Gastrointestinal Discomfort: When to Seek Medical Help

Unsure if it's gastrointestinal discomfort?

On January 13th, I experienced persistent vomiting without diarrhea.
The doctor diagnosed me with gastroenteritis and administered an antiemetic injection to stop the vomiting.
However, as of today, I have eaten very little but often feel a sensation of fullness in my throat.
In the morning, I wake up feeling as if I just ate a large meal, accompanied by nausea and occasional small burps.
I have lost a significant amount of weight, but my abdomen appears distended.
I researched online and found that constipation and gastric obstruction could also lead to vomiting.
I have infrequent bowel movements with very little output.
Should I see a doctor? Should I consult a gastroenterologist or focus on the constipation issue? Thank you.

Zhuang Xiaojie, 20~29 year old female. Ask Date: 2016/01/20

Dr. Lin Minghui reply Gastroenterology and Hepatology

Frequent feelings of fullness accompanied by nausea, bloating, and decreased bowel movements may be caused by conditions such as dyspepsia, gastritis, or peptic ulcers.
Gastric obstruction is more serious and should be evaluated by a gastroenterologist for further investigation.
Wishing you good health.

Reply Date: 2016/01/20

More Info

Gastrointestinal discomfort can manifest in various ways, and understanding when to seek medical help is crucial for effective management. Based on your description, it sounds like you are experiencing a combination of symptoms that could indicate a more serious underlying issue. Let's break down your symptoms and discuss the appropriate steps to take.

You mentioned experiencing persistent vomiting without diarrhea, a sensation of fullness in your throat, and significant weight loss, along with a distended abdomen. These symptoms, particularly the vomiting and the feeling of fullness, can be concerning. They may suggest a possible gastrointestinal obstruction, especially given your history of constipation and the changes in your bowel habits.
In general, if you are experiencing symptoms such as:
1. Persistent Vomiting: If vomiting continues despite treatment, it can lead to dehydration and electrolyte imbalances, which can be dangerous.

2. Severe Abdominal Distension: A swollen abdomen can indicate fluid accumulation or gas, which may be a sign of obstruction or other serious conditions.

3. Significant Weight Loss: Unintentional weight loss is a red flag that should not be ignored, as it can indicate malnutrition or a more serious underlying condition.

4. Changes in Bowel Habits: If you are experiencing constipation along with a decreased frequency of bowel movements, this could be a sign of a blockage or other gastrointestinal issues.

Given these symptoms, it is advisable to seek medical attention promptly. You should consider visiting a gastroenterologist, as they specialize in digestive system disorders. They can perform a thorough evaluation, which may include a physical examination, imaging studies (like an abdominal ultrasound or CT scan), and possibly endoscopic procedures to visualize the gastrointestinal tract.

In your case, the gastroenterologist will likely want to assess both your stomach and bowel function. They may perform tests to evaluate for conditions such as:
- Gastric Outlet Obstruction: This occurs when there is a blockage at the exit of the stomach, which can cause vomiting and a feeling of fullness.

- Ileus: A temporary cessation of bowel activity can lead to constipation and abdominal distension.

- Functional Gastrointestinal Disorders: Conditions like functional dyspepsia or irritable bowel syndrome (IBS) may also be considered, especially if structural issues are ruled out.

In the meantime, it is essential to stay hydrated, especially if you have been vomiting. Try to sip clear fluids and avoid solid foods until you can see a doctor. If you experience worsening symptoms, such as severe abdominal pain, fever, or blood in your vomit or stool, seek emergency medical care immediately.

In summary, your symptoms warrant a medical evaluation. Do not hesitate to reach out to a healthcare provider, as early intervention can lead to better outcomes and relief from your discomfort.

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