[19F] Experiencing persistent nausea, severe headaches, and other symptoms

Patient Description

A 19-year-old female has been experiencing persistent nausea rated 7-8/10 in severity, severe headaches described as migraines with a 10/10 pain level, constipation, bloating, fatigue, dizziness with near-fainting spells, and sore breasts for a little over a week. The nausea is worse in the morning, with smells and when presented with food. The patient has been taking ibuprofen at 800mg doses for headaches and Zofran, believed to be either 15mg or 25mg, for nausea. She is unsure about a potential pregnancy but has had unprotected sexual intercourse. There is no known history of allergies or adverse reactions to medications, and no chronic illnesses have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Pregnancy: Given your symptoms of nausea, headaches, dizziness, bloating, constipation, and breast tenderness, along with recent weight gain and unprotected sexual activity, you could be experiencing early signs of pregnancy. While Nexplanon is a highly effective form of birth control, no method is 100% effective.

    • Pregnancy can be confirmed with a home pregnancy test or by a healthcare provider.
  • Migraine: Migraines are severe headaches often accompanied by nausea, vomiting, and sensitivity to light and sound. If you have a history of migraines, the current severe headaches could be a part of that.

    • Treatment for migraines often involves medications to relieve symptoms and prevent future attacks.
  • Gastrointestinal issues: Your symptoms of bloating and constipation could be due to a variety of gastrointestinal issues, such as irritable bowel syndrome (IBS) or a food intolerance.

    • Treatment for these conditions often involves dietary changes and medications to manage symptoms.

What you can do

  1. Take a home pregnancy test: Given your symptoms and recent unprotected sexual activity, it would be a good idea to take a home pregnancy test. These are usually accurate from the first day of a missed period.

  2. Consult a healthcare provider: If your symptoms persist or worsen, or if you have a positive pregnancy test, you should seek medical attention. Your healthcare provider can perform further tests and provide appropriate treatment.

  3. Manage your symptoms: Drink plenty of fluids to stay hydrated, especially if your nausea is making it difficult to eat. Try to eat small, frequent meals rather than large ones. Over-the-counter medications can help manage symptoms of constipation and bloating.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool
  • A severe headache unlike any you've had before
  • Sudden or severe dizziness, or dizziness accompanied by chest pain, shortness of breath, or fainting
  • A positive pregnancy test

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

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10 mo ago

People Also Ask


What are the early signs of pregnancy?

Early signs of pregnancy can include missed periods, nausea (often in the morning), breast tenderness, fatigue, and increased urination. A home pregnancy test can help confirm pregnancy.


How can migraines be effectively managed?

Migraines can be managed with medications such as triptans for acute attacks, preventive medications, and lifestyle changes like regular sleep, hydration, and avoiding known triggers. Consult a healthcare provider for a tailored treatment plan.


What dietary changes can help with bloating and constipation?

To help with bloating and constipation, increase fiber intake through fruits, vegetables, and whole grains, stay hydrated, and consider probiotics. Avoid foods that cause gas and bloating, such as beans and carbonated drinks.


When should I seek medical attention for dizziness?

Seek medical attention for dizziness if it is severe, persistent, or accompanied by symptoms like chest pain, shortness of breath, fainting, or severe headache, as these could indicate a more serious condition.


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