[41F] Experiencing gastrointestinal symptoms with unusual burps

Patient Description

A 41-year-old female is experiencing recurrent gastrointestinal symptoms, including vomiting, nausea, diarrhea, and notably, burps that have an unusual fecal odor. The vomiting episodes occur once or twice on the day they happen, which is about once a week for the past couple of weeks. The vomit includes undigested food, specifically cereal and food with red sauce, which seem to trigger the episodes. There is no blood present in the vomit. The diarrhea is described as loose and explosive, occurring once a week accompanied by belly grumbling, but without fever or chills. The patient has not traveled recently and is not currently pregnant.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and highly infectious. It's characterized by diarrhea and vomiting, and can also cause nausea and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.
  • Gastric Outlet Obstruction: This is a condition where the opening between the stomach and small intestine is blocked either partially or completely. This can cause vomiting, especially of undigested food, as well as nausea and weight loss.

    • Treatment typically involves addressing the underlying cause of the obstruction, which may involve medication or surgery.
  • 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, regurgitation of food or sour liquid, and a sensation of a lump in your throat.

    • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help or if you have GERD symptoms twice a week or more, you might need stronger medications or even surgery.

What you can do

You should seek medical attention for a formal diagnosis and treatment. In the meantime, here are some things you can do:

  1. Stay hydrated: Diarrhea and vomiting can cause dehydration, which can be dangerous if not treated. Drink plenty of fluids, such as water, broth or over-the-counter oral rehydration solutions.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.

  3. Eat light: Until you feel better, stick to light, bland foods like rice, crackers or boiled potatoes.

What you should look out for

You should seek immediate medical attention if you:

  • Have severe abdominal or rectal pain
  • Have bloody or black stools
  • Have bloody or green vomit
  • Have a fever above 104°F (40°C)
  • Have signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness or lightheadedness
  • Have had diarrhea for more than two days or vomiting for more than two days

Remember, I'm an AI and this advice is not a substitute for professional medical advice.

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1 yr ago

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People Also Ask


What could cause burps with a fecal odor?

Burps with a fecal odor can be caused by a condition known as gastrojejunocolic fistula or by severe constipation where the intestinal contents are backed up. It can also occur in cases of bowel obstruction or bacterial overgrowth in the intestines.


How can I differentiate between gastroenteritis and GERD?

Gastroenteritis typically presents with sudden onset of diarrhea, vomiting, and abdominal pain, often accompanied by fever, and is usually caused by an infection. GERD, on the other hand, is a chronic condition characterized by acid reflux, heartburn, and regurgitation of food or sour liquid, without the acute symptoms of infection.


What are the potential complications of untreated gastric outlet obstruction?

Untreated gastric outlet obstruction can lead to severe dehydration, electrolyte imbalances, malnutrition, and weight loss due to the inability to properly digest and absorb nutrients. It can also cause persistent vomiting and abdominal pain.


What dietary changes can help manage symptoms of gastrointestinal issues like vomiting and diarrhea?

To manage symptoms of gastrointestinal issues, it is recommended to eat small, frequent meals and avoid trigger foods such as spicy, fatty, or acidic foods. Bland foods like rice, bananas, applesauce, and toast can be easier on the stomach. Staying hydrated with clear fluids is also important.


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