[18F] Experiencing gastrointestinal symptoms with no fever

Patient Description

An 18-year-old female is experiencing a constellation of gastrointestinal symptoms including nausea, vomiting, stomach cramping, constipation, and a sensation of internal heat without a measured fever. The abdominal pain is described as a twisting sensation, rated at a 5 on the pain scale, located in the mid to lower stomach and occasionally on the sides. The nausea, rated at a 4, is intermittent and not clearly associated with specific foods or smells. Vomiting has occurred multiple times. The patient reports a history of similar constipation and has noticed a change in weight recently. The symptoms have been present for a few days, with the abdominal pain occurring both before and after meals. No radiation of pain to other body parts has been reported. The patient has taken nausea medication, which provides some relief.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms can include nausea, vomiting, stomach cramps, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is the cause.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment usually involves long-term management of diet, lifestyle and stress. Medication and counseling might be recommended by a doctor.
  • Gastritis: This is an inflammation of the stomach lining. Symptoms can include upper abdominal pain, nausea, and vomiting.

    • Treatment usually involves medications to decrease stomach acid.
  • Peptic Ulcer: This is a sore on the lining of your stomach, small intestine or esophagus. Symptoms can include burning stomach pain, feeling of fullness, bloating or belching, fatty food intolerance, heartburn, and nausea.

    • Treatment usually involves medications to decrease stomach acid and protect the lining of your stomach.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history.

What you can do

Here are some general tips that might help alleviate your symptoms:

  1. Stay hydrated: Drink plenty of fluids, especially water. This is particularly important if you've been vomiting.
  2. Eat small, light meals: If you can, try to eat small amounts of bland foods like rice, bananas, or toast.
  3. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.
  4. Over-the-counter medication: There are many over-the-counter medications that can help with symptoms of nausea and stomach pain. Always follow the instructions on the package.

What you should look out for

If your symptoms persist or get worse, you should seek medical attention. Here are some signs that you should get medical help right away:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Dehydration symptoms, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness or lightheadedness
  • Persistent vomiting that prevents you from keeping liquids down
  • A fever above 100.4 F (38 C)

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of nausea and vomiting in young adults?

Common causes of nausea and vomiting in young adults include viral infections (such as gastroenteritis), food poisoning, stress, and certain medications. It's important to identify any potential triggers and consult a healthcare professional if symptoms persist.


How can constipation be managed effectively at home?

Constipation can often be managed at home by increasing fiber intake through fruits, vegetables, and whole grains, staying hydrated, and engaging in regular physical activity. Over-the-counter laxatives may also be used, but it's best to consult a healthcare provider for persistent issues.


What dietary changes can help alleviate symptoms of IBS?

For IBS, dietary changes such as increasing fiber intake, avoiding trigger foods (like caffeine, alcohol, and fatty foods), and eating smaller, more frequent meals can help. Some people find relief by following a low FODMAP diet, which involves reducing certain carbohydrates that are hard to digest.


When should someone with abdominal pain seek medical attention?

Medical attention should be sought for abdominal pain if it is severe, persistent, or accompanied by symptoms such as blood in vomit or stool, signs of dehydration, inability to keep liquids down, or a high fever. These could indicate a more serious condition requiring prompt evaluation.


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