[19F] Experiencing excessive sweating, severe headache, vomiting, and stomach pains

Patient Description

A 19-year-old female has been experiencing excessive sweating, severe headaches described as pressure all over the head, frequent vomiting, and stomach pains for the past 4 days. She reports that the sweating is excessive and constant, not influenced by time of day or specific activities, and occurs despite feeling cold. The patient's vomiting is also frequent and has been occurring for the same duration as the other symptoms. No additional information regarding the stomach pains or potential triggers for the symptoms has been provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, the possible causes of your symptoms include:

  • Migraine: This is a type of headache characterized by severe pain, often accompanied by other symptoms like nausea, vomiting, and sensitivity to light or sound. Your description of a pressure-like headache and vomiting could be indicative of a migraine.

    • Treatment usually involves medications to relieve symptoms and prevent future attacks.
  • Gastroenteritis: Also known as the stomach flu, this condition can cause nausea, vomiting, abdominal pain, and sometimes fever. It's usually caused by a viral or bacterial infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Anxiety: Excessive sweating and other physical symptoms can sometimes be caused by anxiety or stress. However, this would not typically cause vomiting or severe headaches.

    • Treatment may involve therapy, medication, and lifestyle changes.

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 and treatment.

What you can do

  1. Rest and stay hydrated: Regardless of the cause, rest and hydration are important. Try to drink small sips of water or a rehydration solution regularly.

  2. Over-the-counter remedies: For headaches, over-the-counter pain relievers like ibuprofen or acetaminophen can be helpful. For nausea and vomiting, over-the-counter medications like bismuth subsalicylate might provide some relief.

  3. Seek medical attention: Given the severity and duration of your symptoms, it's important to seek medical attention. A healthcare provider can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Signs of dehydration, such as dark urine, dry mouth, or feeling dizzy when standing up
  • A headache that is different from previous headaches or the "worst headache of your life"
  • A sudden, severe headache accompanied by a stiff neck, fever, confusion, seizures, double vision, weakness, numbness, or speaking difficulties

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

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10 mo ago

People Also Ask


What are the common causes of excessive sweating and how can it be managed?

Excessive sweating, also known as hyperhidrosis, can be caused by various factors including anxiety, hormonal changes, infections, or other medical conditions. Management may involve lifestyle changes, antiperspirants, medications, or medical procedures depending on the underlying cause.


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

Migraines are typically more severe than regular headaches and may be accompanied by symptoms such as nausea, vomiting, and sensitivity to light or sound. They often present as a throbbing or pulsating pain on one side of the head, whereas regular headaches might feel like a constant pressure or ache.


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

Gastroenteritis, often referred to as the stomach flu, is characterized by symptoms such as nausea, vomiting, diarrhea, abdominal pain, and sometimes fever. It is usually caused by viral or bacterial infections. Treatment focuses on staying hydrated, resting, and using over-the-counter medications to alleviate symptoms.


When should I seek medical attention for vomiting and stomach pain?

You should seek medical attention for vomiting and stomach pain if you experience severe abdominal pain, blood in vomit or stool, signs of dehydration, or if the symptoms persist for several days without improvement. Additionally, if the headache is severe or different from previous headaches, medical evaluation is advised.


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