[47F] Experiencing sulfur burps, dizziness, upset stomach, and diarrhea

Patient Description

A 47-year-old female presents with sulfur burps, described as frequent and unpleasant, occurring 4-5 times an hour throughout the day. This issue has been present all day and was also experienced a few weeks prior. The patient also reports sudden onset diarrhea starting in the afternoon, with stomach cramps and explosive episodes. Additionally, the patient experiences dizziness, mostly in the morning or when rising from a lying position, described as a spinning sensation. The patient has a history of obesity, slightly elevated blood pressure controlled with medication, depression, migraines, basal cell carcinoma diagnosed 18 months ago, and is pre-diabetic, currently managed with Ozempic. The patient's medication regimen includes Nortryptoline, Topirimate, Citalopram, Losartin, Omeprazole, Zyrtec, Vitamin D, Vitamin B Complex, Magnesium, and Imitrex as needed, with Excedrin taken for headaches. The patient has a known allergy to Neomyosin/Neosporin. No recent travel, fever, or chills were reported. The patient frequently experiences headaches and migraines, which are considered to be minor and are possibly related to weather changes and fatigue.

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Arora's Assessment

What might be happening

Based on the symptoms you've reported, the following conditions may be possible:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include diarrhea, stomach upset, and cramping.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. If symptoms persist, a healthcare provider may prescribe medications to manage symptoms.
  • Food poisoning: Consuming contaminated food can lead to food poisoning, which often presents with symptoms like diarrhea, stomach upset, and sometimes sulfur burps.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. If symptoms persist, a healthcare provider may prescribe medications to manage symptoms.
  • Giardiasis: This is a small intestine infection caused by a microscopic parasite called Giardia. Symptoms can include diarrhea, stomach upset, and sulfur burps.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.
  • Benign paroxysmal positional vertigo (BPPV): This is a disorder arising in the inner ear, which is the body's balance center. Its symptoms include brief episodes of mild to intense dizziness, often triggered by specific changes in the position of your head.

    • Treatment typically involves a series of movements, performed in a doctor's office, to help dislodge the otoconia from the semicircular canals.

Please note that these are possibilities based on the symptoms you've reported and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Diarrhea can cause dehydration, so it's important to drink plenty of fluids. Water is good, but adding broth, juice or a rehydration solution can also be beneficial.

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

  3. Avoid certain foods: Dairy, fatty foods, high-fiber foods, or highly seasoned foods can make symptoms worse.

  4. Over-the-counter remedies: Over-the-counter anti-diarrheal medications can help with diarrhea, but they should not be used if you have a high fever or bloody stools.

  5. Seek medical attention: If your symptoms persist for more than a few days, or if you have a high fever, blood in your stool, signs of dehydration, or severe abdominal pain, seek medical attention immediately.

What you should look out for

  • Signs of dehydration, such as extreme thirst, less frequent urination, dark-colored urine, fatigue, dizziness, and confusion.
  • Blood or mucus in your stool.
  • High fever (above 101.4 F).
  • Severe abdominal or rectal pain.
  • Symptoms that last more than a week.
  • Inability to keep liquids down for 24 hours.

Remember, while this advice can provide guidance, it's always best to consult with a healthcare provider for a definitive diagnosis and treatment.

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11 mo ago

People Also Ask


What causes sulfur burps and how can they be treated?

Sulfur burps are often caused by the breakdown of certain foods in the digestive system, leading to the release of hydrogen sulfide gas. They can also be associated with conditions like gastroenteritis, food poisoning, or giardiasis. Treatment involves dietary changes, staying hydrated, and sometimes medications to address underlying conditions.


What are the common symptoms and treatments for gastroenteritis?

Gastroenteritis symptoms include diarrhea, stomach cramps, nausea, and vomiting. Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms. In some cases, a healthcare provider may prescribe specific medications if symptoms persist.


How can dizziness related to benign paroxysmal positional vertigo (BPPV) be managed?

BPPV-related dizziness can be managed with specific head movements known as the Epley maneuver, which helps reposition the small crystals in the inner ear. It's important to consult a healthcare provider for proper diagnosis and guidance on performing these maneuvers.


What dietary changes can help manage diarrhea and stomach cramps?

To manage diarrhea and stomach cramps, it's advisable to avoid dairy, fatty, high-fiber, and highly seasoned foods. Instead, focus on bland foods like bananas, rice, applesauce, and toast. Staying hydrated with water, broth, or rehydration solutions is also important.


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