[18F] With nausea, prolonged abnormal bleeding, and headache

Patient Description

An 18-year-old female presents with sudden onset nausea, persistent for an unspecified duration. She reports feeling angry, experiencing prolonged bleeding of brown discharge, possibly menstrual, lasting for two weeks. The bleeding is described as deep and light brown, occasionally light red, and occurs intermittently. The patient also experiences headaches primarily in the forehead towards the left side, rated at a 6 out of 10 in intensity, along with dizziness and difficulty concentrating. Additionally, she reports diarrhea that began as a regular bowel movement and suddenly turned into diarrhea. No specific triggers for nausea or diarrhea have been identified, and there have been slight changes in diet and stress levels recently. No recent travel history is noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Hormonal Imbalance or Menstrual Irregularities: The prolonged brown bleeding could be related to irregular menstrual cycles or hormonal imbalances. Brown blood often indicates older blood being expelled from the body, which can happen at the beginning or end of a period. Stress, changes in weight, or hormonal contraceptives can also affect your cycle.

  2. Gastrointestinal Issues: Nausea, diarrhea, and dizziness could be related to a gastrointestinal infection or irritation. This could be due to a viral infection, food intolerance, or stress-related digestive issues.

  3. Migraine or Tension Headache: The headache focused on your forehead, along with nausea and dizziness, could suggest a migraine or tension-type headache. Migraines can also cause sensitivity to light and sound.

  4. Anemia: Prolonged bleeding and dizziness could potentially lead to or be a sign of anemia, which is a condition where you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues.

What you can do

For Nausea and Diarrhea:

  • Stay hydrated by sipping on clear fluids like water, herbal teas, or an electrolyte solution.
  • Eat small, bland meals such as crackers, toast, or rice to help settle your stomach.
  • Avoid rich, spicy, or fatty foods until your symptoms improve.

For Prolonged Bleeding:

  • Keep track of your bleeding pattern using a journal or an app like MDandMe to monitor any changes or patterns.
  • If the bleeding continues or worsens, consider consulting a healthcare provider to rule out any underlying conditions.

For Headache and Dizziness:

  • Rest in a quiet, dark room to help alleviate headache symptoms.
  • Over-the-counter pain relief, such as ibuprofen or acetaminophen, may help, but consult with a healthcare provider if you're unsure.
  • Practice deep breathing or relaxation techniques to help manage stress and tension.

What you should look out for

While your symptoms are concerning, they may not be life-threatening. However, you should seek medical attention if you experience:

  • Severe or worsening headache
  • Persistent vomiting or inability to keep fluids down
  • Fainting or severe dizziness
  • Heavy bleeding or passing large clots
  • Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can use MDandMe to journal your symptoms, track your progress, and share your notes with your provider.

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1 mo ago


People Also Ask


What could cause prolonged brown menstrual bleeding?

Prolonged brown menstrual bleeding can be caused by hormonal imbalances, irregular menstrual cycles, or the expulsion of older blood from the body. Factors such as stress, changes in weight, or the use of hormonal contraceptives can also affect menstrual cycles.


How can stress affect gastrointestinal symptoms like nausea and diarrhea?

Stress can impact the gastrointestinal system by increasing stomach acid production, altering gut motility, and affecting the gut-brain axis, which can lead to symptoms like nausea and diarrhea. Stress management techniques may help alleviate these symptoms.


What are the common symptoms of a migraine headache?

Common symptoms of a migraine headache include a throbbing or pulsing pain, often on one side of the head, sensitivity to light and sound, nausea, and sometimes dizziness. Migraines can vary in intensity and duration.


How can anemia be related to prolonged bleeding and dizziness?

Anemia can occur when there is prolonged bleeding, leading to a decrease in red blood cells or hemoglobin levels. This can result in symptoms like dizziness, fatigue, and weakness, as the body struggles to deliver enough oxygen to tissues.


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