Persistent Nausea Issues
Note: This post includes a brief reference to an eating disorder, which is why I tagged it NSFW—I want to be mindful of those who may find it triggering. I’m a 19-year-old female, weighing approximately 46 kg and standing at 160 cm tall. Currently, I’m taking 20 mg of Lexapro. To give you some background, I’ve been on the path to recovery from my eating disorder for roughly three years now. Although I've had a few setbacks, thankfully none have necessitated another hospitalization. I bring this up because I believe that my history with disordered eating contributes to the health issues I’m facing now, as I reached a stage where my body suffered significant damage. Fast forward to today, and I’m dealing with constant nausea that intensifies notably during and after meals, along with acid reflux. I also experience bouts of intense hunger that can vanish if I don't eat quickly, along with the regurgitation of food long after I've eaten (this is not something I induce) and abdominal discomfort. Additionally, I suspect I may have Postural Orthostatic Tachycardia Syndrome (POTS) and possibly other related conditions, though I haven’t received any formal diagnoses yet. I’m at a loss as to what might be causing these symptoms, but I’m incredibly frustrated by the daily discomfort. It’s especially challenging as it severely impacts my recovery journey related to my eating disorder due to the distress these symptoms create.
Answers (1)

6/17/2025, 12:30:48 PM
OpenHealth AI
I'm really sorry to hear that you're experiencing these uncomfortable symptoms. It sounds very challenging, especially considering your journey to recovery. Let's break down your concerns.
Main Points:
- Persistent nausea, acid reflux, and abdominal discomfort can often be linked to dietary habits, stress, or underlying conditions.
- Your history with an eating disorder may contribute to your current symptoms, making it essential to address this holistically.
- Simple, immediate actions can help manage your symptoms while you continue your recovery journey.
Explanation:
Nausea and acid reflux can be caused by several factors including dietary issues (like food intolerances or imbalances), anxiety, or even certain medications like Lexapro. The presence of intense hunger followed by nausea may also indicate that your body is reacting to changes in eating patterns or stress. It's critical to address both the physical and psychological aspects of your health, particularly in the context of your eating disorder recovery and potential POTS.
Next Steps:
-
Dietary Adjustments:
- Eat Smaller, Frequent Meals: Instead of three large meals, try having 5-6 smaller meals throughout the day. This can help reduce nausea and prevent overwhelming your stomach.
- Identify Trigger Foods: Keep a food diary for a week to track what you eat and when your symptoms worsen. Note any patterns that may help identify food triggers like spices, dairy, or high-fat foods.
-
Hydration and Electrolytes:
- Ensure you hydrate regularly and consider incorporating electrolyte-rich drinks, especially if you suspect POTS, as hydration can significantly affect your symptoms.
-
Stress Management:
- Engage in relaxation techniques like deep breathing, mindfulness, or gentle yoga. Stress can exacerbate nausea and gastrointestinal symptoms.
-
Monitoring Symptoms:
- Keep a journal of your symptoms, noting when they occur and their intensity. This can be helpful for identifying patterns and will assist health professionals in understanding your situation better if you choose to seek help later.
-
Consult a Specialist:
- While I understand you're currently avoiding formal diagnoses, consider reaching out to a specialist like a gastroenterologist or a dietitian who has experience with eating disorders. They can provide tailored advice and support.
-
Seek Support:
- Don't hesitate to connect with a therapist or support group focused on eating disorders to help you manage both the psychological aspects of recovery and the physical symptoms you’re experiencing.
Your symptoms can feel overwhelming, but taking small steps to manage them can significantly improve your overall well-being. Be gentle with yourself as you navigate this path, and remember that reaching out for help can be a sign of strength. If you have any further questions or need clarification, feel free to ask!
Related Questions
Seeking Guidance on Health Issues
I am a 24-year-old female weighing 125 pounds. Over the last year, I have encountered various troubling symptoms, including unintentional weight loss, persistent fatigue, changes in my bowel movements, and an unexplained case of thyroiditis. Additionally, I have experienced a reduced appetite and a peculiar, strong odor in my urine that resembles chicken broth. Recently, I've noticed that sometimes when I use the restroom, hard, brown, scab-like fragments appear in my stool. Disturbingly, today I observed similar pieces in my urine as well. This ongoing situation is quite concerning, and I have an unsettling feeling that my health is deteriorating. I would greatly appreciate any insights or suggestions on what might be going on and how I should proceed. Thank you for any help you can offer.
Transitioning from Fluoxetine to Sertraline: A Concerned Inquiry
As someone with a background in medicine, I invite you to be as technical as you wish. I'm reaching out about a case involving an 18-year-old male patient who is currently prescribed 40mg of fluoxetine. Due to complex circumstances, he needs to transition from fluoxetine to sertraline at a dosage of 50mg. I understand that because of fluoxetine's prolonged half-life, it is generally advisable to implement a tapering schedule followed by a washout period before initiating treatment with another SSRI such as sertraline. This approach is crucial in minimizing the risk of serotonin syndrome. Conversely, the psychiatrist has proposed an immediate cessation of the fluoxetine 40mg, suggesting a start on sertraline at 25mg, with the aim of gradually increasing to 50mg. Although I have not had an opportunity to discuss this directly with the psychiatrist, I feel apprehensive about this plan, especially since there has been no mention of serotonin syndrome risks or any precautionary measures discussed. My concerns are significant, and to be honest, I feel quite anxious about the situation. Thank you in advance for your insights.
Seeking Advice on Vaginal Health Concerns
Greetings everyone. I had unprotected intercourse two weeks ago, and now I'm feeling some discomfort in my anal area despite not engaging in anal sex. There’s a small bump that’s causing me concern, so I’m reaching out for insights. I’m a 29-year-old woman, standing at 5’4”. Recently, I had a sexual encounter with an acquaintance I haven't seen in seven years. Although we had previously used protection, this time we did not. I’ve had STI tests via vaginal swabs, which returned negative results, and I still need to follow up with blood work. During my last menstrual cycle, which occurred about a week ago, I noticed it was lighter than usual, coupled with increased cramps. Could this be linked to my current situation? Additionally, I applied boric acid a couple of times; could that have had an impact on my period? I have not observed any visible warts or unusual changes in my anal region. I received the Gardasil HPV vaccine in middle school and had a positive HPV pap test in 2018, but all subsequent tests have been clear, with my next appointment scheduled for September. I'm curious about the cause of my anal irritation and would appreciate any thoughts or advice on this matter. Thank you for your assistance. Also, I gave birth earlier this year, so could the presence of extra skin possibly be related to hymenal tissue?
Seeking Guidance for Severe Food Aversion in 15-Month-Old on Propranolol
Greetings everyone, we're currently in a difficult situation with our 15-month-old daughter, and we’d like to connect with other parents or professionals who might have faced similar challenges. **Our Situation:** * Our daughter was born with a **medium-grade infantile hemangioma** at the nape of her neck. Although it’s not life-threatening, it is quite visible and slightly elevated. * Our pediatrician initiated a treatment plan with **Propranolol at 20 mg per day** about three months ago when she was around a year old. Apart from this condition, her health was generally good. * As of June 8, and under doctor guidance, we’ve decreased the dosage to **14 mg daily** (7 mg in the morning and 7 mg in the evening) to monitor any shifts in her behavior. **Observations Since Starting Propranolol:** 1. Our daughter has developed a **severe aversion to food**. Although she was somewhat picky prior, her eating habits have deteriorated significantly. 2. She now **completely rejects all solid foods and liquids**, refusing to be fed by anyone. 3. She relies solely on **breastmilk**, turning down water or juices offered by others. 4. During mealtime, she becomes **very irritable or upset**. Even gentle encouragement to try some cereal or soft foods leads to her total refusal and distress. 5. While she **plays with food** on her own, sometimes even bringing tiny bits to her mouth, any attempt by someone else to feed her results in her shutting down or crying. 6. We took a step back from forcing her to eat for over a week (following advice on rebuilding trust), continuing to offer food without pressure. Unfortunately, there’s been no improvement. 7. **Today, we attempted to reintroduce cereal**, and she rejected it just as she had previously. **Developmental Update:** * Born weighing **2.05 kg**, she is now approximately **7 kg** at 15 months, which is on the lighter side. * She is **not walking by herself yet**, but she can: * Stand alone * Walk with assistance (using a walker or while holding onto furniture) * Cognitively, she appears **alert and engaged**: she responds to her name, says Mama and Baba, laughs, and interacts with others, indicating no apparent cognitive delays. **Our Concerns:** * Could her food aversion be a **conditioned response**? Does she have a developed “fear” of being fed by anyone? * Is it possible that this behavior is a **side effect of Propranolol**? We know that appetite suppression and mood shifts can occur, but her response seems quite severe. * Are we in danger of her experiencing **nutritional deficiencies**, given her refusal of solid foods? * If so, what symptoms should we keep an eye on that might suggest underlying issues? * Should we seek the assistance of a **feeding therapist or child psychologist** at this point? * Is this issue something that improves over time, or do we risk entrenching the behavior the longer it continues? We are located in India and are looking for pediatric feeding specialists, although options are limited in our area. We would greatly appreciate: * Insights from parents who have encountered similar situations * Strategies for breaking this cycle of behavior * Any recommended resources or methods similar to Rowena Bennett’s "Bottle Aversion," even if it’s not directly applicable to our case * Guidance on when to consider **nutritional interventions or vitamin supplementation**. Thank you for taking the time to read this. It has been an incredibly stressful experience for us, and we welcome any advice or encouragement you can provide 🙏
Understanding Orthostatic Hypertenion
I am a 26-year-old female weighing 300 lbs and have been diagnosed with Idiopathic Intracranial Hypertension (IIH), gastroesophageal reflux disease (GERD), illness anxiety, general anxiety, and somatic symptom disorder. I previously received a diagnosis of orthostatic or hyperadrenergic POTS, which was later retracted. Currently, I am prescribed Lasix 10mg, and after visiting the emergency room, I was given amlodipine 5mg; however, my cardiologist advised against taking it unless my readings indicate consistently high blood pressure at home. What I seek is a clearer understanding of orthostatic hypertension from a medical expert. I have found myself caught in a cycle of health anxiety, particularly after undergoing a tilt table test that recorded my blood pressure at extremely high and erratic levels: 193/32, 172/55, 192/90, and 130/100. The test interpretation suggested an orthostatic or hyperadrenergic response. I consulted a specialist who expressed skepticism regarding these figures and upon learning that the arm cuff was applied to my wrist, she noted the correlation with my panic attack triggered by the test's process. She analyzed my heart rate during the test and concluded that my situation does not align with POTS. After the discussion, she suggested blood pressure medication, but once I showed her my normal readings while sitting or lying down, she reconsidered, attributing my issues to a combination of deconditioning and anxiety. Regrettably, I find myself obsessively fixating on these blood pressure readings and have limited my movements significantly, only venturing out when absolutely necessary. I am now primarily homebound, not working, and studying online, which I fear has worsened my condition. My family indicates that my weight gain, extreme inactivity, and severe anxiety related to standing or walking may be impacting my blood pressure. Could a health professional provide further clarity on whether orthostatic hypertension is a serious concern? Given that my lying down blood pressure is normal and my sitting pressure is approximately 115-123/85, should I consider taking blood pressure medication? The fear of movement has left me immobilized for far too long, and I am hesitant to seek information online again. I hope to receive guidance from a medical expert on this matter.