[20F] Experiencing fatigue, gas, and nausea

Patient Description

A 20-year-old female reports feeling very tired, experiencing stomach cramps, and feeling nauseous after eating in the afternoon. These symptoms have been present for about a week. The patient also experiences occasional vomiting due to nausea. The patient's last menstrual period started approximately 15 days ago, and there has been no abnormal vaginal bleeding or spotting. The patient is currently taking Zoloft (25mg daily) and a birth control pill at varying times between 8-12 at night, sometimes forgetting to take it. There is no significant past medical history, known drug allergies, or use of over-the-counter medications, vitamins, or supplements.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can cause gas, stomach cramps, and nausea.

    • Treatment usually involves rest, hydration, and eating bland foods until the infection clears.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, bloating, gas, and changes in bowel habits.

    • Treatment often involves long-term management of diet, lifestyle changes, and stress.
  • Side effects of medication: Both Zoloft and some birth control pills can cause gastrointestinal upset, including gas and nausea.

    • If this is the case, you should discuss this with your doctor. They may be able to adjust your medication or suggest ways to manage the side effects.
  • Pregnancy: Some of your symptoms, such as fatigue and nausea, can be early signs of pregnancy. However, you mentioned that you're on birth control and haven't noticed any irregularities with your menstrual cycle.

    • If you suspect you might be pregnant, you should take a home pregnancy test.

What you can do

  1. Monitor your symptoms: Keep track of when you're feeling gassy or nauseous and if there are any patterns related to meals or specific foods.
  2. Stay hydrated: Drink plenty of fluids to help prevent dehydration, especially if you're vomiting.
  3. Eat small, frequent meals: This can help reduce feelings of nausea.
  4. Over-the-counter remedies: Antacids or gas relief medications may help with your symptoms.
  5. Home pregnancy test: If you suspect you might be pregnant, you can take a home pregnancy test to confirm.

What you should look out for

If your symptoms persist or worsen, or if you develop new symptoms such as severe abdominal pain, bloody stools, persistent vomiting, or fever, you should seek medical attention. Also, if a home pregnancy test is positive, you should schedule an appointment with your healthcare provider.

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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10 mo ago

People Also Ask


What are common causes of nausea and stomach cramps after eating?

Common causes of nausea and stomach cramps after eating include gastroenteritis, food intolerances, irritable bowel syndrome (IBS), and side effects from medications. It's important to monitor your symptoms and consult a healthcare provider for a proper diagnosis.


Can Zoloft or birth control pills cause gastrointestinal issues?

Yes, both Zoloft and some birth control pills can cause gastrointestinal issues such as nausea, stomach cramps, and gas. If you suspect your medication is causing these symptoms, discuss it with your doctor for possible adjustments.


How can I differentiate between symptoms of gastroenteritis and IBS?

Gastroenteritis typically presents with sudden onset of symptoms like diarrhea, vomiting, and fever, often due to an infection. IBS, on the other hand, is a chronic condition with symptoms like cramping, bloating, and changes in bowel habits that can be triggered by stress or certain foods. A healthcare provider can help differentiate between the two.


What should I do if I suspect my birth control is not working effectively?

If you suspect your birth control is not working effectively, especially if you have missed doses, consider using a backup contraceptive method and take a home pregnancy test if you suspect pregnancy. Consult your healthcare provider for further guidance and to discuss more reliable contraceptive options.


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