[21M] Experiencing severe nausea with stomach pain, diarrhea, and vomiting

Patient Description

A 21-year-old male is reporting severe nausea rated 9 out of 10 in intensity, accompanied by stomach pain, diarrhea, and vomiting. The patient describes a sensation of fullness without having eaten and a general feeling of disgust. These symptoms have persisted for approximately fifteen hours. The patient has not provided specific triggers that worsen the nausea, but the severity suggests a significant impact on the patient's well-being. No further details on the patient's medical history, medication use, or potential exposures have been provided at this time.

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Arora's Assessment

What might be happening

Based on your symptoms of stomach pain, diarrhea, vomiting, and severe nausea, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria, or parasites. Viral gastroenteritis is often called the "stomach flu." It can cause severe vomiting and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if a bacterial cause is identified.
  • Food Poisoning: This occurs when you eat or drink something that contains harmful germs (bacteria, viruses, or parasites). Symptoms can start within hours of eating the contaminated food and can include nausea, vomiting, or diarrhea.

    • Treatment usually involves rest, hydration, and time. In severe cases, hospitalization may be required.
  • Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Symptoms include nausea, vomiting, a feeling of fullness in your upper abdomen after eating, or an upset stomach.

    • Treatment often involves medications to reduce stomach acid, which you should discuss with your doctor.

Please note that these are possible diagnoses based on the information you provided. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

While waiting for a medical consultation, here are some things you can do:

  1. Stay hydrated: Diarrhea and vomiting can cause dehydration, which can worsen your symptoms and lead to other health problems. Drink plenty of fluids, such as water, broth, or oral rehydration solutions.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting enough sleep can boost your immune system and help you recover.

  3. Eat light: If you can eat without vomiting, try to eat simple, bland foods like rice, bananas, or toast.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Symptoms persist for more than a couple of days
  • Severe abdominal or rectal pain
  • Blood in your stool or vomit
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

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 formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of severe nausea and vomiting?

Common causes of severe nausea and vomiting include viral infections like gastroenteritis, food poisoning, gastritis, and sometimes more serious conditions like appendicitis or pancreatitis. It's important to consider recent food intake, travel history, and any other symptoms.


How can I tell if my symptoms are due to food poisoning or gastroenteritis?

Food poisoning symptoms often start within hours of consuming contaminated food and can include nausea, vomiting, and diarrhea. Gastroenteritis, often viral, can have similar symptoms but may be accompanied by fever and body aches. A healthcare provider can help differentiate between the two based on symptoms and history.


What are the signs of dehydration I should watch out for?

Signs of dehydration include excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness. It's important to stay hydrated, especially if experiencing vomiting and diarrhea.


When should I seek medical attention for stomach pain and nausea?

You should seek medical attention if your symptoms persist for more than a couple of days, if you experience severe abdominal or rectal pain, if there is blood in your stool or vomit, or if you show signs of severe dehydration.


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