[18F] Experiencing nausea, headaches, fatigue, and mood swings

Patient Description

An 18-year-old female has been experiencing nausea, headaches, fatigue, mood swings, and occasional confusion for the past two months. The nausea is severe, rated 7 out of 10, and occurs around food, without relief from any interventions. The headaches are described as sometimes dull and sometimes sharp, with an intensity that can reach an 8 out of 10, requiring pain medication. They occur 1-2 times daily, particularly around the temples and encircling the head. The patient also reports significant drowsiness, feeling the need for multiple naps daily, and running on empty. Mood swings have been causing increased irritability, stress, and emotional episodes, impacting her relationships and task efficiency. No pre-existing conditions, allergies, or medication use were reported, except for occasional ibuprofen for headaches. No other symptoms were noted.

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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:

  • Chronic Fatigue Syndrome (CFS): This condition causes persistent fatigue that can't be fully explained by an underlying medical condition. The fatigue worsens with physical or mental activity, but doesn't improve with rest. Other symptoms can include headaches, sleep problems, and difficulty with concentration and memory. There's no single test to confirm a diagnosis of CFS, and it's typically diagnosed only after other potential causes of your symptoms have been ruled out.

    • Treatment typically focuses on symptom relief.
  • Depression: This is a mood disorder that causes a persistent feeling of sadness and loss of interest. It can lead to a variety of emotional and physical problems and can decrease a person's ability to function at work and at home. Symptoms can include fatigue, sleep problems, changes in appetite, mood swings, and difficulty concentrating.

    • Treatment often involves a combination of medication and psychotherapy.
  • Anxiety disorders: These types of disorders can cause constant worry and fear, and can interfere with daily activities. Symptoms can include fatigue, irritability, headaches, nausea, and difficulty concentrating.

    • Treatment often involves a combination of medication and psychotherapy.
  • Gastroesophageal reflux disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause nausea. Other symptoms can include a burning sensation in your chest (heartburn), usually after eating, which might be worse at night, and difficulty swallowing.

    • Treatment typically involves lifestyle changes and over-the-counter medication.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Seek professional help: It's important to consult with a healthcare provider who can evaluate your symptoms and medical history, perform a physical examination, and order appropriate tests.

  2. Monitor your symptoms: Keep a symptom diary, noting when each symptom occurs, its severity, and any potential triggers. This can help your healthcare provider in making a diagnosis.

  3. Practice good sleep hygiene: Try to maintain a regular sleep schedule, create a comfortable sleep environment, and avoid caffeine and electronic devices close to bedtime.

  4. Eat a healthy diet: Try to eat a balanced diet with plenty of fruits, vegetables, lean proteins, and whole grains. Avoid foods that seem to trigger your nausea.

  5. Stay hydrated: Drink plenty of fluids, especially water.

  6. Exercise regularly: Regular physical activity can boost your mood, reduce anxiety, and help you sleep better.

What you should look out for

  • If your symptoms worsen or you develop new symptoms, seek medical attention immediately.
  • If you have thoughts of hurting yourself or others, seek help immediately. You can reach out to a trusted individual or professional, or go to the nearest emergency room.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are the common symptoms of Chronic Fatigue Syndrome (CFS)?

Common symptoms of Chronic Fatigue Syndrome (CFS) include persistent fatigue that doesn't improve with rest, headaches, sleep problems, and difficulty with concentration and memory. The fatigue often worsens with physical or mental activity.


How can mood swings and irritability be managed effectively?

Mood swings and irritability can be managed through a combination of strategies such as regular exercise, maintaining a healthy diet, practicing stress-reduction techniques like meditation or yoga, and seeking therapy or counseling if needed.


What lifestyle changes can help alleviate symptoms of GERD?

Lifestyle changes that can help alleviate symptoms of GERD include eating smaller meals, avoiding foods and drinks that trigger reflux (such as fatty foods, coffee, and alcohol), not lying down immediately after eating, and elevating the head of the bed.


When should someone seek medical attention for persistent headaches?

Medical attention should be sought for persistent headaches if they are severe, occur frequently, or are accompanied by other symptoms such as confusion, vision changes, or if they interfere with daily activities. It's important to consult a healthcare provider for a proper evaluation and diagnosis.


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