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What Causes Nausea And Diarrhea?

Posted on Mon, 22 Sep 2014

Question: Hi Dr. My name is XXXXXXX XXXX. To give you a bit about myself, I am a 42 year old male, 6ft tall, never done a drug in my life, never smoke, never drink. I eat super healthy and work out 5 days a week. For the last few weeks, I have been having nausea and mild diarrhea intermittently. However for the last week and a half I have had the nausea daily. I am not throwing up, however. It gets worse if I eat something spicy or greasy. So I have been eating really bland foods. No fever, no flu, no other symptoms. And in-between the nausea, i do get hungry so my appetite is good....Can you help?

Answered by Dr. Dr. Klerida Shehu (1 hour later)

Brief Answer:
Cholecyst and/or stomach problems to rule out...

Detailed Answer:
Hi XXXXXXX

Your symptoms are indicative for possible:
- cholecyst problems
- stomach issues

Therefore, further investigations are needed to determine the right diagnosis:
- abdominal ultrasound
- upper endoscopy
- complete blood work
- liver function tests

Depending on the tests results, specific treatment will be prescribed. For the moment, I advise to:
- avoid oily/spicy foods
- eat often and small portions
- increase water intake
- take OTC ranitidine and antacids

Wish fast recovery!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (4 minutes later)

Doc,

Any chance this could be bug or a an beginning of an ulcer? How about stomach cancer. Sorry I am asking but I am a worry wart. The funny thing is my tummy does not hurt.

Answered by Dr. Dr. Klerida Shehu (1 hour later)

Brief Answer:
Insist to run investigations first...

Detailed Answer:
Hi back,

No chance for stomach bug as you have been on these symptoms for several weeks now.

I cannot determine if it is ulcer, gastritis, reflux until I will have the tests results as mentioned earlier. I need to get them and analyze for further evaluation.

It is great that your tummy is not hurting. But, I still insist to have the examinations done to determine the right diagnosis and get the right treatment in time.

Wish fast recovery!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (1 hour later)

Thank you Doctor! But you don't think it would be stomach cancer or anything serious from the sounds of it? Again, just a worried patient.

Thanks.
XXXXXXX

Answered by Dr. Dr. Klerida Shehu (19 hours later)

Brief Answer:
Do not get worried unnecessarily...

Detailed Answer:
Hi back XXXXXXX

Your symptoms are not indicative for cancer to my opinion as long as your appetite is the same and you do not report sudden, un-explained weight loss. Do not worry un-necessarily.

However, I still insist to run the examinations as mentioned earlier.

Once again, do not get worried unnecessarily. Get examined first, then, we'll see!

Dr.Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar