Nausea and Diarrhea: Possible Gastrointestinal Issues - Gastroenterology and Hepatology

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Nausea, vomiting, and diarrhea?


Yesterday for breakfast, I had an egg pancake and pan-fried dumplings.
For lunch, I drank a bottle of milk, and for dinner, I had a chicken leg bento.
After falling asleep last night and waking up this morning, I suddenly felt nauseous and had the urge to vomit.
Lying on my stomach made the feeling worse.
I suddenly felt the need to have a bowel movement, but the stool was liquid.
During the bowel movement, I felt some gas in my abdomen.
What could be wrong with me?

XXX, 20~29 year old female. Ask Date: 2020/05/18

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: A 24-year-old female presents with nausea, vomiting, and diarrhea.
She reports that her bowel movements are liquid, and her abdomen feels relieved after defecation.
She has no prior gastrointestinal issues.
The sudden onset of nausea and vomiting may be due to foodborne illness, indigestion, or gastroenteritis.
It is important to pay attention to dietary hygiene practices, wash hands frequently, avoid raw foods, and refrain from consuming overly greasy or unclean food.
Wishing you health and safety! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Internal Medicine, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/05/18

More Info


Nausea and diarrhea can be distressing symptoms that often indicate underlying gastrointestinal issues. Based on your description, it appears that you experienced a sudden onset of nausea and diarrhea after consuming a variety of foods throughout the day. This could be attributed to several potential causes, which I will outline below.

1. Food Intolerance or Allergy: One possibility is that you may have a food intolerance or allergy to one of the items you consumed. For instance, dairy products, such as the milk you drank, can cause gastrointestinal distress in individuals who are lactose intolerant. Symptoms of lactose intolerance can include nausea, diarrhea, and abdominal cramping after consuming dairy products.

2. Gastroenteritis: Another common cause of sudden nausea and diarrhea is gastroenteritis, often referred to as a stomach virus. This condition can be caused by viral infections (like norovirus or rotavirus) or bacterial infections (such as those from contaminated food or water). Symptoms typically include nausea, vomiting, diarrhea, abdominal cramps, and sometimes fever. The onset can be rapid, and symptoms can last for a few days.

3. Food Poisoning: If the food you consumed was contaminated with bacteria, viruses, or toxins, it could lead to food poisoning. Symptoms of food poisoning can mimic those of gastroenteritis and may include nausea, vomiting, diarrhea, and abdominal pain. The timing of symptoms can vary depending on the type of pathogen involved.

4. Irritable Bowel Syndrome (IBS): If you have a history of gastrointestinal issues, such as bloating, gas, and changes in bowel habits, you might be experiencing a flare-up of irritable bowel syndrome. IBS can cause episodes of diarrhea, constipation, or alternating between both, often triggered by stress or certain foods.

5. Acid Reflux or GERD: Given that you mentioned feeling worse when lying down, it’s also worth considering gastroesophageal reflux disease (GERD). This condition can cause nausea and discomfort, especially after eating, and may lead to a sensation of needing to vomit.

6. Stress and Anxiety: Psychological factors can also play a significant role in gastrointestinal symptoms. Stress and anxiety can lead to increased gut motility, resulting in diarrhea and nausea. If you have been under stress recently, this could be a contributing factor.


Recommendations:
- Hydration: It’s crucial to stay hydrated, especially if you are experiencing diarrhea. Drink plenty of fluids, such as water or electrolyte solutions, to prevent dehydration.

- Dietary Adjustments: Consider avoiding dairy products and other potential irritants until you identify the cause of your symptoms. A bland diet (such as bananas, rice, applesauce, and toast) may help soothe your stomach.

- Monitor Symptoms: Keep track of your symptoms, including their duration and any other accompanying signs (like fever or severe abdominal pain). This information can be helpful for healthcare providers.

- Consult a Healthcare Provider: If your symptoms persist for more than a couple of days, worsen, or are accompanied by severe pain, fever, or blood in your stool, it’s essential to seek medical attention. A healthcare provider can perform necessary tests to determine the underlying cause and recommend appropriate treatment.

In summary, while nausea and diarrhea can stem from various gastrointestinal issues, understanding the context of your symptoms and seeking timely medical advice is crucial for effective management.

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