[44F] Experiencing vomiting and dry heaving post-exercise

Patient Description

A 44-year-old female reports experiencing vomiting and dry heaving, particularly after consuming preworkout supplements and exercising. The vomiting is described as projectile and occurs a couple of times per week, often resulting in the expulsion of recently consumed food. The patient also experiences heartburn and lightheadedness during these episodes. The symptoms have been present for about a month. The patient maintains a healthy diet consisting mostly of meat, eggs, and vegetables. There is no family history of gastrointestinal diseases, and the patient does not have any pre-existing conditions or chronic illnesses. No chest pain, difficulty breathing, blood in vomit, or severe abdominal pain reported. Fatigue is also noted as an additional symptom.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you have described, here are some possible explanations:

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when 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 and vomiting.

    • Treatment typically includes lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down after eating. Over-the-counter medications like antacids, H2 blockers, or proton pump inhibitors may also help.
  • Exercise-Induced Nausea: Intense physical activity can sometimes lead to nausea and vomiting, especially if you have eaten or consumed certain supplements like pre-workout drinks before exercising.

    • Treatment involves adjusting your pre-workout nutrition, staying hydrated, and possibly reducing the intensity of your workouts until your symptoms improve.
  • Food Intolerance or Sensitivity: Some people have difficulty digesting certain foods or ingredients, which can lead to symptoms like vomiting and heartburn.

    • Treatment involves identifying and avoiding trigger foods. Keeping a food diary can help you and your healthcare provider identify patterns.
  • Gastritis: Inflammation of the stomach lining can cause symptoms such as nausea, vomiting, and heartburn.

    • Treatment usually includes medications to reduce stomach acid and lifestyle changes to avoid irritants like alcohol, spicy foods, and NSAIDs.

What you can do

  1. Adjust Your Diet: Try to identify any foods or drinks that may be triggering your symptoms. Avoiding these can help reduce the frequency of your vomiting and heartburn.
  2. Hydrate Properly: Ensure you are drinking enough water, especially before and after exercising. Dehydration can worsen symptoms.
  3. Modify Your Exercise Routine: Consider reducing the intensity of your workouts or changing the timing of your meals and supplements to see if this helps alleviate your symptoms.
  4. Over-the-Counter Remedies: Antacids or other medications designed to reduce stomach acid can provide temporary relief from heartburn and nausea.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Persistent Symptoms: If your vomiting, heartburn, or fatigue continues despite trying the above measures, consult a healthcare provider.
  • Blood in Vomit: This could indicate a more serious condition that requires immediate medical attention.
  • Severe Abdominal Pain: This could be a sign of a more serious underlying condition.
  • Unexplained Weight Loss: If you are losing weight without trying, it could be a sign of an underlying health issue.

Remember, while these suggestions can help manage your symptoms, it is important to consult a healthcare provider for a formal diagnosis and appropriate treatment plan.

Show More

1
 Hugs
0
 Comments

Save

5 mo ago


People Also Ask


What are the common symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, and chest pain. Some people may also experience nausea and vomiting.


Can exercise cause nausea and vomiting, and how can it be managed?

Yes, exercise can cause nausea and vomiting, especially if you eat or consume certain supplements before working out. To manage this, adjust your pre-workout nutrition, stay hydrated, and consider reducing the intensity of your workouts.


How can I identify if I have a food intolerance or sensitivity?

To identify a food intolerance or sensitivity, keep a food diary to track what you eat and any symptoms that occur. This can help you and your healthcare provider identify patterns and potential trigger foods.


What lifestyle changes can help manage gastritis symptoms?

Lifestyle changes to manage gastritis include avoiding irritants like alcohol, spicy foods, and NSAIDs, eating smaller meals, and reducing stress. Medications to reduce stomach acid may also be recommended by a healthcare provider.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback