[53F] Experiencing nausea, indigestion, and dizziness

Patient Description

A 53-year-old female reports feeling nauseous for a couple of hours, with a severity of 6 out of 10. The nausea is described as a knot in the stomach above the belly button, worsening with movement such as sitting, standing, and walking, with no known relieving factors. She also experiences indigestion, rated at a severity of 5 out of 10, with acid reflux during burping, worsening after eating, but without identified food triggers. Additionally, she reports a spinning sensation of dizziness when standing or turning her head, also with a severity of 5 out of 10. The patient has a recent diagnosis of Crohn's Disease from two months ago and is currently taking Omeprazole. No known drug allergies are reported, and no other medications are being taken at this time.

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Arora's Assessment

What might be happening

Based on the information provided, possible explanations for your symptoms include:

  • 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, causing symptoms like nausea and indigestion.

    • Treatment usually involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery may be needed.
  • Gastritis: This is an inflammation of the stomach lining. It can cause nausea and indigestion, and may be worsened by eating.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.
  • Vertigo: This is a sensation of feeling off balance and experiencing a dizzy spinning sensation. Vertigo is most often caused by an issue in the inner ear, which affects balance.

    • Treatment of vertigo depends on the cause. It may include medications, physical therapy maneuvers, or procedures.
  • Crohn's Disease: This is a type of inflammatory bowel disease. It causes inflammation of your digestive tract, which can lead to abdominal pain, severe diarrhea, and malnutrition. Inflammation caused by Crohn's disease can involve different areas of the digestive tract in different people. It's possible that your current symptoms are related to a flare-up of your Crohn's disease.

    • Treatment usually involves reducing the inflammation that's triggering your symptoms. In the best cases, this may lead not only to symptom relief but also to long-term remission.

What you can do

You should definitely seek medical attention given your symptoms. Here are some things you can do in the meantime:

  1. Try to avoid foods and drinks that trigger your symptoms. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
  2. Try to eat smaller meals. Avoid overeating by eating smaller meals.
  3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.

What you should look out for

You should seek immediate medical attention if:

  • Your nausea and vomiting persist or worsen
  • You have blood in your vomit or stool
  • You have severe abdominal pain
  • Your dizziness is accompanied by a severe headache, stiff neck, chest pain, or shortness of breath

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

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11 mo ago

People Also Ask


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

Common symptoms of GERD include heartburn, acid reflux, chest pain, difficulty swallowing, and regurgitation of food or sour liquid. It can also cause nausea and indigestion.


How can gastritis be managed or treated?

Gastritis can be managed by taking antacids and medications that reduce stomach acid, such as proton pump inhibitors or H2 blockers. Avoiding irritants like alcohol, spicy foods, and NSAIDs can also help.


What causes vertigo and how is it treated?

Vertigo is often caused by problems in the inner ear, such as benign paroxysmal positional vertigo (BPPV), Meniere's disease, or vestibular neuritis. Treatment may include medications, physical therapy maneuvers like the Epley maneuver, or addressing the underlying cause.


What are the symptoms and treatment options for Crohn's Disease?

Symptoms of Crohn's Disease include abdominal pain, diarrhea, weight loss, and fatigue. Treatment focuses on reducing inflammation and may include medications like corticosteroids, immunosuppressants, and biologics, as well as dietary changes and sometimes surgery.


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