[20F] Experiencing persistent nausea and lower back pain

Patient Description

A 20-year-old female has been experiencing persistent nausea that lasts all day and worsens during eating, with a severity score of 7/10. This nausea is consistent regardless of the type of food consumed. Accompanying the nausea is a dull ache in the lower back with a severity score of 3/10, which occurs every time the patient feels nauseous. These symptoms have been present for a week. The patient also reports an aversion to food and has experienced weight loss. There are no recent injuries, fever, vomiting, changes in urine, or menstrual cycle irregularities reported. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions. No medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can cause nausea, vomiting, and sometimes back pain.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Gastritis: This is an inflammation of the stomach lining, which can cause nausea, vomiting, and a feeling of fullness in your upper abdomen after eating.

    • Treatment often involves medications to reduce stomach acid.
  • Peptic Ulcer: These are sores that develop on the lining of your stomach, upper small intestine or esophagus. They can cause nausea, vomiting, and a burning pain in your gut.

    • Treatment usually involves medications to reduce stomach acid and protect the lining of your stomach and small intestine.
  • Pregnancy: Even though you mentioned you're not pregnant, it's worth noting that these symptoms can be associated with early pregnancy. If there's any chance you could be pregnant, it might be worth taking a pregnancy test to rule this out.

What you can do

  1. Try to stay hydrated. Even if you're feeling nauseous, it's important to keep drinking fluids to avoid dehydration. Try sipping small amounts of water, broth or herbal tea.
  2. Eat small, light meals and avoid foods that are high in fat and sugar.
  3. Rest as much as possible.
  4. Over-the-counter antacids may help with the nausea.
  5. If your symptoms continue, worsen, or you become unable to keep fluids down, seek medical attention.

What you should look out for

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (over 100.4°F)
  • Signs of dehydration, such as dark urine, dry mouth, and feeling dizzy when you stand up

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.

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11 mo ago

People Also Ask


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

Persistent nausea can be caused by various conditions such as gastroenteritis, gastritis, peptic ulcers, or even pregnancy. Treatment often involves addressing the underlying cause, staying hydrated, eating small meals, and using over-the-counter medications to manage symptoms.


Can back pain be related to gastrointestinal issues like nausea?

Yes, back pain can sometimes be related to gastrointestinal issues. Conditions like gastroenteritis or peptic ulcers can cause referred pain to the back. It's important to monitor symptoms and consult a healthcare provider for a proper diagnosis.


How can I manage nausea and prevent weight loss if I have an aversion to food?

To manage nausea and prevent weight loss, try eating small, light meals that are easy to digest, such as crackers or toast. Stay hydrated by sipping fluids like water or herbal tea. Avoid foods that are high in fat and sugar, and consider using over-the-counter antacids to help with nausea.


When should I seek medical attention for nausea and back pain?

You should seek medical attention if you experience severe abdominal pain, blood in your vomit or stool, a high fever, or signs of dehydration such as dark urine, dry mouth, or dizziness when standing up. Persistent or worsening symptoms also warrant a visit to a healthcare professional.


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