[37F] Experiencing nausea, gas, bloating, and loose stools

Patient Description

A 37-year-old female has been suffering from nausea, excessive gas, bloating, and loose stools for approximately 8 months. The nausea often occurs after eating and varies in severity, sometimes alleviated by Rolaids. The patient experiences diarrhea 2 to 3 times a day, which is sometimes loose and sometimes watery, with a yellowish color. The symptoms seem to be exacerbated by movement and certain foods, although the specific triggers are difficult to pinpoint. The patient has lost weight but reports no blood in the stool or signs of dehydration. She has a history of gallbladder and gallstone removal 14 years ago and is not currently on any medications except for occasional Rolaids. There is no known family history of gastrointestinal disorders, and the patient denies the use of alcohol, tobacco, or recreational drugs.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea, and constipation. IBS is a chronic condition that you'll need to manage long term.

    • Treatment typically involves long-term changes in diet, lifestyle, and stress management. Some people with IBS find it helpful to work with a dietitian to identify healthy food choices that won't trigger symptoms. Over-the-counter medications are often used to control symptoms.
  • Food Intolerance or Allergy: Some people have difficulty digesting certain types of foods, which can cause gas, diarrhea, and bloating. Common culprits include lactose, fructose, and wheat. In addition, some people are allergic to certain foods, like dairy or wheat, which can cause a variety of symptoms including diarrhea and nausea.

    • Treatment generally involves avoiding the foods that cause symptoms. A doctor or dietitian can help identify problematic foods and suggest alternatives.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria, or parasites. Viral gastroenteritis is particularly common and is highly infectious. Symptoms can include diarrhea, nausea, vomiting, and abdominal pain.

    • Treatment usually involves rest and rehydration. Over-the-counter medication may help with symptoms.
  • Gallbladder Disease or Dysfunction: Even though you had your gallbladder removed, it's possible to still experience symptoms related to your gallbladder. This is known as postcholecystectomy syndrome and can cause symptoms like diarrhea and gas.

    • Treatment can vary widely depending on the cause and severity of symptoms. Some people find relief with dietary changes, while others may need medication or even further surgery.

Please note that these are potential explanations for your symptoms based on the information provided, and not a definitive diagnosis. You should consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Keep a food diary: Write down what you eat and how you feel after each meal to help identify any food-related triggers.
  2. Stay hydrated: Drink plenty of fluids to help prevent dehydration, especially if you're having diarrhea.
  3. Try dietary changes: Some people find relief from IBS symptoms with dietary changes. Some diets to consider are a low FODMAP diet or an elimination diet.
  4. Over-the-counter medication: You may find some relief from symptoms with over-the-counter medications like loperamide (for diarrhea) or a gas relief medication.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe pain or cramping in your abdomen
  • Blood in your stool or black, tarry stools
  • High fever (above 101 F)
  • Signs of dehydration, such as not urinating, extreme thirst, very dry mouth and throat, or feeling dizzy when you stand up
  • Diarrhea for more than three days

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, diarrhea, and constipation. These symptoms can vary in intensity and may be triggered by certain foods or stress.


How can food intolerances or allergies cause gastrointestinal symptoms?

Food intolerances or allergies can cause gastrointestinal symptoms like gas, diarrhea, and bloating because the body has difficulty digesting certain substances, leading to irritation and inflammation in the digestive tract.


What is postcholecystectomy syndrome and how can it affect someone who has had their gallbladder removed?

Postcholecystectomy syndrome refers to symptoms that persist after gallbladder removal, such as diarrhea and gas. This can occur due to changes in bile flow and digestion, and may require dietary adjustments or medication for management.


What dietary changes can help manage symptoms of IBS or food intolerances?

Dietary changes that can help manage symptoms of IBS or food intolerances include following a low FODMAP diet, identifying and avoiding trigger foods, and possibly working with a dietitian to create a personalized eating plan.


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