Loss of Appetite and Stomach Discomfort: Your Symptoms - Gastroenterology and Hepatology

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Loss of appetite, gastrointestinal discomfort, and watery stools?


Last week, for some reason, I suddenly felt very nauseous in the middle of my sleep and ran to the bathroom to vomit once.
I thought it was nothing, but less than ten minutes after lying down again, I vomited again.
Overall, I vomited about 5 to 6 times and also experienced diarrhea, so I went to see a doctor at a nearby clinic.
Although I improved and stopped vomiting, my stools are still watery, and I have no appetite.
After eating, my stomach feels a bit uncomfortable, and I don't know why.
Could you please provide an explanation, doctor? Thank you! Should I see a doctor again?

Xiangzai, 20~29 year old female. Ask Date: 2008/03/19

Dr. Zhang Siyuan reply Gastroenterology and Hepatology


To Xiangzi: Your symptoms of vomiting and diarrhea occurred sequentially, and the slow recovery of your appetite suggests that it may be viral gastroenteritis.
This can lead to a temporary inability to return to normal peristalsis, followed by a period of dysfunction, which may include postprandial bloating and diarrhea.
It is often necessary to consult a gastroenterologist one or more times for appropriate medication treatment to facilitate a quicker recovery.
If you experience discomfort in your stomach after eating, there are many potential causes aside from acute gastric dilation.
If there is no improvement in a short period, further evaluation may be considered.
Dr.
Zhang, Gastroenterology Department, Lesheng Sanatorium.

Reply Date: 2008/03/19

More Info


It sounds like you are experiencing a combination of gastrointestinal distress and loss of appetite, which can be quite concerning. Based on your description, it seems you had a significant episode of vomiting and diarrhea, which can lead to dehydration and further complications if not addressed properly. Let’s break down your symptoms and discuss potential underlying causes and next steps.

Firstly, the sudden onset of vomiting and diarrhea can be indicative of several conditions, including viral gastroenteritis (often referred to as a stomach virus), food poisoning, or even stress-related gastrointestinal issues. Given that you mentioned feeling nauseous and experiencing multiple episodes of vomiting, it’s essential to consider the possibility of an infection or irritation in the gastrointestinal tract. These conditions can often resolve on their own, but they can also lead to dehydration, especially if you are unable to keep fluids down.

The fact that your stools are still watery suggests that your gastrointestinal system may still be in a state of irritation or inflammation. This can occur even after the initial vomiting has subsided. Loss of appetite is also common in these situations, as your body may be reacting to the discomfort and the stress of the illness. It’s important to listen to your body during this time; eating small, bland meals may help ease your stomach discomfort.

In terms of whether you should see a doctor again, it is advisable to do so, especially if your symptoms persist or worsen. If you continue to have watery stools, this could lead to dehydration, which can be serious. Signs of dehydration include dry mouth, dizziness, decreased urine output, and fatigue. If you experience any of these symptoms, it is crucial to seek medical attention promptly.

Additionally, if your loss of appetite continues for more than a few days, or if you experience any other concerning symptoms such as severe abdominal pain, fever, or blood in your stool, you should definitely consult a healthcare professional. They may want to perform further tests to rule out any underlying conditions, such as infections, inflammatory bowel disease, or other gastrointestinal disorders.

In the meantime, focus on staying hydrated. Clear fluids like water, broth, or electrolyte solutions can help replenish lost fluids and electrolytes. Avoiding heavy, greasy, or spicy foods until your symptoms improve is also recommended. Gradually reintroducing bland foods like rice, bananas, applesauce, and toast (often referred to as the BRAT diet) can be beneficial as your appetite returns.

In summary, while your symptoms may improve on their own, it is essential to monitor your condition closely. If you notice any worsening symptoms or if your gastrointestinal issues persist, seeking medical advice is the best course of action. Your health is paramount, and a healthcare professional can provide the necessary guidance and treatment to help you recover fully.

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