Abdominal bloating with occasional nausea?
Hello Doctor: Today is January 6th.
I started feeling bloated and nauseous around the afternoon of January 1st, but I didn't eat much that day.
After that, I felt like vomiting whenever I ate anything, so I induced vomiting myself.
The next day, I had diarrhea multiple times, and I still felt nauseous whenever I ate.
I saw a doctor and was diagnosed with a gastroenteritis.
I finished my medication in the past two days, and I no longer have diarrhea, but I occasionally still feel nauseous when eating.
I feel bloated as soon as I eat, and there is a vague discomfort.
I'm also eating less than usual, and my stomach and abdomen feel more distended than before (previously, my stomach would be flat after a bowel movement).
What could this situation be? Is it indigestion or bloating? Will it gradually improve on its own?
Zhuang Xiaojie, 20~29 year old female. Ask Date: 2016/01/06
Dr. Li Zhiyao reply Internal Medicine
Hello: Your gastroenteritis symptoms have not yet resolved.
It is recommended that you seek medical attention again to alleviate your discomfort.
Reply Date: 2016/01/06
More Info
Bloating and nausea can be quite uncomfortable and are often symptoms of various gastrointestinal issues. Based on your description, it seems that you experienced an acute episode of gastrointestinal distress, which was diagnosed as a gastroenteritis or "stomach flu." This condition can be caused by viral infections, bacterial infections, or even food intolerances. Let's break down your symptoms and potential causes, as well as remedies and management strategies.
Understanding Your Symptoms
1. Bloating: This is often a result of excess gas in the digestive tract or a buildup of food that is not being processed efficiently. It can occur after eating, especially if the food is difficult to digest or if you have eaten too quickly.
2. Nausea: This sensation can be triggered by various factors, including inflammation in the stomach lining, irritation from food, or even anxiety. In your case, it seems to be linked to your recent gastrointestinal illness.
3. Diarrhea: This symptom often accompanies gastroenteritis and can lead to dehydration. It is the body's way of expelling irritants or pathogens from the digestive system.
4. Persistent Symptoms: Even after the acute phase of your illness has passed, lingering symptoms like nausea and bloating can occur. This may be due to a temporary disruption in your gut flora or lingering inflammation in your gastrointestinal tract.
Possible Causes
- Gastroenteritis: As diagnosed, this is often viral but can also be bacterial. Symptoms typically resolve within a few days, but some individuals may experience prolonged discomfort.
- Food Intolerance: After an episode of gastroenteritis, your digestive system may be more sensitive. Foods that were previously well-tolerated might now cause discomfort.
- Dysbiosis: An imbalance in gut bacteria can lead to bloating and digestive issues. Antibiotics, if taken, can disrupt the normal flora, leading to symptoms.
- Functional Dyspepsia: This is a condition characterized by chronic or recurrent pain in the upper abdomen, often associated with bloating and nausea.
Remedies and Management
1. Dietary Adjustments:
- Bland Diet: Stick to bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
- Hydration: Ensure you are drinking plenty of fluids to stay hydrated, especially after diarrhea. Electrolyte solutions can be beneficial.
- Avoid Trigger Foods: Steer clear of fatty, spicy, or highly processed foods until you feel better. Also, consider avoiding dairy products temporarily, as they can be hard to digest after a gastrointestinal upset.
2. Small, Frequent Meals: Instead of large meals, try eating smaller portions more frequently to ease the burden on your digestive system.
3. Over-the-Counter Remedies:
- Antacids: These can help relieve bloating and discomfort.
- Probiotics: These can help restore the balance of good bacteria in your gut, especially after an episode of diarrhea.
4. Rest and Recovery: Allow your body time to heal. Stress and fatigue can exacerbate gastrointestinal symptoms, so ensure you are getting adequate rest.
5. Monitor Symptoms: Keep track of your symptoms. If they persist beyond a week or worsen, it would be wise to consult a healthcare professional for further evaluation.
When to Seek Medical Attention
If you experience severe abdominal pain, persistent vomiting, high fever, or signs of dehydration (such as dizziness, dry mouth, or decreased urination), it is important to seek medical attention promptly. Additionally, if your nausea and bloating do not improve with dietary changes and home remedies, a follow-up with your healthcare provider may be necessary to rule out other underlying conditions.
In summary, while your symptoms may gradually improve, it is essential to listen to your body and make appropriate dietary and lifestyle adjustments. If symptoms persist or worsen, do not hesitate to consult a healthcare professional for further evaluation and management.
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