[19F] Experiencing severe nausea, constipation, and abdominal pain

Patient Description

A 19-year-old female initially presented with severe diarrhea and vomiting, which transitioned to nausea and constipation over the course of three days. The nausea is described as severe, with a 7 out of 10 intensity, and is exacerbated by lying on the side and head movement. It occurs before and after meals, and hydration with water provides some relief. The patient has experienced a recent episode of severe abdominal pain and has a history of constipation. There is no reported fever or signs of dehydration. The patient also mentioned chest and back pain. There has been a recent weight loss following the initial vomiting. The patient has a nut allergy and is currently taking Zoloft, with no other medications or known chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, several conditions could be causing your discomfort:

  • Gastroenteritis: This is inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause diarrhea, vomiting, nausea, and abdominal pain. The transition from diarrhea to constipation could be a sign that your body is recovering from the infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, diarrhea, and constipation. IBS can cause alternating periods of diarrhea and constipation.

    • Treatment often involves long-term management of diet, lifestyle changes, and stress. Medications and counseling could also be beneficial.
  • Vertigo: This condition causes a sensation of feeling off balance and can lead to dizziness and nausea. It's usually caused by issues in the inner ear or brain.

    • Treatment can include medications, physical therapy maneuvers, or addressing underlying conditions.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Dehydration can worsen your symptoms. Try to drink water or oral rehydration solutions.
  2. Rest: Your body needs energy to fight off an infection. Getting enough sleep can help your body recover.
  3. Over-the-counter medication: There are over-the-counter medications that can help manage your symptoms. Anti-diarrheal medications can help with diarrhea, while a laxative can help with constipation. For nausea, you can try bismuth subsalicylate or other over-the-counter antinausea medications.
  4. Diet: Try to eat bland, easy to digest foods like rice, bananas, and toast. Avoid foods that are high in fat and sugar.

What you should look out for

You should seek immediate medical attention if you:

  • See blood in your stool
  • Have a high fever
  • Are unable to keep fluids down due to vomiting
  • Have severe abdominal pain
  • Have symptoms of dehydration like dry mouth, dizziness, or decreased urination
  • Have symptoms that last for more than a week or continue to get worse

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What could cause a transition from diarrhea to constipation?

A transition from diarrhea to constipation can occur as the body recovers from an infection like gastroenteritis. It may also be a symptom of conditions like Irritable Bowel Syndrome (IBS), where alternating bowel habits are common.


How can I manage severe nausea that worsens with movement?

To manage severe nausea that worsens with movement, you can try over-the-counter antinausea medications, stay hydrated, and avoid sudden movements. Resting in a comfortable position and eating small, bland meals may also help.


What are the potential causes of chest and back pain in conjunction with gastrointestinal symptoms?

Chest and back pain in conjunction with gastrointestinal symptoms could be related to muscle strain from vomiting, acid reflux, or more serious conditions like pancreatitis. It's important to consult a healthcare provider for an accurate diagnosis.


How does a nut allergy affect gastrointestinal symptoms?

A nut allergy typically causes symptoms like hives, swelling, and difficulty breathing, but it can also lead to gastrointestinal symptoms such as nausea, vomiting, and abdominal pain if nuts are ingested. It's crucial to avoid nuts and carry an epinephrine auto-injector if prescribed.


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