[20F] Experiencing nausea, vomiting, headaches, and abdominal pain

Patient Description

A 20-year-old female has been experiencing a range of symptoms since last week, including chills and heat flashes, severe headaches that are aching in nature and worsen with light exposure, sore arms, and sharp abdominal pain upon inhalation. The patient also reports significant nausea that fluctuates in severity throughout the day, leading to forceful vomiting episodes that have occurred four times since yesterday. The nausea is exacerbated by the thought of food, preventing the patient from eating. The abdominal pain has been sharp, starting Wednesday night, and is currently rated 4/10 in severity. The patient's bowel movements are regular, with green stool observed today. Additionally, the patient experiences shortness of breath but no chest pain, fever, or rash. The patient has a history of daily marijuana use until the onset of these symptoms but denies the use of other substances. There are no known pre-existing conditions, allergies, or current medications. The patient's symptoms are severe and varied, including gastrointestinal and neurological components, warranting further medical evaluation.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, 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, abdominal pain, and diarrhea. The green color of your stool could be due to rapid transit through your intestines due to the infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to help manage symptoms. Antibiotics or antiviral medications may be prescribed if a specific pathogen is identified.
  • Migraine: This is a type of headache characterized by intense, often throbbing pain, usually on one side of the head. Migraines can be accompanied by nausea, vomiting, and sensitivity to light. The fact that your headache is relieved by a hot bath suggests it could be a tension-type headache, which is often associated with stress.

    • Treatment typically involves over-the-counter or prescription pain relievers, as well as lifestyle modifications to reduce stress and avoid triggers.
  • Drug withdrawal: If you've been using marijuana daily and recently stopped, it's possible that some of your symptoms could be related to withdrawal. Marijuana withdrawal can cause a variety of symptoms, including headaches, chills, and stomach pain.

    • Treatment typically involves supportive care and counseling. In some cases, medications may be prescribed to help manage symptoms.

What you can do

  1. Stay hydrated: Dehydration can worsen many of your symptoms, especially if you've been vomiting. Try to drink plenty of fluids, such as water, broth, or oral rehydration solutions.

  2. Rest: Your body needs energy to fight off illness. Try to get plenty of sleep and avoid strenuous activity.

  3. Over-the-counter remedies: Over-the-counter pain relievers can help manage your headache and body aches. Over-the-counter anti-nausea medications may also be helpful.

  4. Seek medical attention: If your symptoms persist or worsen, you should seek medical attention. Your doctor can perform a physical examination and possibly order tests to determine the cause of your symptoms.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • High fever (temperature over 100.4°F)
  • Severe headache or a headache that is different from your usual headaches
  • Signs of dehydration, such as dark urine, dry mouth, or feeling extremely thirsty

Remember, while this advice provides some guidance, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What could cause green stool in adults?

Green stool in adults can be caused by a variety of factors, including rapid transit through the intestines, which can occur with infections like gastroenteritis. It can also be due to dietary factors, such as consuming a lot of green leafy vegetables or food coloring.


How can I differentiate between a migraine and a tension-type headache?

Migraines are typically characterized by intense, throbbing pain on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. Tension-type headaches usually involve a dull, aching pain on both sides of the head and are often associated with stress or muscle tension.


What are the symptoms of marijuana withdrawal?

Symptoms of marijuana withdrawal can include irritability, anxiety, headaches, chills, stomach pain, decreased appetite, and sleep disturbances. These symptoms can vary in intensity and duration depending on the individual and their level of use.


What are some effective ways to manage nausea and vomiting at home?

To manage nausea and vomiting at home, try staying hydrated with small sips of water or oral rehydration solutions, eating bland foods like crackers or toast, avoiding strong odors, and resting in a comfortable position. Over-the-counter anti-nausea medications may also be helpful, but it's important to consult with a healthcare provider if symptoms persist.


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