[18F] Experiencing nausea, dizziness, and swollen gums

Patient Description

An 18-year-old female reports a lack of appetite, nausea with a severity of 6/10 that occurs after eating, car sickness, dizziness characterized by lightheadedness and spinning, and swollen gums without associated pain or discomfort. The nausea has been present for 2 weeks and happens after most meals. The dizziness is described as mild and has been occurring for a couple of days without specific timing. The swollen gums have been noted for 3-4 weeks. Additionally, the patient experiences a mild aching headache above the right eyebrow, which has been occurring randomly over a few days. The patient denies any recent substance use, has no known allergies or adverse reactions to medications, and is not on any medications. There is no family history of gastrointestinal or vestibular disorders, and the patient has no significant past medical history.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is also known as stomach flu. Symptoms can include nausea, vomiting, headache, and low-grade fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Gastritis: This is an inflammation of the stomach lining. Symptoms can include nausea, vomiting, and a feeling of fullness in your upper abdomen after eating.

    • Treatment typically involves taking medication to decrease stomach acid.
  • Motion sickness: This is a common condition that can cause symptoms like dizziness, nausea and vomiting. It's possible that your car sickness is a form of motion sickness.

    • Treatment can involve over-the-counter medication, home remedies, and making changes to travel routines.
  • Gingivitis: This is inflammation of the gums, and is usually caused by poor oral hygiene. It can cause your gums to become swollen and bleed.

    • Treatment typically involves good oral hygiene and regular cleanings by a dentist.

What you can do

  1. Maintain good hydration: Drink plenty of fluids like water or oral rehydration solutions. Avoid caffeine and alcohol as these can lead to dehydration.
  2. Eat small, light meals: Try eating smaller, more frequent meals instead of three large ones. Avoid foods that are high in fat and sugar.
  3. Maintain good oral hygiene: Brush your teeth at least twice a day, floss daily and consider using a mouth rinse to help reduce plaque.
  4. Over-the-counter medication: Consider using over-the-counter medication for motion sickness before car trips.
  5. Rest: Make sure you're getting enough sleep. Fatigue can worsen both nausea and dizziness.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit
  • Fever over 100.4°F
  • Signs of dehydration such as dry mouth, not urinating much, and feeling extremely thirsty, dizzy, or lightheaded
  • Symptoms that persist for more than a week

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are common causes of nausea after eating?

Common causes of nausea after eating include gastroenteritis, gastritis, food intolerances, and stress. It's important to identify any specific triggers and consult a healthcare provider for a proper diagnosis.


How can I manage dizziness and lightheadedness?

To manage dizziness and lightheadedness, ensure you are well-hydrated, avoid sudden movements, and rest in a comfortable position. If symptoms persist, consult a healthcare provider for further evaluation.


What are the symptoms and treatment options for gingivitis?

Symptoms of gingivitis include swollen, red, and bleeding gums. Treatment involves maintaining good oral hygiene, such as brushing and flossing regularly, and visiting a dentist for professional cleanings.


What lifestyle changes can help with motion sickness?

To help with motion sickness, try sitting in the front seat of a car, focusing on the horizon, avoiding reading while in motion, and using over-the-counter medications like antihistamines. Ginger and acupressure bands may also provide relief.


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