[45F] Experiencing vomiting and nausea with a history of acid reflux

Patient Description

A 45-year-old female has been experiencing vomiting after eating for the past two days. The vomit is brown in color, occurring once or twice daily. Accompanying symptoms include nausea and exhaustion, as well as regurgitation of food and a sour taste in the mouth postprandially. The patient has a history of acid reflux diagnosed 6 years ago but is not currently on any medications. There are no signs of dehydration, severe abdominal pain, unintentional weight loss, or difficulty swallowing. No known allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible explanations for your symptoms:

  • Gastroesophageal Reflux Disease (GERD): This is a more severe form of acid reflux, which you mentioned you have a history of. GERD can cause vomiting, nausea, and a sour taste in your mouth. The brown color of your vomit may be due to food particles that are being brought up.

    • Treatment typically involves lifestyle changes and over-the-counter or prescription medications to reduce stomach acid and manage symptoms.
  • Gastroparesis: This is a condition where the stomach takes too long to empty its contents, often leading to nausea and vomiting. It's more common in people with diabetes, but can occur in others as well.

    • Treatment typically involves dietary changes and medications to help the stomach empty more effectively.
  • Peptic Ulcer Disease: This is a condition where sores develop on the lining of your stomach, upper small intestine or esophagus. It can cause nausea, vomiting, and a feeling of fullness or bloating.

    • Treatment typically involves medications to decrease the amount of acid in your stomach, which allows the ulcers to heal.

Please note that these are potential explanations, and not a definitive diagnosis. You should consult a healthcare professional for a formal diagnosis and treatment.

What you can do

In the meantime, here are some steps you can take to manage your symptoms:

  1. Eat smaller, more frequent meals: Instead of three large meals a day, try eating six small meals a day to avoid overloading your stomach.

  2. Avoid trigger foods: Foods that are spicy, fatty, or acidic can worsen symptoms of GERD and peptic ulcers. Try to identify and avoid foods that trigger your symptoms.

  3. Stay upright after eating: Try not to lie down or go to bed for at least two hours after eating. Gravity can help keep stomach acid where it belongs.

  4. Stay hydrated: Even though you're not experiencing signs of dehydration, it's important to stay hydrated, especially if you're vomiting frequently.

What you should look out for

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

  • Vomiting blood or material that looks like coffee grounds
  • Severe abdominal pain
  • Difficulty swallowing
  • Unintentional weight loss
  • Signs of dehydration, such as dizziness, dry mouth, or excessive thirst

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

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People Also Ask


What could cause vomiting with a brown color after eating?

Vomiting with a brown color can be due to partially digested food being brought up, which may occur in conditions like GERD or gastroparesis. It is important to consult a healthcare provider to rule out more serious conditions.


How can GERD lead to symptoms like nausea and a sour taste in the mouth?

GERD can cause stomach acid to flow back into the esophagus, leading to symptoms like nausea and a sour taste in the mouth. This backflow can irritate the esophagus and cause discomfort after eating.


What lifestyle changes can help manage symptoms of acid reflux or GERD?

Lifestyle changes to manage GERD include eating smaller, more frequent meals, avoiding trigger foods (such as spicy, fatty, or acidic foods), staying upright after meals, and maintaining a healthy weight. These changes can help reduce symptoms and prevent acid reflux.


When should someone with vomiting and nausea seek immediate medical attention?

Immediate medical attention should be sought if there is vomiting of blood or material that looks like coffee grounds, severe abdominal pain, difficulty swallowing, unintentional weight loss, or signs of dehydration such as dizziness or excessive thirst.


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