[22F] Experiencing gastrointestinal and menstrual-like symptoms

Patient Description

A 22-year-old female presents with a 2-day history of nausea and vomiting, particularly severe on an empty stomach and rated 7/10 in severity. The nausea worsens with any food intake but is somewhat alleviated by carbonated drinks. She also reports bloating, centered in the lower abdomen, and frequent bowel movements. Additionally, she experiences breast soreness, more pronounced on the right side, rated 8/10 in severity, which is aggravated by movement or touch. The patient describes cramping on the right side of the abdomen, similar to menstrual cramps, with a severity of 5-6/10, persisting for 3 days. She also reports episodes of dizziness and shortness of breath. No blood has been noted in vomit or stool, and there is no significant weight loss. The patient does not have a known history of allergies, adverse reactions to medications, or any pre-existing conditions. She is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Pregnancy: Nausea and vomiting (commonly known as "morning sickness"), bloating, increased frequency of bowel movements, breast tenderness, and abdominal cramping are all common symptoms of early pregnancy. Even if you're not aware of being pregnant, it might be a good idea to take a home pregnancy test to rule this out.

    • If you are pregnant, prenatal care is essential. This typically involves regular check-ups with a healthcare provider, a balanced diet, and possibly prenatal vitamins.
  • Premenstrual Syndrome (PMS): This is a group of symptoms that occur in women typically between ovulation and their period. Symptoms can include breast tenderness, bloating, and mood changes. The nausea and vomiting you're experiencing is less typical but can occur.

    • Treatment for PMS can include lifestyle changes such as regular exercise, a balanced diet, and adequate sleep. Over-the-counter pain relievers can help with cramping and breast tenderness.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause nausea, vomiting, abdominal cramping, and diarrhea.

    • Treatment typically involves rest, hydration, and bland foods. Antibiotics may be necessary if a bacterial infection is the cause.

What you can do

  1. Take a home pregnancy test to rule out pregnancy.
  2. Keep a symptom diary. This can help you and your healthcare provider identify patterns and potential triggers.
  3. Stay hydrated, especially if you're vomiting frequently.
  4. Eat small, frequent meals instead of three large meals a day. This may help with the nausea and bloating.
  5. Avoid foods that seem to make your symptoms worse.
  6. Over-the-counter pain relievers can help with the breast tenderness and cramping.

What you should look out for

Contact a healthcare provider if:

  • Your symptoms persist or worsen over the next few days.
  • You have a positive pregnancy test.
  • You develop new symptoms, such as a fever, severe abdominal pain, or blood in your vomit or stool.

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.

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11 mo ago

People Also Ask


What are common symptoms of early pregnancy?

Common symptoms of early pregnancy include nausea and vomiting (often referred to as morning sickness), breast tenderness, bloating, increased frequency of urination, fatigue, and sometimes mood swings.


How can I manage nausea and vomiting at home?

To manage nausea and vomiting at home, try eating small, frequent meals, stay hydrated, avoid foods that trigger nausea, and consider ginger or peppermint tea. Carbonated drinks may also help alleviate symptoms.


What are the typical symptoms of premenstrual syndrome (PMS)?

Typical symptoms of PMS include mood swings, tender breasts, food cravings, fatigue, irritability, and depression. Physical symptoms can include bloating, abdominal cramping, and headaches.


When should I see a doctor for nausea and vomiting?

You should see a doctor if your nausea and vomiting persist for more than a few days, if you are unable to keep any fluids down, if you experience severe abdominal pain, or if you notice blood in your vomit or stool.


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