[21F] Experiencing nausea, vomiting, and abdominal pain with headache and fever

Patient Description

A 21-year-old female presents with a 3-day history of nausea, forceful vomiting containing food after eating, and a dull ache in the upper abdomen. The patient also reports a constant, dull headache located on the forehead and a low-grade fever ranging between 99.5 and 100.1 degrees Fahrenheit. The patient denies any specific food triggers for vomiting, any relief from stomach pain, or any pre-existing conditions. No known drug allergies or current medications are reported. The patient has had a recent negative Covid test.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms can include nausea, vomiting, stomach pain, and fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to alleviate symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Gastritis: This is an inflammation of the stomach lining, which can be caused by various factors such as certain medications, excessive alcohol consumption, and infections. Symptoms can include upper abdominal pain, nausea, and vomiting.

    • Treatment often involves medications to reduce stomach acid and, in some cases, antibiotics to treat a Helicobacter pylori infection.
  • Peptic Ulcer Disease: These are sores that develop on the inside lining of your stomach and the upper portion of your small intestine. Symptoms can include a dull or burning stomach pain, feeling full, bloating, or belching.

    • Treatment typically involves medications to reduce stomach acid and, in some cases, antibiotics to treat a Helicobacter pylori infection.
  • Migraines: These are a type of headache characterized by intense pain that can be accompanied by nausea, vomiting, and sensitivity to light and sound.

    • Treatment typically involves pain-relieving medications and preventive medications.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Stay hydrated: Dehydration can worsen symptoms of nausea and headache. Try to sip small amounts of water or a rehydration solution regularly.

  2. Rest: Your body needs energy to fight off the virus. Getting rest will help the recovery process.

  3. Over-the-counter medication: Over-the-counter medication can help manage your symptoms. For example, bismuth subsalicylate can help with nausea and upset stomach, and acetaminophen can help reduce fever and relieve pain.

  4. Seek medical attention: If your symptoms persist or worsen, seek medical attention. Your healthcare provider may want to run some tests or prescribe medication to help manage your symptoms.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Signs of dehydration, such as dry mouth, feeling extremely thirsty, or producing less urine
  • Your symptoms worsen or do not improve after a few days

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a definitive diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of nausea and vomiting?

Common causes of nausea and vomiting include viral infections (such as gastroenteritis), food poisoning, motion sickness, pregnancy, and certain medications. It can also be a symptom of more serious conditions like gastritis or peptic ulcers.


How can I differentiate between a migraine and a regular headache?

Migraines are typically more intense than regular headaches and may be accompanied by nausea, vomiting, and sensitivity to light and sound. They often have a throbbing or pulsing quality and can last from a few hours to several days.


What are the signs that my abdominal pain might be serious?

Signs that abdominal pain might be serious include severe pain, pain that is sudden and sharp, pain accompanied by fever, vomiting blood, blood in stool, or signs of dehydration. If you experience any of these, seek medical attention immediately.


How can I prevent dehydration when experiencing vomiting and fever?

To prevent dehydration when experiencing vomiting and fever, drink small sips of water or an oral rehydration solution frequently. Avoid large amounts of liquid at once, as this can trigger more vomiting. Eating ice chips or popsicles can also help maintain hydration.


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