[19F] With nausea, vomiting, and unusual vaginal discharge

What might be happening

Based on the symptoms you've described, there are a few potential diagnoses to consider:

1. Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include nausea, vomiting, abdominal pain, and headaches. The sudden onset of vomiting and inability to keep food down are consistent with this condition. Treatment typically involves staying hydrated and resting, but severe cases may require medical attention.

2. Pelvic Inflammatory Disease (PID): Given the yellow, smelly vaginal discharge and recent heavy menstrual bleeding, PID is a possibility. This is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. Symptoms can include lower abdominal pain, unusual discharge, and fever. Treatment usually involves antibiotics.

3. Urinary Tract Infection (UTI): Although you haven't experienced pain during urination, the lower back pain and nausea could be related to a UTI, which can sometimes present with atypical symptoms. UTIs are treated with antibiotics.

4. Hormonal Imbalance: The heavy menstrual bleeding and other symptoms could be related to a hormonal imbalance, possibly influenced by your Nexplanon implant. Hormonal imbalances can cause a variety of symptoms, including nausea, headaches, and changes in menstrual flow.

What you can do

Nausea and Vomiting:

• Stay Hydrated: Sip on clear fluids like water, broth, or an electrolyte solution. Avoid sugary or caffeinated drinks.
• Eat Bland Foods: When you feel ready to eat, start with bland foods like toast, crackers, or rice.
• Rest: Try to rest as much as possible to allow your body to recover.
• Seek Medical Attention: Given the severity and duration of your symptoms, it's important to see a healthcare provider as soon as possible.

Yellow, Smelly Vaginal Discharge:

• Seek Medical Attention: This symptom could indicate an infection that requires antibiotics. It's important to get evaluated by a healthcare provider.
• Maintain Hygiene: Keep the genital area clean and dry. Avoid using scented products that could irritate the area.

Headaches:

• Stay Hydrated: Dehydration can worsen headaches, so make sure you're drinking enough fluids.
• Rest in a Dark, Quiet Room: This can help alleviate the throbbing pain.
• Over-the-Counter Pain Relief: If you can tolerate it, consider taking an over-the-counter pain reliever like ibuprofen or acetaminophen, but do not exceed the recommended dose.

Lower Back Pain:

• Apply Heat or Cold: Use a heating pad or ice pack on your lower back to help relieve pain.
• Gentle Stretching: Gentle stretching exercises can help alleviate some of the discomfort.

Constipation:

• Increase Fiber Intake: If you can tolerate it, try to eat high-fiber foods like fruits, vegetables, and whole grains.
• Stay Hydrated: Drinking plenty of water can help ease constipation.
• Over-the-Counter Laxatives: Consider using an over-the-counter laxative, but consult with a healthcare provider first.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Persistent vomiting that prevents you from keeping any fluids down
• Severe abdominal pain or cramping
• High fever or chills
• Signs of dehydration, such as dizziness, dry mouth, or dark urine
• Worsening headache or new neurological symptoms

Remember, while I can provide some guidance, it's crucial to consult with a healthcare provider for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider.