Morning Nausea and Reflux Concerns
29-Year-Old Female Brief Medical Background: In December 2022, I experienced a perforated appendix coupled with peritonitis that was misdiagnosed for nearly two weeks. Although I recovered, I have since dealt with a highly sensitive digestive system, particularly reacting to certain foods like gluten and those high in fiber. In November 2023, I underwent surgery to remove my appendix stump along with gallbladder removal, which went smoothly and I encountered no complications aside from ongoing food sensitivities. My only current medications include 20mg of citalopram along with vitamins and probiotics. Presently, I have been experiencing sudden and intense nausea along with reflux for approximately five weeks. To clarify, I am not pregnant; I have taken a pregnancy test as well as undergone blood tests that confirm this. Interestingly, the symptoms seemed to coincide with my first consumption of a Red Bull in about four years, though there may be no connection between the two. Initially dismissing the symptoms as a potential stomach bug, I waited for about a week. However, following this period, I consulted my doctor based on the severity of my symptoms. They recommended testing for H. Pylori as well as performing a full blood count. During this time, I adhered to a bland diet, focusing on small portions and nearly eliminating caffeine from my intake. Remarkably, I began to feel better and enjoyed about four nausea-free days; it felt like a relief. Unfortunately, the nausea has returned and persisted for the past five days. Consequently, I have started taking the prescribed esomeprazole, 20mg daily, to see if it alleviates my symptoms. The test results indicated no presence of H. Pylori, I do not have coeliac disease, and my blood tests appear normal. This reflux is unfamiliar territory for me as I have not experienced it previously. I am currently awaiting further guidance from my doctor. I would welcome any insights as to what might be causing this issue, particularly considering my medical history which often leads me to fear the worst (a tendency I manage through citalopram and therapy). Truthfully, I would prefer experiencing anything over this persistent nausea.
Answers (1)
3/28/2025, 1:40:39 PM
OpenHealth AI
It's understandable that persistent nausea and reflux can be distressing, especially given your medical history. While your tests have ruled out some serious conditions, it sounds like you're searching for clarity and relief from these symptoms.
Main Points:
- Your symptoms may be related to dietary sensitivities or changes.
- Stress and anxiety can also contribute to digestive issues.
- Continue with your prescribed medication and dietary modifications while monitoring symptoms.
Explanation:
Given your recent surgeries and the sensitivity of your digestive system, it’s possible that your body is still adjusting. Intense nausea and reflux can occur due to various reasons, including irritation from certain foods, the impact of stress or anxiety, or the effects of new medications. The fact that reducing caffeine and following a bland diet initially improved your condition suggests that some dietary components may still be contributing to your discomfort.
Next Steps:
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Continue Esomeprazole: Follow your doctor's advice regarding the use of esomeprazole, as it helps reduce stomach acid and can relieve reflux symptoms.
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Dietary Adjustments:
- Keep a Food Diary: Track what you eat and any symptoms that follow to identify potential trigger foods (especially those high in fats, acid, or spices).
- Gradually Reintroduce Foods: If you've eliminated some foods, try reintroducing them one at a time in small amounts to see how you tolerate them.
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Stay Hydrated: Drink plenty of water but avoid large meals and drinks at once to reduce stomach irritation.
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Manage Stress: Since you are on citalopram and in therapy, continue working with your therapist on managing anxiety, which can sometimes exacerbate gastrointestinal symptoms. Consider relaxation techniques such as deep breathing or mindfulness exercises.
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Monitor Symptoms: Keep observing your symptoms, particularly if nausea worsens or if you develop additional symptoms like vomiting, severe abdominal pain, or fever, which would require immediate attention.
By focusing on these steps, hopefully, you will find a pathway towards relief. Don't hesitate to reach back out to your doctor for further advice if necessary. Your well-being is the priority, and addressing both physical and emotional factors can significantly help.
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