[18F] Experiencing nausea, vomiting, headache, and other symptoms

Patient Description

An 18-year-old female presents with a 3-4 day history of nausea and vomiting, occurring 5-6 times daily, particularly after consuming anything other than juice or water. The vomit is described as a yellowish-white color and clear in consistency. The patient also reports a new onset of mild, throbbing headaches that last 10-20 minutes, with a pain intensity of 5 out of 10. Additionally, she experiences bloating around the belly button and sides, which is more pronounced when standing. She has also been experiencing mood swings, breast tenderness, and constantly hard nipples for the same duration. The patient is not currently pregnant to her knowledge and has not identified any specific triggers for the nausea or vomiting, except for ginger ale and apple juice.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Pregnancy: Your symptoms could be early signs of pregnancy, including nausea, vomiting, bloating, mood swings, and tender breasts. The only way to confirm this is with a pregnancy test.

    • If you are pregnant, prenatal care is important for the health of both you and your baby. This typically involves regular check-ups, a balanced diet, and avoiding harmful substances like alcohol and tobacco.
  • Premenstrual syndrome (PMS): This is a group of symptoms that occur in women, typically between ovulation and a period. Symptoms can include mood swings, tender breasts, bloating, and nausea.

    • Treatment usually involves lifestyle changes like regular exercise, a balanced diet, and getting enough sleep. Over-the-counter pain relievers can help with physical symptoms.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. Symptoms can include nausea, vomiting, and bloating.

    • Treatment usually involves rest, hydration, and eating bland foods when you feel able to.

What you can do

  1. Take a home pregnancy test if there's a chance you could be pregnant. These are usually accurate if taken after a missed period.
  2. Track your symptoms and menstrual cycle to see if they're related to your period.
  3. Stay hydrated and eat small, bland meals to help with nausea and vomiting.
  4. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your vomit
  • Signs of dehydration, like dark urine, dry mouth, or feeling dizzy when standing up
  • A high fever (over 100.4°F)

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

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10 mo ago

People Also Ask


What are the common early signs of pregnancy?

Common early signs of pregnancy include missed periods, nausea (often referred to as morning sickness), vomiting, breast tenderness, fatigue, and mood swings. A home pregnancy test can help confirm pregnancy.


How can I differentiate between premenstrual syndrome (PMS) and early pregnancy symptoms?

PMS and early pregnancy symptoms can be similar, including mood swings, breast tenderness, and bloating. However, a missed period is a key indicator of pregnancy. A pregnancy test can help differentiate between the two.


What are the typical symptoms of gastroenteritis and how is it treated?

Typical symptoms of gastroenteritis include nausea, vomiting, diarrhea, abdominal pain, and bloating. Treatment usually involves staying hydrated, resting, and eating bland foods. In some cases, medical treatment may be necessary.


When should I seek medical attention for nausea and vomiting?

You should seek medical attention if you experience severe abdominal pain, blood in your vomit, signs of dehydration (such as dark urine or dizziness), or a high fever over 100.4°F.


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