[35F] Experiencing regurgitation, diarrhea, and GERD symptoms

Patient Description

A 35-year-old female has been experiencing regurgitation, described as food backing up with a sensation of a lump in the throat, occurring 30 minutes after every meal for the past 3 weeks. Accompanying symptoms include diarrhea, with five episodes of watery stools today, persisting for 2 days. The patient also reports bloating, severe heartburn rated 8/10 in intensity, and loss of appetite. These symptoms have been present for 3 weeks as well. The patient has a 10-year history of Irritable Bowel Syndrome (IBS) and is currently taking Prevacid, Prilosec for GERD, and Slynd. The patient has an allergy to Bactrim. There is no recent travel history, fever, chills, black or tarry stools, severe abdominal pain, vomiting blood, or unexpected weight loss reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where 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 and regurgitation. Your reported symptoms of heartburn, feeling of a lump in the throat, and regurgitation are common symptoms of GERD.

    • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Irritable Bowel Syndrome (IBS): You have a history of IBS, which is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, diarrhea or constipation, or both. Your symptoms of diarrhea and bloating could be a flare-up of your IBS.

    • Treatment of IBS is focused on relieving symptoms. Lifestyle changes, including diet and managing stress, can significantly help.
  • Gastroparesis: This is a condition that affects the normal spontaneous movement of the muscles in your stomach. Symptoms include the feeling of being full shortly after starting a meal, loss of appetite, and regurgitation. Gastroparesis can be caused by damage to the vagus nerve, which controls the muscles of the stomach.

    • Treatment typically involves dietary changes and medications to help the stomach empty more effectively.

What you can do

  1. Lifestyle changes: Avoid foods and drinks that trigger your symptoms. Eat smaller meals more frequently, avoid lying down after a meal, and maintain a healthy weight.
  2. Over-the-counter remedies: Antacids can provide quick relief from heartburn. However, overuse can cause side effects, such as diarrhea or constipation.
  3. Prescription medications: You're already taking Prevacid and Prilosec, which are proton pump inhibitors that reduce stomach acid. If your symptoms persist, your doctor might recommend other medications.
  4. Regular follow-ups with your doctor: Regular follow-ups with your healthcare provider can help manage your symptoms and monitor your condition.

What you should look out for

  • If your symptoms worsen or persist despite treatment
  • If you experience severe abdominal pain, vomiting blood, or black or tarry stools
  • If you experience significant weight loss without trying

Remember, I'm an AI and this advice is based on the information you provided. It's always a good idea to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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

People Also Ask


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

Common symptoms of GERD include heartburn, regurgitation, and a sensation of a lump in the throat. Management often involves lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down after eating. Medications like proton pump inhibitors can also help reduce stomach acid.


How does IBS affect bowel movements and what can trigger a flare-up?

IBS can cause symptoms like cramping, abdominal pain, bloating, gas, diarrhea, or constipation. Flare-ups can be triggered by stress, certain foods, or hormonal changes. Managing stress and dietary adjustments can help control symptoms.


What is gastroparesis and how is it typically treated?

Gastroparesis is a condition where the stomach muscles don't function properly, leading to delayed stomach emptying. Symptoms include feeling full quickly, loss of appetite, and regurgitation. Treatment often involves dietary changes and medications to improve stomach motility.


What lifestyle changes can help manage symptoms of GERD and IBS?

Lifestyle changes that can help manage GERD and IBS include eating smaller, more frequent meals, avoiding foods that trigger symptoms, maintaining a healthy weight, and managing stress. It's also important to avoid lying down immediately after eating and to elevate the head while sleeping.


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