[53F] Experiencing foul-smelling burping, vomiting, and diarrhea

Patient Description

A 53-year-old female presents with a one-day history of frequent burping with a foul smell, vomiting, and diarrhea. The patient reports that the burping occurs four to six times per hour and is not related to food intake, as she has not eaten today. The vomiting seems to provide temporary relief from the burping. Diarrhea has been occurring three to four times a day, with a similar foul smell to the burps. There is no associated fever or chills, and the patient has not traveled recently. Specific foods appear to trigger the diarrhea, but no further details on the types of foods were provided. The patient has not mentioned any other symptoms or relevant medical history during this encounter.

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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 the second most common illness in the U.S. It causes diarrhea and vomiting. It is often called by its symptoms, such as stomach flu.

    • Treatment for gastroenteritis is mainly supportive, including rest, drinking plenty of fluids, and eating light, bland foods. Over-the-counter medications may also be helpful.
  • Food Poisoning: This occurs when you eat or drink something that contains harmful germs (bacteria, viruses, or parasites). Symptoms can begin hours to days after consuming contaminated food or drink and can include diarrhea, vomiting, and stomach cramps.

    • Treatment for food poisoning typically involves rest, hydration, and symptom management. Depending on the severity and type of food poisoning, antibiotics or hospitalization may be required.
  • Peptic Ulcer Disease: These are sores that develop in the lining of the stomach, lower esophagus, or small intestine. They’re usually formed as a result of inflammation caused by the bacteria H. pylori, as well as from erosion from stomach acids. Peptic ulcers are a common cause of abdominal (stomach) pain but can also cause nausea, vomiting, and burping.

    • Treatment usually involves medication to decrease stomach acid. If a bacteria is the cause, antibiotics will be required.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause dehydration, which can be dangerous if not addressed. Drink plenty of fluids, and consider drinks with electrolytes such as sports drinks or rehydration solutions.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can give your body the rest it needs to recover.

  3. Eat light: If you can eat without vomiting, eat small amounts of bland foods like rice, applesauce, or crackers.

  4. Over-the-counter medication: There are over-the-counter medications that can help with symptoms of diarrhea and vomiting. Be sure to follow the instructions on the package.

  5. Seek medical attention: If your symptoms persist for more than a few days, or if you become severely dehydrated (symptoms of severe dehydration include dry mouth, not peeing very often, and feeling extremely dizzy or lightheaded), you should seek medical attention.

What you should look out for

If you notice any of the following symptoms, seek medical attention immediately:

  • Blood in your stool or vomit
  • High fever (over 102°F)
  • Signs of dehydration, such as not urinating, dry mouth and throat, feeling dizzy when standing up
  • Severe abdominal pain or discomfort

Remember, while this advice provides guidance based on your symptoms, it's always important to consult with a healthcare provider for a proper diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What causes frequent burping with a foul smell?

Frequent burping with a foul smell can be caused by various conditions, including gastroenteritis, food poisoning, or peptic ulcer disease. It may result from the digestive system's response to inflammation, infection, or irritation.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as diarrhea and vomiting. However, food poisoning often occurs after consuming contaminated food and may have a more sudden onset. Gastroenteritis can be viral and spread from person to person. A healthcare provider can help determine the cause based on symptoms and history.


What are the signs of dehydration to watch out for?

Signs of dehydration include dry mouth, decreased urination, dark yellow urine, dizziness, and feeling lightheaded. Severe dehydration can lead to confusion, rapid heartbeat, and fainting, and requires immediate medical attention.


When should I seek medical attention for vomiting and diarrhea?

You should seek medical attention if you experience symptoms such as blood in your stool or vomit, a high fever over 102°F, severe abdominal pain, or signs of severe dehydration like not urinating or feeling extremely dizzy.


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Anonymous#51936

6 mo ago

I was having "fits" multiple times a month. I would start by getting the sweats really bad all over my body also burping that smell like sulfur and then not too long after I would start vomiting violently. I would throw up food from days ago. Well I was going to the hospital at least twice a week. And I was going to different hospitals throughout the city also desperate for an answer and desperate for this to stop. I wasn't eating and if I did it was dry toast, dry pasta. Even with that it was still happening. I was so scared and it was taking a toll on my mental health so I decided to go inpatient. The second day there a female doctor was asking me about the symptoms that I was dealing with. She said that it was most likely my pancreas and she put me on medication. Within 2 weeks I was able to eat whatever I wanted again and the fits that I was having stopped.

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