[18M] With nausea, headaches, and fever

Patient Description

An 18-year-old male has been experiencing nausea, headaches, exhaustion, and fever for the past three days. The nausea began suddenly and is sometimes alleviated by eating, though it can also worsen. Resting and lying down provide some relief. The headache is described as throbbing and affects the entire head, with an intensity of 4 out of 10. It is more of a sensation of not being able to think clearly than a typical headache. The patient also reports chills, body aches, sore throat, cough, and changes in appetite. There is no shortness of breath. The patient has been around people who were sick recently and has not been vaccinated against the flu this season. No pre-existing conditions or medications are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Viral Infection (such as the Flu or a Cold): Your symptoms of nausea, headache, exhaustion, fever, sore throat, and cough could be due to a viral infection. These infections are common and can cause a range of symptoms, including the ones you're experiencing.

    • Treatment: Typically involves rest, hydration, and over-the-counter medications to relieve symptoms. Antiviral medications may be prescribed if the flu is confirmed.
  • Migraine: The throbbing headache and nausea could suggest a migraine, especially if you have a history of similar headaches.

    • Treatment: Over-the-counter pain relievers or prescription medications can help manage migraines.
  • Dehydration or Exhaustion: Sometimes, dehydration or lack of rest can cause headaches, nausea, and fatigue.

    • Treatment: Ensure adequate fluid intake and rest.

What you can do

  1. Rest and Hydrate: Make sure to get plenty of rest and drink fluids like water, herbal teas, or clear broths.
  2. Over-the-Counter Relief: Consider using over-the-counter medications like acetaminophen or ibuprofen for headache and fever relief.
  3. Monitor Symptoms: Keep track of your symptoms using MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
  4. Avoid Triggers: If you suspect a migraine, try to avoid known triggers such as bright lights or loud noises.

What you should look out for

Seek medical attention if you experience:

  • Worsening symptoms or if they persist beyond a few days
  • Difficulty breathing or chest pain
  • High fever that doesn't respond to medication
  • Severe headache or neck stiffness

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago


People Also Ask


What are common symptoms of a viral infection like the flu?

Common symptoms of a viral infection like the flu include fever, chills, body aches, sore throat, cough, headache, and fatigue.


How can I differentiate between a migraine and a regular headache?

A migraine often involves a throbbing headache, nausea, and sensitivity to light or sound, whereas a regular headache might not have these additional symptoms.


What are effective ways to manage dehydration and exhaustion?

To manage dehydration and exhaustion, ensure adequate fluid intake with water or clear broths and get plenty of rest.


When should I seek medical attention for flu-like symptoms?

Seek medical attention if symptoms worsen, persist beyond a few days, or if you experience difficulty breathing, chest pain, or a high fever that doesn't respond to medication.


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