Sulphur-smelling eructation: mechanism and what helps — setting out what I have, and where I think it stops being reliable.
I would like to disagree carefully with the settled view on sulphur-smelling eructation, and I would like to be argued out of it if the disagreement is bad.
The disagreement is about one step, not about the conclusion. If the step holds I withdraw it entirely.
Narrowing the opening post, because the general version has more than one answer.
Recognition and grading: nausea ranges from "noticeable" to "limiting". Constipation ranges from mild to severe. Having language to describe the magnitude helps you track whether something is worsening or stable and helps your clinician understand what you are reporting.
The reasoning is more useful than the number, which is why I have shown it.
Constipation: common, manageable, and frequently under-reported because it is not dramatic. Increasing fibre and fluid intake helps. Over-the-counter management is usually effective. This is worth addressing proactively rather than waiting for it to worsen.
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Early satiety becoming a problem rather than a benefit
Early satiety becoming a problem rather than a benefit — setting out what I have, and where I think it stops being reliable. A methods question rather than a substantive one, about early satiety. Everyone…
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+20 | 24 | 2.5k | 6mo |
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[2026 update] Constipation management, with a dietitian's contribution
Constipation management, with a dietitian's contribution — setting out what I have, and where I think it stops being reliable. Constipation management: what I expected, what I found, and the gap between them.…
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+6 | 10 | 812 | 12mo |
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Why side effects reset at each escalation and that is not a failure — the long version
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2 | 46k | 17mo | |
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A side-effect grading scheme this community uses, and its limits
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+1 | 5 | 3.8k | 12mo |
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Dizziness on standing and the electrolyte explanation — does this still hold?
The question in the title: Dizziness on standing and the electrolyte explanation — does this still hold? I will give what I have already checked below so nobody repeats it. Trying to work out what would count…
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+89 | 94 | 18k | 1mo |
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Conditions that change the calculus rather than forbidding it
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+28 | 32 | 6.1k | 1d |
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The nausea timeline across the first four weeks, with a tabulated log — what changed since
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+24 | 29 | 2.8k | 6mo |
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Follow-up: An emergency department visit, described afterwards
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4 | 18k | 1mo | |
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Antibiotics and a course of something with delayed emptying
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+99 | 108 | 1.4k | 12mo |
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Distinguishing expected GI effects from something that needs urgent attention
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+88 | 101 | 32k | 6mo |