[37F] With stomach pain, gassiness, and sulfur burps

Patient Description

A 37-year-old female presents with two days of stomach pain located below and behind the belly button, accompanied by extreme gassiness and sulfur burps. The patient experienced a severe bout of explosive diarrhea once, approximately 30 minutes after eating dinner, but has not had any further episodes. The pain is rated as a 6 out of 10 in severity and is somewhat relieved by passing gas and changing positions. The patient denies any recent travel, contact with sick individuals, changes in diet, or consumption of new foods or drinks. There are no accompanying symptoms of fever, chills, nausea, vomiting, blood in the stool, or signs of dehydration. The patient has no known allergies, pre-existing conditions, or family history of gastrointestinal issues, and has not taken any new medications or supplements recently.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—stomach pain, extreme gassiness, sulfur burps, and a severe bout of diarrhea—here are a few possible explanations:

  1. Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include diarrhea, stomach pain, and gas. It often resolves on its own within a few days.

    • Treatment typically involves staying hydrated, resting, and eating bland foods. Over-the-counter medications can help manage symptoms.
  2. Food Intolerance: Sometimes, certain foods can cause digestive issues like gas and diarrhea. Common culprits include lactose, gluten, or high-fat foods.

    • Treatment involves identifying and avoiding the trigger foods. Keeping a food diary can help pinpoint the cause.
  3. Giardiasis: This is an infection caused by a parasite, often from contaminated water. It can cause sulfur burps, diarrhea, and stomach pain.

    • Treatment usually involves prescription medications to clear the infection.
  4. Indigestion or Dyspepsia: This can cause bloating, gas, and stomach pain, often after eating.

    • Treatment includes dietary changes, antacids, and avoiding triggers like spicy or fatty foods.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids, such as water or oral rehydration solutions, to prevent dehydration from diarrhea.
  2. Eat Bland Foods: Stick to a diet of bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet).
  3. Avoid Triggers: Steer clear of foods and drinks that can worsen gas and diarrhea, such as dairy, caffeine, alcohol, and high-fat foods.
  4. Rest: Give your body time to recover by getting plenty of rest.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Persistent or worsening symptoms
  • Signs of dehydration, such as dry mouth, dizziness, or decreased urination
  • Blood in your stool
  • High fever or severe abdominal pain

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago

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

People Also Ask


What are sulfur burps and what causes them?

Sulfur burps are burps that smell like rotten eggs, caused by hydrogen sulfide gas. They can result from certain foods, infections, or digestive issues.


How can I differentiate between gastroenteritis and food intolerance?

Gastroenteritis often involves sudden onset of diarrhea, stomach pain, and sometimes fever, usually after exposure to a virus or bacteria. Food intolerance typically causes symptoms like gas and diarrhea after consuming specific foods, without fever.


What are the common symptoms of giardiasis?

Common symptoms of giardiasis include diarrhea, stomach cramps, bloating, gas, and sulfur burps. It is often contracted from contaminated water.


What dietary changes can help alleviate indigestion or dyspepsia?

To alleviate indigestion or dyspepsia, avoid spicy, fatty, or acidic foods, eat smaller meals, and avoid lying down immediately after eating. Incorporating bland foods and staying hydrated can also help.


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