[21M] Experiencing severe nausea, weakness, and rash

Patient Description

A 21-year-old male has been experiencing severe nausea rated 8/10 in intensity, weakness, and an itchy splotchy rash for the past 4 days. The nausea is constant and not relieved by rest, making it difficult to eat. The patient also reports fainting several times and feeling extremely weak and fatigued, to the point of staying in bed all day. The weakness is described as moderate to severe. Additionally, the patient has diarrhea, headache, sore throat, and swollen lymph nodes. The patient is a lacrosse goalie and gets hit often, but cannot recall any recent injuries or accidents. No new environmental exposures or contact with others having similar symptoms were reported. No specific food or drink triggers have been identified for the nausea or rash.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Viral Gastroenteritis: Also known as the stomach flu, this is an inflammation of the stomach and intestines caused by a virus. Symptoms can include nausea, diarrhea, and sometimes fever, weakness, and body aches. The rash may be unrelated or could be a symptom of a specific type of viral infection.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms can include nausea, vomiting, diarrhea, and weakness. The rash may be unrelated.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Mononucleosis: This is a viral infection that can cause fatigue, sore throat, fever, swollen lymph nodes, rash, and other symptoms. It's often called "mono" or "the kissing disease."

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.

What you can do

  1. Rest and stay hydrated. Drink plenty of fluids, especially water and electrolyte-replenishing drinks.
  2. Avoid eating solid food until your vomiting stops, then ease back into eating starting with bland foods like rice, crackers, or bananas.
  3. Over-the-counter medication may help manage your symptoms.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a few days.
  • You have severe abdominal pain.
  • You have blood in your stool or vomit.
  • You become dehydrated (symptoms of dehydration include extreme thirst, dry mouth, deep yellow urine or little to no urine, severe weakness, dizziness, or lightheadedness).

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate 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 symptoms of viral gastroenteritis?

Common symptoms of viral gastroenteritis include nausea, vomiting, diarrhea, stomach cramps, fever, and body aches. It is often referred to as the stomach flu.


How can I differentiate between food poisoning and viral infections like mononucleosis?

Food poisoning typically presents with sudden onset of nausea, vomiting, diarrhea, and abdominal pain after consuming contaminated food. Mononucleosis, on the other hand, often includes symptoms like extreme fatigue, sore throat, swollen lymph nodes, and sometimes a rash, and develops more gradually.


What are the signs of dehydration I should be aware of?

Signs of dehydration include extreme thirst, dry mouth, deep yellow urine or little to no urine, severe weakness, dizziness, or lightheadedness. It's important to stay hydrated, especially when experiencing symptoms like diarrhea and vomiting.


When should I seek medical attention for severe nausea and weakness?

You should seek medical attention if your symptoms worsen or do not improve after a few days, if you experience severe abdominal pain, if you notice blood in your stool or vomit, or if you show signs of dehydration.


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