[19F] Experiencing throat tightness, nausea, and frequent vomiting

Patient Description

A 19-year-old female presents with symptoms of throat tightness, nausea, and frequent vomiting of vibrant green bile approximately every half hour to an hour since early morning. The patient has a history of gastritis diagnosed around 2017-2018 and is currently taking amoxicillin with clavulanic acid (500 mg/125 mg) for an ear infection, which was started two days ago and is supposed to be taken for two to three days. The patient reports difficulty swallowing for almost a month and has experienced difficulty breathing but no severe chest pain. There is no known family history of gastrointestinal diseases, and the patient does not have any known drug allergies. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause symptoms such as vomiting, diarrhea, and abdominal pain.

    • Treatment typically involves rest, hydration, and over-the-counter medications to help with symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.

  • Gastric reflux or GERD (Gastroesophageal Reflux Disease): Given your history of gastritis and the symptoms you're experiencing, it's possible that stomach acid is irritating your esophagus. This can cause a feeling of a lump in the throat, nausea, and vomiting.

    • Treatment often involves lifestyle changes, such as avoiding certain foods and drinks, and medications to reduce stomach acid.

  • Side effects of medication: Amoxicillin and clavulanic acid can sometimes cause stomach upset, including nausea and vomiting. The vibrant green color of your vomit suggests that it contains bile, which could be due to the medication irritating your stomach.

    • If this is the case, it's important to contact your healthcare provider. They may recommend stopping the medication or switching to a different one.

What you can do

  1. Stay hydrated: Vomiting can cause you to lose a lot of fluids and electrolytes, which can lead to dehydration. Try to drink small sips of water, broth, or a rehydration solution frequently.

  2. Rest: Your body needs energy to fight off infections, so make sure to get plenty of rest.

  3. Avoid triggers: If certain foods or drinks seem to make your symptoms worse, try to avoid them.

  4. Contact your healthcare provider: They can provide a formal assessment, order relevant tests if necessary, and adjust your medication if it's causing side effects.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your vomit
  • Signs of dehydration, such as dark urine, dry mouth, feeling extremely thirsty, or feeling faint
  • Difficulty breathing

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago

People Also Ask

What could be causing the vibrant green bile in my vomit?

The vibrant green bile in your vomit is likely due to bile from the small intestine being expelled. This can happen when vomiting is frequent and the stomach is empty, or it could be a side effect of medication irritating your stomach.

Can the medication I'm taking for an ear infection cause nausea and vomiting?

Yes, amoxicillin with clavulanic acid can cause gastrointestinal side effects, including nausea and vomiting. If you suspect the medication is causing these symptoms, contact your healthcare provider for advice.

What are some common symptoms of gastroesophageal reflux disease (GERD)?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, a sensation of a lump in the throat, and sometimes nausea and vomiting.

How can I manage dehydration caused by frequent vomiting?

To manage dehydration from frequent vomiting, drink small sips of water, broth, or an oral rehydration solution frequently. Avoid large amounts of fluid at once, as this can trigger more vomiting. If dehydration symptoms persist, seek medical attention.

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