[20F] Pregnant with nausea, headache, and eye pain

Patient Description

A 20-year-old female, currently 8 weeks pregnant, reports experiencing constant nausea rated 4 out of 10 in severity, which is exacerbated by eating but somewhat alleviated by drinking water. The nausea is present throughout the day and has been ongoing for a week. She also describes a pressure-like headache at the back of her head and associated eye pain, rated 3 out of 10 in severity, persisting for a week. She has experienced similar headaches in the past. The patient has a history of one miscarriage and no living children. No other pregnancy-related issues have been reported during the current pregnancy.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely possibilities include:

  • Early Pregnancy Symptoms: Nausea, fatigue, and headaches are common symptoms in early pregnancy. Nausea in pregnancy, often called "morning sickness," can occur at any time of the day and is typically present in the first trimester.

    • Treatment: Rest, hydration, and eating small, frequent meals can help manage these symptoms. There are also medications that can be prescribed by your doctor if these measures are not enough.
  • Migraine: Migraines are a type of headache characterized by severe pain, often on one side of the head, and can be accompanied by nausea and sensitivity to light and sound.

    • Treatment: Over-the-counter pain relievers can help with mild migraines, but prescription medications may be necessary for more severe or frequent migraines. Rest and avoiding triggers can also help.
  • Dehydration: Dehydration can cause headaches, fatigue, and nausea. Pregnancy increases your need for water, so it's possible you're not drinking enough.

    • Treatment: Drinking more water and other hydrating fluids can help. If you're severely dehydrated, you may need to go to the hospital for intravenous (IV) fluids.

What you can do

  1. Rest and stay hydrated. Try to drink small amounts of water frequently throughout the day.
  2. Eat small, frequent meals. Avoid foods that make your nausea worse.
  3. Over-the-counter pain relievers like acetaminophen can help with the headaches, but always check with your doctor before starting any new medication during pregnancy.
  4. If your symptoms persist or worsen, seek medical attention. Your doctor may be able to prescribe medication to help with your nausea.

What you should look out for

  • If your headache becomes severe or is accompanied by vision changes, sudden weight gain, or swelling in your hands and face, seek medical attention immediately as these could be signs of a serious condition called preeclampsia.
  • If you are unable to keep down fluids and are feeling very weak or dizzy, seek medical attention as this could be a sign of severe dehydration or a condition called hyperemesis gravidarum.
  • If you have severe abdominal pain or vaginal bleeding, seek medical attention immediately as these could be signs of a miscarriage or ectopic pregnancy.

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 for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


Is it normal to experience nausea throughout the day during early pregnancy?

Yes, it is common to experience nausea at any time of the day during early pregnancy, often referred to as 'morning sickness.' It typically occurs in the first trimester and can be managed with rest, hydration, and small, frequent meals.


What can I do to alleviate headaches during pregnancy?

To alleviate headaches during pregnancy, you can try resting in a dark, quiet room, staying hydrated, and using over-the-counter pain relievers like acetaminophen, but always consult your doctor before taking any medication. Identifying and avoiding headache triggers can also help.


How can I tell if my nausea and headaches are due to dehydration?

If your nausea and headaches improve with increased fluid intake, they might be related to dehydration. Other signs of dehydration include dark urine, dry mouth, and feeling lightheaded. Ensure you are drinking enough water throughout the day.


When should I be concerned about my headaches during pregnancy?

You should be concerned about your headaches if they become severe, are accompanied by vision changes, sudden weight gain, or swelling in your hands and face, as these could be signs of preeclampsia. Seek medical attention if these symptoms occur.


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