[35F] Experiencing nausea, gas, and loss of taste and smell

Patient Description

A 35-year-old female reports a complete loss of taste and smell since November 2023, which began suddenly and has persisted. She also experiences intermittent nausea on a weekly basis for the last two months and daily episodes of gas starting from October 2022. The patient has a history of four cesarean sections and is currently 7 months postpartum. She noted unintentional weight loss in December 2023. Additionally, she has been diagnosed with a small umbilical hernia, which causes some abdominal pain, and has experienced some constipation. She is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include nausea, vomiting, diarrhea, and abdominal pain. However, loss of taste and smell are not typically associated with gastroenteritis.

  • COVID-19: The sudden loss of taste and smell is a common symptom of COVID-19. Nausea and gastrointestinal issues can also occur in some people. If you have not been tested, it would be a good idea to do so.

  • Pregnancy: Although you mentioned that you're not currently pregnant, these symptoms can sometimes be associated with pregnancy. If there's a chance you could be pregnant, consider taking a pregnancy test.

  • Medication side effects: Certain medications can cause these symptoms. However, you mentioned that you're not currently taking any medications.

  • Gastroesophageal reflux disease (GERD): This condition 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 gas and nausea.

  • Gastritis: This is an inflammation of the stomach lining. It can cause nausea and gas, but usually does not cause a loss of taste or smell.

  • Postpartum thyroiditis: This is a condition that can cause hyperthyroidism, hypothyroidism, or both. It occurs in some women after giving birth and can cause a variety of symptoms, including fatigue, weight loss, and nausea.

What you can do

  1. COVID-19 test: If you haven't already, consider getting tested for COVID-19, given your loss of taste and smell.

  2. Hydration and nutrition: Make sure to stay hydrated and eat nutritious foods. This can help your body recover if you're dealing with an illness.

  3. Rest: Make sure to get plenty of rest. This can also help your body recover.

  4. Over-the-counter remedies: For gas and nausea, over-the-counter remedies may provide some relief. However, it's always a good idea to check with a healthcare provider before starting any new medication.

  5. Medical attention: Given your symptoms and their duration, it would be a good idea to seek medical attention. A healthcare provider can evaluate your symptoms, consider your overall health and medical history, and guide you on next steps.

What you should look out for

  • If your symptoms worsen or if you develop new symptoms, seek medical attention immediately.
  • If you develop severe abdominal pain, vomiting, or signs of dehydration (like dark urine, dry mouth, or feeling dizzy when you stand up), seek medical attention immediately.
  • If you have a fever, cough, or difficulty breathing, seek medical attention immediately.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

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People Also Ask


Can a sudden loss of taste and smell be a symptom of COVID-19?

Yes, a sudden loss of taste and smell is a well-documented symptom of COVID-19. It is advisable to get tested if you experience these symptoms, especially if they occur suddenly.


What are some common causes of nausea and gas postpartum?

Postpartum, hormonal changes, stress, and dietary adjustments can contribute to nausea and gas. Conditions like gastroesophageal reflux disease (GERD) or gastritis may also be more noticeable during this time.


How can an umbilical hernia affect digestion and cause abdominal pain?

An umbilical hernia can cause abdominal pain and discomfort, especially if it becomes incarcerated or strangulated. It may also lead to digestive issues like constipation or bloating.


What are the signs of postpartum thyroiditis and how is it diagnosed?

Postpartum thyroiditis can cause symptoms such as fatigue, weight loss, and mood changes. It is diagnosed through blood tests that measure thyroid hormone levels. If you suspect this condition, consult a healthcare provider for evaluation.


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