[21O] With sudden onset of intense nausea, sweats, and sneezing

Patient Description

A 21-year-old individual assigned 'other' at birth reports experiencing intense nausea localized in the throat area and face for the past two days. The nausea worsens with eating and is not alleviated by any known methods. Additionally, the patient is experiencing sweats and sneezing. The onset of symptoms was sudden. There have been no recent changes in diet or exposure to new foods or environments.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Gastroesophageal Reflux Disease (GERD): GERD can cause nausea, especially after eating, and can sometimes be felt in the throat area. It can also be associated with sweating.

    • Treatment: GERD is typically managed with lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down immediately after eating. Over-the-counter medications like antacids or proton pump inhibitors can also help.
  • Food Allergies or Intolerances: Sudden nausea and sneezing after eating could indicate a food allergy or intolerance. This can also cause sweating as a reaction.

    • Treatment: Identifying and avoiding the trigger food is crucial. An allergist can perform tests to determine specific food allergies.
  • Viral Infection: A viral infection, such as a cold or flu, can cause nausea, sneezing, and sweating. These symptoms can sometimes be more pronounced in the throat and face.

    • Treatment: Viral infections usually resolve on their own. Rest, hydration, and over-the-counter medications to manage symptoms can be helpful.
  • Sinusitis or Allergic Rhinitis: These conditions can cause sneezing and post-nasal drip, which might lead to nausea, especially if the mucus is irritating your throat.

    • Treatment: Antihistamines, decongestants, and nasal sprays can help manage symptoms. Avoiding known allergens is also important.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Avoid Trigger Foods: If you suspect certain foods are making your symptoms worse, try to avoid them and see if your symptoms improve.
  2. Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you're experiencing sweats.
  3. Over-the-Counter Medications: Consider using antacids or antihistamines to see if they help alleviate your symptoms.
  4. Rest: Ensure you get plenty of rest to help your body recover if a viral infection is the cause.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Symptoms: If your nausea becomes severe or your symptoms worsen, it's important to see a doctor.
  • Difficulty Breathing: If you experience difficulty breathing, swelling of the face or throat, or a severe allergic reaction, seek emergency medical care immediately.
  • Persistent Symptoms: If your symptoms persist for more than a few days without improvement, consult a healthcare professional.

Remember, while this advice can help you manage your symptoms, it's important to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.

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3 mo ago


People Also Ask


What are common symptoms of GERD and how can it be managed?

Common symptoms of GERD include heartburn, regurgitation, and nausea, especially after eating. It can be managed with lifestyle changes such as avoiding trigger foods, eating smaller meals, and not lying down immediately after eating. Over-the-counter medications like antacids or proton pump inhibitors can also help.


How can I determine if my symptoms are due to a food allergy or intolerance?

To determine if symptoms are due to a food allergy or intolerance, it's important to track what you eat and note any reactions. An allergist can perform tests to identify specific food allergies. Avoiding the trigger food is crucial for managing symptoms.


What are the typical signs of a viral infection that could cause nausea and sneezing?

Typical signs of a viral infection include fever, fatigue, body aches, sneezing, and nausea. These infections usually resolve on their own, and symptoms can be managed with rest, hydration, and over-the-counter medications.


How can sinusitis or allergic rhinitis lead to nausea and what treatments are available?

Sinusitis or allergic rhinitis can cause post-nasal drip, which might lead to nausea if the mucus irritates the throat. Treatments include antihistamines, decongestants, and nasal sprays. Avoiding known allergens is also important to prevent symptoms.


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