[18F] Experiencing nausea, diarrhea, fatigue, and brain fog

Patient Description

An 18-year-old female presents with symptoms of nausea, diarrhea, fatigue, and brain fog. The nausea is described as a dizzy sensation with a risk of vomiting, rated at a severity of 6 out of 10, and is exacerbated by walking. The onset of symptoms was noted this morning. There is no information on alleviating factors for the nausea. Additional symptoms or relevant medical history were not provided.

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Arora's Assessment

What might be happening

Based on the symptoms you've reported, here are a few possible causes:

  • Gastroenteritis: Often referred to as the stomach flu, this condition can cause nausea, vomiting, diarrhea, and fatigue. It's typically caused by a viral or bacterial infection.

    • Treatment usually involves rest, hydration, and eating bland foods until your symptoms improve.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms can start within hours of eating the offending food and can include nausea, vomiting, diarrhea, and fatigue.

    • Treatment is similar to gastroenteritis with rest, hydration, and bland foods.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, diarrhea or constipation, and mucus in the stool.

    • Treatment often involves long-term changes to diet and stress management.

Please note that this is not an exhaustive list and other conditions could also be responsible for your symptoms.

What you can do

  1. Rest and stay hydrated. Drink plenty of fluids, especially water and electrolyte-rich drinks like sports drinks or rehydration solutions.
  2. Eat bland foods like rice, bananas, and toast until your symptoms improve.
  3. Avoid foods that can irritate your digestive system, like spicy or fatty foods.
  4. Over-the-counter medications like Pepto-Bismol or Imodium can help with diarrhea and nausea, but they should not be used for more than two days without consulting a doctor.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.5°F)
  • Symptoms of dehydration, like excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Diarrhea for more than three days

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

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People Also Ask


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

Common causes of nausea and diarrhea in young adults include viral infections like gastroenteritis, food poisoning from contaminated food, and chronic conditions such as irritable bowel syndrome (IBS).


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, but food poisoning often occurs shortly after eating contaminated food and may affect others who ate the same food. Gastroenteritis can be viral and spread from person to person.


What dietary changes can help alleviate symptoms of IBS?

For IBS, dietary changes such as increasing fiber intake, avoiding trigger foods like caffeine and dairy, and eating smaller, more frequent meals can help manage symptoms. It's also important to stay hydrated and manage stress.


When should I seek medical attention for symptoms like nausea and diarrhea?

You should seek medical attention if you experience severe abdominal pain, blood in your stool, high fever, signs of dehydration, or if diarrhea persists for more than three days.


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