[20F] With persistent nausea, fever, and gastrointestinal symptoms

Patient Description

A 20-year-old female presents with persistent nausea and vomiting for one week, with nausea being worse upon waking. Vomiting provides some relief. She reports an intermittent fever for four days, feeling severe but without a measured temperature. Additional symptoms include weakness, chills, headaches, feeling hot, and shivering. She has experienced diarrhea for three days with intermittent abdominal pain. Signs of dehydration, such as dry mouth and dizziness, are noted. There have been no recent changes in medications, travel, or exposure to illness. The patient has a history of an underactive thyroid diagnosed at age 8 and is currently taking Levothyroxine 0.025 mg daily. No known allergies or other medications reported. Menstrual history is irregular, and no birth control is used.

Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

Viral Gastroenteritis (Stomach Flu): This is a common infection that can cause nausea, vomiting, diarrhea, fever, and abdominal pain. It usually resolves on its own within a few days to a week.
- Treatment typically involves staying hydrated and resting. Over-the-counter medications can help manage symptoms.
Thyroid Imbalance: Since you have an underactive thyroid, it's possible that your symptoms could be related to your thyroid levels. Nausea, fatigue, and temperature sensitivity can occur if your thyroid medication needs adjustment.
- A doctor may recommend a blood test to check your thyroid levels and adjust your medication if necessary.
Dehydration: Your symptoms of dry mouth and dizziness suggest dehydration, which can worsen nausea and weakness.
- Rehydration with fluids and electrolytes is important.

What you can do

Stay Hydrated: Sip on clear fluids like water, broth, or an electrolyte solution. Avoid caffeine and alcohol.
Rest: Give your body time to recover by getting plenty of rest.
Eat Bland Foods: If you can tolerate food, try bland options like toast, rice, or bananas.
Monitor Symptoms: Keep track of your symptoms using MDandMe to share with your healthcare provider.
Check Thyroid Levels: Consider contacting your doctor to discuss whether your thyroid medication needs adjustment.

What you should look out for

Seek medical attention if you experience:

Persistent vomiting or inability to keep fluids down
Severe abdominal pain
High fever or worsening symptoms
Signs of severe dehydration, such as very dry mouth, little or no urination, or extreme dizziness

Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago

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