[21F] Experiencing constant hunger, nausea, and frequent urination

Patient Description

A 21-year-old female reports constant hunger that is not alleviated by eating, with subsequent nausea and a feeling of wanting to vomit after meals. She describes her nausea as severe, rating it a 7 out of 10. Additionally, she experiences frequent urination and severe stomach pain resembling period cramps. These symptoms have been present for approximately one month. The patient has not noticed any weight changes or excessive thirst, and there have been no episodes of dizziness, fainting, or changes in bowel movements. No other symptoms were reported.

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Arora's Assessment

What might be happening

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

  • Diabetes Mellitus: This is a condition where your body either doesn't produce enough insulin or doesn't use insulin effectively, leading to high blood sugar levels. Symptoms can include increased hunger and thirst, frequent urination, and unexplained weight loss. However, you've mentioned that you're not excessively thirsty or urinating more than usual, which makes this less likely.

    • Diagnosis typically involves a blood test to check your blood sugar levels. Treatment usually involves lifestyle changes, medication, and sometimes insulin therapy.
  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone, which can speed up your metabolism and cause increased hunger. Other symptoms can include rapid heart rate, anxiety, and weight loss. However, you've mentioned that you haven't noticed any changes in your weight, which makes this less likely.

    • Diagnosis typically involves a blood test to check your thyroid hormone levels. Treatment usually involves medication to reduce the production of thyroid hormone.
  • Eating Disorders: Conditions such as bulimia nervosa can cause you to feel hungry all the time, even after eating. These conditions can also cause you to vomit after eating and experience stomach pain. However, you've mentioned that you're not vomiting, which makes this less likely.

    • Diagnosis typically involves a psychological evaluation and sometimes other tests to rule out other causes. Treatment usually involves therapy and sometimes medication.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a virus or bacteria. Symptoms can include stomach pain, nausea, and diarrhea. However, you've mentioned that you're not experiencing diarrhea, which makes this less likely.

    • Diagnosis typically involves a physical exam and sometimes a stool test. Treatment usually involves rest, hydration, and sometimes medication.

What you can do

You should seek medical attention as soon as possible to get a formal diagnosis and appropriate treatment. In the meantime, here are some things you can do to manage your symptoms:

  1. Try to eat small, frequent meals instead of large meals. This can help manage your hunger and reduce your nausea.
  2. Avoid foods that make your symptoms worse. This might include fatty, spicy, or sugary foods.
  3. Drink plenty of fluids to stay hydrated, especially if you're feeling nauseous.
  4. Try to get plenty of rest. This can help your body recover and manage 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 vomit or stool
  • Rapid or unexplained weight loss
  • Symptoms that worsen or don't improve with home care

Remember, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What could cause constant hunger that isn't relieved by eating?

Constant hunger that isn't relieved by eating can be caused by conditions such as diabetes mellitus, hyperthyroidism, or even psychological factors like stress or eating disorders. It's important to consult a healthcare professional for a proper diagnosis.


Why might someone feel nauseous and want to vomit after meals?

Nausea and the urge to vomit after meals can be due to various reasons, including gastrointestinal issues like gastroenteritis, food intolerances, or even stress and anxiety. It's advisable to seek medical advice to determine the underlying cause.


What are the possible reasons for frequent urination without excessive thirst?

Frequent urination without excessive thirst can be a symptom of several conditions, including urinary tract infections, diabetes, or even high fluid intake. A healthcare provider can help identify the cause through appropriate tests.


How can severe stomach pain similar to period cramps be managed?

Severe stomach pain similar to period cramps can be managed by using over-the-counter pain relief medications, applying heat to the area, and ensuring adequate rest. However, if the pain is persistent or severe, it's important to seek medical attention to rule out any serious conditions.


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