[43F] Experiencing postprandial vomiting and sharp stomach pain

Patient Description

A 43-year-old female presents with nausea, vomiting immediately after eating, and sharp stomach pain at the top of the abdomen, persisting for 2 weeks. Vomiting occurs 3 to 4 times, specifically after consuming rice, steak, eggs, and mushrooms. The patient rates the stomach pain as 5 out of 10 in severity and describes bowel movements as green and runny. The patient also experiences chills and has had significant weight loss, with an inability to keep down fluids. The patient's medical history includes diabetes and current medications are Sertraline, Venlafaxine, Methotrexate, Corlanor, and Metoprolol. The patient has no known drug allergies.

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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 digestive tract, often caused by a viral or bacterial infection. It can cause symptoms like nausea, vomiting, diarrhea, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if it's caused by bacteria.
  • Gastritis: This is an inflammation of the stomach lining, which can be caused by various factors including long-term use of certain medications, excessive alcohol consumption, chronic stress, or certain bacterial infections.

    • Treatment usually involves medications to reduce stomach acid and possibly antibiotics if a bacterial infection is present.
  • 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.

    • Treatment usually involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery might be needed.
  • Peptic Ulcer Disease: This is a condition where painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine (the duodenum). It's often caused by long-term use of certain medications or a bacterial infection.

    • Treatment usually involves medications to reduce stomach acid and possibly antibiotics if a bacterial infection is present.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain and vomiting.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.

Please note that these are potential diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Stay hydrated: Dehydration can worsen your symptoms and lead to other health problems. Try to drink plenty of fluids, such as water or oral rehydration solutions.

  2. Eat small, bland meals: Eating smaller, more frequent meals can sometimes help reduce symptoms. Avoid foods that are high in fat, spicy, or acidic, as they can irritate your digestive tract.

  3. Avoid alcohol and caffeine: These can both irritate your stomach and worsen your symptoms.

  4. Rest: Rest can help your body recover.

  5. Over-the-counter remedies: Certain over-the-counter medications may help with your symptoms. For example, antacids can help neutralize stomach acid, and antiemetic medications can help control nausea and vomiting.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Signs of dehydration, such as extreme thirst, dark-colored urine, or dizziness
  • Unexplained weight loss
  • Symptoms that persist for more than a week or that are getting worse

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

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11 mo ago

People Also Ask


What are the common causes of nausea and vomiting after eating?

Common causes of nausea and vomiting after eating include gastroenteritis, food poisoning, gastritis, peptic ulcers, and gallstones. It can also be due to food intolerances or allergies.


How can diabetes affect gastrointestinal symptoms like nausea and vomiting?

Diabetes can affect gastrointestinal symptoms through a condition called gastroparesis, where the stomach takes too long to empty its contents. This can lead to nausea, vomiting, and bloating.


What dietary changes can help manage symptoms of gastritis or GERD?

To manage symptoms of gastritis or GERD, it's recommended to eat smaller, more frequent meals, avoid spicy and acidic foods, reduce fat intake, and avoid alcohol and caffeine. Keeping a food diary can help identify triggers.


When should I seek medical attention for persistent stomach pain and vomiting?

You should seek medical attention if you experience severe abdominal pain, blood in vomit or stool, signs of dehydration, unexplained weight loss, or if symptoms persist for more than a week or worsen.


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