[21F] Experiencing tight throat, nausea, and other symptoms

Patient Description

A 21-year-old female presents with a sensation of a tight throat for 10 hours, not associated with breathing difficulties but relieved by drinking water and hot showers. She also reports nausea with a severity of 6 out of 10, which worsens when lying down, and has been occurring for the past hour. Additionally, she experiences a mild, aching headache for 5 hours, increased flatulence, and potential constipation. She ate raw fish prior to symptom onset and has a history of essential tremor and heart palpitations since age 15, for which she takes Propranolol ER. No new medications or substances have been introduced, and there is no known drug allergy. Her mother has a history of asthma.

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Arora's Assessment

What might be happening

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

  • Foodborne illness: Also known as food poisoning, this can occur after consuming contaminated food, such as raw fish. Symptoms can include nausea, vomiting, abdominal pain, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. However, severe cases may require medical attention.
  • Gastroesophageal reflux disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause a tight throat feeling.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery may be needed.
  • Anxiety: Anxiety can cause a variety of physical symptoms, including a feeling of tightness in the throat, nausea, and increased flatulence. It's also possible that anxiety is exacerbating symptoms from another condition.

    • Treatment can involve a combination of therapy, lifestyle changes, and medication.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits.

    • Treatment typically involves long-term management of diet, lifestyle and stress. More-severe symptoms might benefit from medication and counseling.

Please note that this is not an exhaustive list of all possible conditions that could be causing your symptoms. You should consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and stay hydrated. Drink plenty of fluids to avoid dehydration, which can worsen your symptoms.
  2. Avoid eating raw or undercooked fish in the future to prevent potential foodborne illnesses.
  3. Try over-the-counter antacids or acid reducers for temporary relief of GERD symptoms.
  4. Practice stress management techniques, such as deep breathing, meditation, and yoga, to help manage potential anxiety symptoms.
  5. Keep a symptom diary to track what triggers your symptoms. This can be helpful information to share with your doctor.
  6. Consult with a healthcare provider for an accurate diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms persist or worsen over the next few days.
  • You have difficulty swallowing or breathing.
  • You experience severe abdominal pain or vomiting.
  • You notice blood in your stool or vomit.

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 accurate information.

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8 mo ago


People Also Ask


What are the common symptoms of foodborne illness from eating raw fish?

Common symptoms of foodborne illness from eating raw fish include nausea, vomiting, diarrhea, abdominal pain, and sometimes fever. These symptoms can appear within hours to days after consuming contaminated food.


How can gastroesophageal reflux disease (GERD) cause a sensation of a tight throat?

GERD can cause a sensation of a tight throat because stomach acid frequently flows back into the esophagus, irritating its lining. This can lead to a feeling of tightness or a lump in the throat, known as globus sensation.


Can anxiety cause physical symptoms like nausea and a tight throat?

Yes, anxiety can cause a variety of physical symptoms, including nausea, a sensation of a tight throat, increased flatulence, and even headaches. These symptoms occur due to the body's stress response.


What lifestyle changes can help manage irritable bowel syndrome (IBS)?

Lifestyle changes that can help manage IBS include eating a high-fiber diet, avoiding trigger foods, staying hydrated, exercising regularly, and managing stress through techniques like yoga or meditation.

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