I have not been feeling well in my gastrointestinal tract for several months?
Hello, doctor.
I've been experiencing gastrointestinal discomfort since around September.
A few hours after eating, I feel nauseous for about 30 minutes.
I've seen doctors who all said it's gastritis, but this issue resolves and then reappears every two to three weeks.
My diet mainly consists of regular pasta and rice dishes, with fried foods only occasionally.
During a visit to a clinic for an ultrasound, they said my stomach looked fine and that I only have indigestion.
However, I've never had this symptom before, and it seems that once I stop taking medication for a while, the discomfort returns.
What should I do?
Guo Tongxue, 10~19 year old female. Ask Date: 2017/03/28
Dr. Lin Minghui reply Gastroenterology and Hepatology
Frequent episodes of gastrointestinal discomfort, feeling nauseous after meals, suggest paying attention to your diet.
It is also recommended to schedule an upper gastrointestinal endoscopy to check for any signs of inflammation, ulcers, or strictures, or to determine if the issue is simply indigestion or irritable bowel syndrome.
Reply Date: 2017/03/28
More Info
Persistent digestive issues can be quite distressing, especially when they disrupt your daily life and well-being. Based on your description, it seems that you have been experiencing recurrent episodes of gastrointestinal discomfort, particularly after meals, which has been diagnosed as gastritis or digestive issues by healthcare professionals. While it’s good to hear that imaging studies like ultrasounds have shown no significant abnormalities, the recurring nature of your symptoms suggests that there may be underlying factors contributing to your discomfort.
First and foremost, it’s essential to understand that digestive issues can arise from a variety of causes, including dietary habits, stress, and even underlying medical conditions. Since you mentioned that your symptoms improve with medication but return after a period without treatment, this could indicate that your digestive system may be sensitive to certain foods or stressors.
Here are some steps you can take to manage your symptoms more effectively:
1. Dietary Modifications: Keeping a food diary can be incredibly helpful. Document what you eat and when your symptoms occur. This can help identify any specific foods that may trigger your discomfort. Common culprits include spicy foods, high-fat meals, caffeine, and dairy products. You might also want to consider smaller, more frequent meals rather than larger ones, as this can ease the digestive process.
2. Hydration: Ensure you are drinking enough water throughout the day. Dehydration can exacerbate digestive issues. However, try to avoid drinking large amounts of water during meals, as this can dilute stomach acids and impair digestion.
3. Stress Management: Stress can significantly impact your digestive health. Techniques such as mindfulness, meditation, yoga, or even regular physical activity can help reduce stress levels. Consider incorporating these practices into your daily routine.
4. Follow-Up with Your Healthcare Provider: Since your symptoms have persisted, it may be beneficial to revisit your healthcare provider. They may suggest further testing, such as an endoscopy, to rule out conditions like gastritis, ulcers, or even food intolerances. Additionally, discussing your symptoms with a gastroenterologist could provide more specialized insight.
5. Consider Probiotics: Probiotics can help restore the natural balance of gut bacteria, which may be beneficial if you are experiencing digestive discomfort. You can find probiotics in fermented foods like yogurt, kefir, sauerkraut, or as supplements.
6. Medication Review: If you are currently taking medications for your symptoms, discuss with your doctor whether these are the most appropriate options for your condition. Sometimes, the type or dosage of medication may need adjustment.
7. Lifestyle Changes: Avoid lying down immediately after eating, as this can lead to reflux and discomfort. Instead, try to remain upright for at least two to three hours after meals. Additionally, consider avoiding smoking and limiting alcohol consumption, as both can irritate the digestive tract.
8. Seek Psychological Support: If stress or anxiety is a significant factor in your digestive issues, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) and other therapeutic approaches can help manage anxiety and stress, which may, in turn, alleviate some of your digestive symptoms.
In conclusion, while persistent digestive issues can be frustrating, there are various strategies you can employ to manage your symptoms effectively. It’s crucial to take a holistic approach that includes dietary changes, stress management, and regular follow-ups with healthcare providers. By actively participating in your health and seeking the right support, you can work towards finding relief from your ongoing discomfort. Remember, it’s essential to listen to your body and seek help when needed.
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