[20F] Experiencing nausea, headache, and congestion

Patient Description

A 20-year-old female presents with symptoms of nausea, headache, and congestion. The nausea is described as a sensation of needing to burp with a feeling of something in the throat, persisting since last night, and rated as 3 out of 10 in severity. The nausea is not relieved by any measures and occurs at all times, not specifically related to meal times. No specific food or drink triggers have been identified. The patient also reports a headache and congestion but has not specified the severity or duration of these symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause nausea, vomiting, and sometimes fever. It typically resolves on its own within a few days.

    • Treatment usually involves rest, hydration, and eating bland foods when you feel able to eat.
  • Migraine: Migraines are a type of headache characterized by severe pain, and they can also cause nausea and sensitivity to light and sound.

    • Treatment can involve over-the-counter pain relievers, as well as prescription medications for more severe cases. Resting in a dark, quiet room can also help.
  • Pregnancy: Even though you've indicated that you're not currently pregnant, it's worth noting that early pregnancy can cause nausea (often referred to as "morning sickness"), even before a missed period. If there's a chance you could be pregnant, it may be worth taking a home pregnancy test.

    • Treatment for morning sickness can involve eating small, frequent meals and avoiding foods that trigger nausea.

What you can do

  1. Rest and stay hydrated. Try to drink small amounts of water frequently.
  2. Eat bland foods like rice, bananas, or toast when you feel able to eat.
  3. Over-the-counter medications like Pepto-Bismol or Dramamine can help with nausea.
  4. If you have a headache, over-the-counter pain relievers like ibuprofen or acetaminophen can help.

What you should look out for

If your symptoms persist for more than a few days, or if they get worse, you should seek medical attention. Other signs that you should see a doctor include:

  • Severe abdominal pain
  • Blood in your vomit
  • High fever
  • Signs of dehydration, like dark urine, dry mouth, or feeling very thirsty

Remember, while I strive to provide accurate information, I'm not a doctor and this advice is not a substitute for professional medical advice.

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10 mo ago

People Also Ask


What are common causes of nausea and how can it be treated?

Common causes of nausea include gastroenteritis, migraines, and early pregnancy. Treatment often involves rest, hydration, and over-the-counter medications like Pepto-Bismol or Dramamine. Eating bland foods and avoiding triggers can also help.


How can I differentiate between a migraine and a regular headache?

Migraines are typically more severe than regular headaches and may be accompanied by nausea, sensitivity to light and sound, and visual disturbances. Regular headaches usually do not have these additional symptoms.


What are the early signs of pregnancy that might cause nausea?

Early signs of pregnancy that might cause nausea include morning sickness, which can occur at any time of day. Other signs include a missed period, fatigue, and breast tenderness. A home pregnancy test can confirm pregnancy.


When should I seek medical attention for persistent nausea and headache?

You should seek medical attention if your nausea and headache persist for more than a few days, worsen, or are accompanied by severe abdominal pain, blood in vomit, high fever, or signs of dehydration like dark urine or dry mouth.


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