[21F] Experiencing nausea, vomiting, abdominal cramping, and breast tenderness

Patient Description

A 21-year-old female presents with symptoms of frequent vomiting that started this morning, nausea since waking up, abdominal cramping similar to period cramps for about a week, and breast tenderness with nipple sensitivity for two weeks. She has not had her period for over a month, despite usually being regular, and is concerned about the possibility of pregnancy. The vomiting episodes have occurred twice, with the vomit being clear the first time and blue the second time after drinking juice. There is no presence of blood or bile, and no specific foods or activities that worsen the nausea. The abdominal cramps are intermittent, with a severity ranging from 4 to 8 out of 10. The breast tenderness varies as well, sometimes reaching a severity of 10 out of 10. No fever, chills, recent injuries, or trauma to the breasts have been reported. Bowel movements are described as normal.

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Arora's Assessment

What might be happening

Based on the information you've provided, the symptoms you're experiencing could potentially indicate pregnancy. These symptoms include:

  • Missed period: You mentioned that your last period was over a month ago and you usually have regular cycles. A missed period is often one of the first signs of pregnancy.
  • Nausea and vomiting: These are common symptoms in early pregnancy, often referred to as "morning sickness," although they can occur at any time of the day.
  • Tender breasts: Many women experience changes in their breasts early in pregnancy, including tenderness and sensitivity.
  • Abdominal cramping: Some women experience mild cramping early in pregnancy as the uterus begins to grow and change.

What you can do

If you suspect you might be pregnant, the most reliable way to confirm is by taking a home pregnancy test. These tests are typically accurate about a week after a missed period. If the test is positive, or if you continue to have symptoms and the test is negative, you should schedule an appointment with a healthcare provider for further evaluation.

What you should look out for

If you experience severe abdominal pain, heavy vaginal bleeding, or severe nausea and vomiting, you should seek immediate medical attention, as these could be signs of a more serious condition such as an ectopic pregnancy or hyperemesis gravidarum.

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. You should consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common early signs of pregnancy?

Common early signs of pregnancy include a missed period, nausea and vomiting (often called morning sickness), breast tenderness, fatigue, and frequent urination. These symptoms can vary in intensity and duration among different individuals.


How accurate are home pregnancy tests and when should they be taken?

Home pregnancy tests are generally very accurate when used correctly, with most tests being able to detect pregnancy about a week after a missed period. For the most reliable result, it's best to follow the instructions carefully and use the first urine of the day, which contains the highest concentration of the pregnancy hormone hCG.


What could cause nausea and vomiting if not pregnant?

Nausea and vomiting can be caused by a variety of factors other than pregnancy, including gastrointestinal infections, food poisoning, stress, motion sickness, and certain medications. If pregnancy is ruled out, it's important to consider these other possibilities and consult a healthcare provider if symptoms persist.


When should I seek medical attention for abdominal cramps and nausea?

You should seek medical attention if you experience severe abdominal pain, heavy vaginal bleeding, or severe nausea and vomiting, as these could indicate a more serious condition such as an ectopic pregnancy or hyperemesis gravidarum. Additionally, if symptoms are persistent and affecting your daily life, a healthcare provider can help determine the cause and appropriate treatment.


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