[55M] Experiencing nausea, vomiting, and gastrointestinal discomfort

Patient Description

A 55-year-old male reports having nausea rated at a severity of 5 out of 10, which is exacerbated by movement and temporarily alleviated by lying still. The patient has also experienced vomiting, excessive burping, flatulence, fatigue, and chills. These symptoms have been present for approximately 5 hours. There is no further information provided about the timing of nausea in relation to meals or any other associated symptoms.

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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 stomach and intestines, usually resulting from a viral or bacterial infection. It can cause nausea, vomiting, diarrhea, and abdominal pain.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to help with symptoms.
  • Gastritis: This is an inflammation of the stomach lining, which can cause nausea, vomiting, and a feeling of fullness in your upper abdomen after eating.

    • Treatment usually involves medications to decrease stomach acid, which allows your stomach lining to heal.
  • Peptic Ulcer: These are sores that develop on the lining of your stomach, upper small intestine or esophagus, causing pain, nausea, and bloating.

    • Treatment typically involves medications to reduce stomach acid and antibiotics to kill the bacteria that may be causing the ulcer.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where 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 heartburn, chest pain, difficulty swallowing, dry cough, and the feeling of a lump in your throat.

    • Treatment usually involves lifestyle changes and over-the-counter medications.

Remember, this is not an exhaustive list and only a healthcare provider can provide a definitive diagnosis.

What you can do

While waiting for your appointment with a healthcare provider, you can:

  1. Stay hydrated: Drink plenty of fluids, such as water or ginger tea, to help soothe your stomach and prevent dehydration.
  2. Eat light: Try eating smaller, more frequent meals instead of three large meals a day.
  3. Avoid triggers: Foods and drinks such as alcohol, caffeine, citrus fruits, and spicy foods can worsen nausea and other digestive symptoms.
  4. Rest: Getting plenty of rest can help your body recover.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Unexplained weight loss
  • Signs of dehydration, such as dark urine, dry mouth, and feeling lightheaded when standing up.

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

People Also Ask


What are common causes of nausea and vomiting in adults?

Common causes of nausea and vomiting in adults include viral infections (such as gastroenteritis), food poisoning, motion sickness, pregnancy, certain medications, and underlying medical conditions like gastritis or peptic ulcers.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often presents with nausea, vomiting, diarrhea, and abdominal pain, typically following a viral or bacterial infection. Gastritis, on the other hand, involves inflammation of the stomach lining and may cause nausea, vomiting, and a feeling of fullness after eating, without diarrhea.


What lifestyle changes can help manage symptoms of GERD?

To manage GERD symptoms, consider lifestyle changes such as eating smaller meals, avoiding trigger foods (like spicy or fatty foods), not lying down immediately after eating, maintaining a healthy weight, and elevating the head of your bed.


When should I seek medical attention for digestive symptoms?

Seek medical attention if you experience severe abdominal pain, blood in vomit or stool, unexplained weight loss, or signs of dehydration such as dark urine, dry mouth, and dizziness when standing up.


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