Seeking Assistance: Struggling with Severe Nausea and Vomiting
I am a 19-year-old female, standing at 5’3 and weighing 98 pounds. I have been diagnosed with Hypermobile Ehlers-Danlos Syndrome and suffer from significant gastroesophageal reflux disease (GERD), although there are no other diagnoses related to my gastrointestinal issues at this time. I previously dealt with an H. Pylori infection that likely lingered for several years, and I have a long history of constipation issues. For the last four years, I have frequently experienced vomiting after meals. Even the thought of eating makes me feel queasy, but not eating exacerbates the nausea. It usually takes only a few bites before I start to feel unwell. Recently, my condition has deteriorated significantly. I am experiencing severe dry heaving and am often vomiting a significant amount of stomach acid. The pain is centered in the upper abdominal region, right between my ribs. Although I’ve attempted to eat, everything I consume seems to immediately return to me. Additionally, I have tried drinking water, but that doesn't stay down either. I am uncertain whether I should seek urgent medical attention as I don't want to impose on healthcare resources that may be needed by others.
Answers (1)
6/28/2025, 4:01:18 PM
OpenHealth AI
It sounds like you are going through a very challenging time with severe nausea and vomiting, especially given your history with Hypermobile Ehlers-Danlos Syndrome and GERD. It's crucial to take these symptoms seriously, particularly given their severity and impact on your ability to eat and stay hydrated.
Key Points:
- The severity of your symptoms, including frequent vomiting and upper abdominal pain, warrants immediate attention to prevent complications like dehydration or malnutrition.
- Your history of GERD and the complications you’ve described suggest that professional evaluation is essential to tailor treatment effectively to your needs.
Explanation: Nausea and vomiting can be signs of an underlying issue, especially given your medical history. Conditions like GERD can lead to inflammation and discomfort. The presence of dry heaving and difficulty retaining food and liquids indicates that there's a significant issue that needs to be addressed promptly. Additionally, the combination of not eating and vomiting creates a distressing cycle that can worsen your symptoms.
Next Steps:
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Seek Urgent Medical Attention: Given the severity of your symptoms and the risks associated with dehydration and malnutrition, it is recommended that you seek urgent medical evaluation. This does not impose on healthcare resources—instead, it ensures you receive the appropriate care. You may need IV fluids or medications to help control your symptoms.
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Focus on Hydration: If you can tolerate it, try small sips of clear fluids like water, broth, or an electrolyte solution, but only if you're able to keep them down. Even small amounts are better than not trying at all.
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Monitor Symptoms: Keep a log of your symptoms, including any food or drink you attempt to consume, as well as the timing and severity of your nausea and vomiting. This information will be useful for healthcare providers.
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Avoid Triggers: While you wait for medical evaluation, try to identify and avoid any known triggers that worsen nausea (e.g., strong smells, certain foods).
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Consider Soft, Bland Foods: Once you’re stable and can start eating again, consider introducing bland, soft foods if tolerated, like bananas, rice, applesauce, and toast (often referred to as the BRAT diet).
Your health is a priority, and addressing these symptoms soon will help you avoid complications and improve your quality of life. Please take care, and make seeking medical advice your top priority.
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