[20M] Experiencing dizziness, vomiting, and numbness in arms

Patient Description

A 20-year-old male reports feeling lightheaded with a severity of 3 out of 10, which comes and goes, and has been ongoing for about 1 hour. The patient also describes a cramping stomach ache in the center of the abdomen rated at a 4 out of 10 for severity, lasting for approximately 4 hours. Vomiting occurred once, described as sudden and consisting of liquid with chunks. Additionally, the patient is experiencing numbness in the hands extending to the elbows, which has been persistent for about 20 minutes. No specific food triggers have been identified for the vomiting, and no fever or chills are present. The patient's last bowel movement contained chunks of egg and was somewhat liquid in consistency.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines that can cause symptoms such as abdominal pain, vomiting, and diarrhea. It's often caused by a viral or bacterial infection.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms can start within hours of eating the contaminated food and include nausea, vomiting, abdominal cramps, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Migraine: This is a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment usually involves medication to relieve symptoms and prevent future attacks.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

  1. Rest and stay hydrated. Drink plenty of fluids, such as water or electrolyte solutions.
  2. Avoid eating solid foods until your vomiting stops. Then try eating light, bland foods, such as rice or crackers.
  3. Over-the-counter medication can help manage your symptoms. However, it's important to follow the instructions on the packaging.
  4. Keep a symptom diary. This can help you identify any triggers or patterns to your symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist for more than 24 hours.
  • You have severe abdominal pain.
  • You're unable to keep down fluids.
  • You have blood in your vomit or stool.
  • You have signs of dehydration, such as dark urine, dry mouth, and feeling extremely thirsty.
  • Your numbness persists or worsens.

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of lightheadedness and how can it be managed?

Common causes of lightheadedness include dehydration, low blood sugar, or sudden changes in posture. It can often be managed by sitting or lying down, drinking fluids, and eating a small snack. If it persists, consult a healthcare professional.


How can I differentiate between gastroenteritis and food poisoning based on symptoms?

Gastroenteritis and food poisoning have similar symptoms like vomiting and abdominal cramps. Gastroenteritis is often viral and can spread from person to person, while food poisoning is usually from contaminated food. A healthcare provider can help determine the cause based on symptoms and history.


What should I do if I experience numbness in my hands and arms?

If you experience numbness in your hands and arms, try changing your position to see if it improves. Persistent or worsening numbness should be evaluated by a healthcare professional to rule out any serious conditions.


When should I seek medical attention for vomiting and abdominal pain?

Seek medical attention if vomiting and abdominal pain persist for more than 24 hours, if you cannot keep fluids down, if there is blood in vomit or stool, or if you show signs of dehydration like dark urine or extreme thirst.

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