Bloating and Discomfort: When to Seek Medical Help - Gastroenterology and Hepatology

Q: Bloating and Discomfort: When to Seek Medical Help

Hello： Please assess whether you are experiencing symptoms of gastroesophageal reflux disease (GERD). <br>Waking up in pain while lying flat may indicate GERD or a duodenal ulcer. <br>As for shortness of breath, dry heaving, and dizziness, these symptoms are likely less related t

Bloating that does not subside?

Hello, Dr.
Tsai.
On September 11th, I suddenly felt discomfort in my stomach while sleeping and vomited, which led me to visit the emergency room.
After that, I started experiencing bloating, regardless of whether I had eaten or not, and I have a poor appetite.
I returned for a follow-up on September 13th, took medication along with probiotics, but I still frequently feel bloated and uncomfortable, although I haven't had any diarrhea.
Today, September 16th, after finishing a basketball game, I suddenly experienced shortness of breath, dry heaving, and dizziness.
Is this situation abnormal? Thank you, doctor.

Ye Xiansheng, 20~29 year old female. Ask Date: 2017/09/16

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Please assess whether you are experiencing symptoms of gastroesophageal reflux disease (GERD).
Waking up in pain while lying flat may indicate GERD or a duodenal ulcer.
As for shortness of breath, dry heaving, and dizziness, these symptoms are likely less related to gastrointestinal discomfort.
It is advisable to avoid late-night snacks and reduce the intake of beverages such as tea and coffee.
If there is no improvement, it is recommended to consult a gastroenterologist and a cardiologist at Changhua Hospital to address your health concerns.
Dr.
Tsai An-Shun

Reply Date: 2017/09/16

More Info

Hello, thank you for reaching out with your concerns regarding your gastrointestinal discomfort and the recent symptoms you've been experiencing. Based on your description, it sounds like you are dealing with a combination of gastrointestinal issues, including bloating, loss of appetite, and acute episodes of nausea and dizziness.
Bloating can be caused by a variety of factors, including dietary choices, gastrointestinal disorders, or even stress. It's important to consider what you have eaten recently, as certain foods can contribute to gas and bloating. Common culprits include beans, lentils, carbonated beverages, and high-fiber foods, which can lead to increased gas production in the intestines. Additionally, if you have any food intolerances or allergies, these could also manifest as bloating and discomfort.

The fact that you experienced sudden nausea and vomiting, followed by persistent bloating and discomfort, is concerning. While it's good that you sought medical attention initially, the persistence of your symptoms suggests that further evaluation may be necessary. The addition of symptoms such as shortness of breath, dry heaving, and dizziness, especially after physical activity, raises the possibility of a more serious underlying condition that needs to be addressed.

In terms of when to seek medical help, here are some guidelines:
1. Persistent Symptoms: If your symptoms, such as bloating and discomfort, do not improve with over-the-counter medications or dietary changes, it is advisable to consult a healthcare provider.
2. Acute Symptoms: The sudden onset of shortness of breath, dizziness, or severe abdominal pain warrants immediate medical attention. These could indicate a more serious condition, such as a gastrointestinal obstruction, pancreatitis, or even cardiac issues, especially if you have risk factors for heart disease.

3. Associated Symptoms: If you experience additional symptoms such as fever, severe headache, or changes in bowel habits (like diarrhea or constipation), these could indicate an infection or other gastrointestinal issues that require further investigation.

4. Impact on Daily Life: If your symptoms are affecting your ability to eat, exercise, or perform daily activities, it is important to seek help. Quality of life is crucial, and persistent discomfort can lead to anxiety and further health complications.

Given your recent experiences, I recommend that you follow up with your healthcare provider as soon as possible. They may suggest further diagnostic tests, such as blood tests, imaging studies (like an abdominal ultrasound or CT scan), or even an endoscopy, depending on your symptoms and medical history.
In the meantime, consider keeping a food diary to track what you eat and any symptoms that arise afterward. This can help identify any potential food triggers. Staying hydrated and avoiding heavy meals may also help alleviate some discomfort.
Lastly, if you feel overwhelmed or anxious about your symptoms, don't hesitate to reach out for psychological support. Stress and anxiety can exacerbate gastrointestinal issues, and addressing these factors can be an important part of your overall treatment plan.

Take care, and I hope you find relief soon.

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