating smaller, more frequent meals instead of large ones.
  3. Stay Upright: Avoid lying down immediately after eating. Try to stay upright for at least 2-3 hours after meals.
  4. Hydrate: Drink plenty of water, but do so in small sips to avoid triggering nausea.
  5. Over-the-Counter Medications: Consider taking antacids or other over-the-counter medications to help manage symptoms.
  6. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can be very helpful when you consult your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe or Persistent Symptoms: If your symptoms worsen or do not improve with over-the-counter treatments.
  • Difficulty Swallowing: If you have trouble swallowing or feel like food is getting stuck.
  • Weight Loss: Unintended weight loss can be a sign of a more serious condition.
  • Blood in Vomit or Stool: This could indicate a more serious underlying issue that needs immediate attention.
  • Fever or Chills: These could be signs of an infection.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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8 mo ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of GERD and how can it be managed?

Common symptoms of GERD include heartburn, acid reflux, nausea, and vomiting. It can be managed by avoiding trigger foods, eating smaller meals, staying upright after eating, and using over-the-counter medications like antacids, H2 blockers, or proton pump inhibitors.


How does gastritis differ from GERD, and what are its typical treatments?

Gastritis is an inflammation of the stomach lining, which can cause nausea, vomiting, and a burning sensation in the stomach. It differs from GERD, which involves acid reflux into the esophagus. Gastritis is typically treated by avoiding irritants like alcohol and NSAIDs, eating smaller meals, and taking medications to reduce stomach acid.


What should I do if I suspect I have esophagitis?

If you suspect you have esophagitis, it's important to consult a healthcare provider. In the meantime, you can manage symptoms by avoiding spicy and acidic foods, eating smaller meals, and using medications to reduce acid production. Seek medical attention if symptoms persist or worsen.


How can working with moldy materials affect my health, and what precautions should I take?

Working with moldy materials can expose you to mold spores, which may cause respiratory issues or gastrointestinal upset if ingested. To protect your health, wear protective gear such as masks and gloves, ensure proper ventilation, and wash your hands thoroughly after handling moldy materials.


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