[21F] Experiencing severe gastrointestinal and neurological symptoms

Patient Description

A 21-year-old female presents with a sudden onset of severe symptoms including nausea, throat irritation, difficulty breathing and swallowing, vomiting with some blood, diarrhea, and a throbbing headache. The symptoms began last night and have persisted. The patient has a history of acid reflux and IBS diagnosed at age 12. She is currently taking DayQuil and pills for cold symptoms but reports no relief from nausea. She also has a known adverse reaction to a medication referred to as 'sofa.' No recent travel was reported, but a family member has traveled recently. The patient also reports fever and chills. She has not been staying hydrated despite drinking water and has experienced these symptoms before.

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Arora's Assessment

What might be happening

Based on the information provided, you may be experiencing:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause symptoms like nausea, vomiting, diarrhea, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if a bacterial infection is suspected.
  • Acid Reflux/GERD Flare: Given your history of acid reflux, it is possible that you are experiencing a flare of this condition. Acid reflux can cause symptoms like nausea, vomiting, and difficulty swallowing.

    • Treatment usually involves lifestyle modifications and over-the-counter or prescription medications to reduce stomach acid.
  • Side effects of medication: Some of the symptoms you're experiencing could be side effects of the DayQuil or other cold symptom pills you're taking. These could include dry mouth, headache, and gastrointestinal upset.

    • If you suspect your symptoms are due to medication, you should stop taking the medication and consult a healthcare professional.

What you can do

  1. Stay hydrated: Make sure you're drinking enough fluids to replace what you're losing through vomiting and diarrhea. Water, broth, or oral rehydration solutions are good options.
  2. Rest: Your body needs energy to fight off whatever is causing these symptoms. Try to get plenty of sleep and take it easy for a few days.
  3. Avoid triggers: If you notice certain foods or activities make your symptoms worse, try to avoid them.
  4. Over-the-counter remedies: There are many over-the-counter medications that can help with symptoms like nausea, diarrhea, and headache. Ask a pharmacist for recommendations.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms get worse or don't improve after a few days.
  • You're unable to keep down fluids due to vomiting.
  • You notice blood in your vomit or stool.
  • You develop severe abdominal pain.
  • You have a high fever (over 101.5°F).

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What are the common symptoms of gastroenteritis and how is it treated?

Common symptoms of gastroenteritis include nausea, vomiting, diarrhea, and abdominal pain. Treatment typically involves rest, staying hydrated, and using over-the-counter remedies. If a bacterial infection is suspected, antibiotics may be necessary.


How can acid reflux or GERD cause difficulty swallowing and what are the treatment options?

Acid reflux or GERD can cause difficulty swallowing due to irritation and inflammation of the esophagus. Treatment options include lifestyle modifications, such as avoiding trigger foods, and medications to reduce stomach acid, like antacids or proton pump inhibitors.


What are the potential side effects of taking DayQuil or similar cold medications?

Potential side effects of DayQuil or similar cold medications can include dry mouth, headache, dizziness, and gastrointestinal upset. If you suspect your symptoms are due to medication, it's important to stop taking it and consult a healthcare professional.


When should someone seek medical attention for symptoms like vomiting with blood or severe abdominal pain?

Medical attention should be sought if symptoms worsen or don't improve after a few days, if you can't keep down fluids, if there's blood in vomit or stool, if severe abdominal pain develops, or if you have a high fever over 101.5°F.


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