[41F] Experiencing anemia, weekly vomiting episodes, and dizziness

Patient Description

A 41-year-old female presents with anemia, frequent episodes of vomiting once a week during meals for the past two years, and occasional dizziness. The patient is not pregnant and has no history of blood in vomit or severe abdominal pain. There is no unintentional weight loss or changes in bowel habits. The patient has a past medical history of chronic migraines, which have resolved, and a family history of reflux and ulcers. Current medications include Lamictal (180mg daily), Latuda, and a medication for gastritis. No known drug allergies or substance use reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Iron Deficiency Anemia: This is a common type of anemia that occurs if you don't have enough iron in your body. Your bone marrow needs iron to make hemoglobin, the part of the red blood cell that transports oxygen to the body's organs. Without adequate iron, your body can't produce enough hemoglobin. This could explain your tiredness and dizziness.

    • Treatment typically involves taking iron supplements and changes to your diet to include more iron-rich foods.
  • 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 vomiting. Your history of reflux and the fact that your vomiting occurs at the start of meals could suggest this condition.

    • Treatment typically involves lifestyle changes, over-the-counter medications, prescription medications, and in severe cases, surgery.
  • Gastroparesis: This is a condition that affects the normal spontaneous movement of the muscles (motility) in your stomach. Ordinarily, strong muscular contractions propel food through your digestive tract. But if you have gastroparesis, your stomach's motility is slowed down or doesn't work at all, preventing your stomach from emptying properly. This could explain your vomiting episodes.

    • Treatment typically involves dietary changes, medication, and in severe cases, procedures or surgery.

Please note that these are only possibilities and not a definitive diagnosis. You should consult with a healthcare professional for a formal diagnosis.

What you can do

  1. Consult with a healthcare professional: They can provide a formal assessment and order relevant tests if necessary.

  2. Monitor your symptoms: Keep track of when your symptoms occur, what you're doing when they occur, and any potential triggers. This can help your healthcare provider make a diagnosis.

  3. Maintain a healthy diet: Eating a balanced diet rich in iron can help with your anemia. Foods high in iron include red meat, poultry, seafood, beans, dark green leafy vegetables, and iron-fortified cereals.

  4. Manage your GERD: If you have GERD, lifestyle changes can help manage your symptoms. This includes eating smaller meals, not lying down for at least two hours after eating, avoiding foods and drinks that trigger your symptoms, and maintaining a healthy weight.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or don't improve with treatment
  • You experience severe abdominal pain
  • You notice blood in your vomit
  • You experience severe dizziness or fainting
  • You have difficulty breathing or chest pain

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

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9 mo ago


People Also Ask


What are the common causes of iron deficiency anemia?

Iron deficiency anemia is commonly caused by a lack of iron in the diet, chronic blood loss (such as from heavy menstrual periods or gastrointestinal bleeding), or an inability to absorb iron properly due to conditions like celiac disease or after certain surgeries.


How can gastroesophageal reflux disease (GERD) lead to vomiting?

GERD can lead to vomiting because the acid reflux irritates the esophagus, which can trigger a reflex that causes vomiting. Additionally, the discomfort and nausea associated with GERD can also lead to vomiting.


What dietary changes can help manage gastroparesis?

Dietary changes for managing gastroparesis include eating smaller, more frequent meals, choosing low-fat and low-fiber foods, and avoiding carbonated drinks. Pureed or liquid meals may also be easier to digest.


When should someone with these symptoms seek immediate medical attention?

Immediate medical attention should be sought if symptoms worsen or don't improve with treatment, if there is severe abdominal pain, blood in vomit, severe dizziness or fainting, difficulty breathing, or chest pain.

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