[22F] Experiencing nausea, watery diarrhea, dizziness, and chills

Patient Description

A 22-year-old female has been experiencing nausea, watery diarrhea, and dizziness for approximately 3 days, with the nausea being the most bothersome symptom, rated at a severity of 6 out of 10. The patient reports that eating exacerbates the nausea, and nothing has been identified that relieves it. The diarrhea, described as watery, occurs about 4 times a day and has been ongoing for a week. No specific food triggers have been identified. Additionally, the patient has been feeling lightheaded, rating the dizziness at a severity of 3 out of 10, with no specific time of day when it is worse. The patient also reports experiencing chills. There is no recent travel or new foods introduced, no known allergies or adverse reactions to medications, and no current medications. The patient does not have any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines usually caused by a viral or bacterial infection. It can cause diarrhea, nausea, and sometimes dizziness and chills.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Food Poisoning: This occurs when you consume contaminated food or water. Symptoms can include diarrhea, nausea, and chills.

    • Treatment typically involves rest, hydration, and sometimes antibiotics if a specific bacteria is identified.
  • Irritable Bowel Syndrome (IBS): This is a chronic disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea, and nausea.

    • Treatment usually involves dietary changes, lifestyle modifications, and sometimes medications.

Please remember, these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose fluids and electrolytes, which can lead to dehydration. Make sure to drink plenty of fluids. Oral rehydration solutions available at pharmacies can also be helpful.

  2. Rest: Your body needs energy to fight off the virus. Getting enough sleep may help speed up recovery.

  3. Eat light: Start with easy-to-digest foods like rice, crackers, bananas, and soup until your stomach settles.

  4. Over-the-counter medication: There are medications available that can help manage your symptoms.

What you should look out for

Seek immediate medical attention if you:

  • See blood in your stool or vomit
  • Have a high fever (over 101°F)
  • Have symptoms that last for more than a few days
  • Have severe abdominal or rectal pain
  • Become dehydrated — signs of dehydration include excessive thirst, dry mouth, deep yellow urine or little or no urine, and severe weakness, dizziness or lightheadedness.

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of nausea and diarrhea?

Common causes of nausea and diarrhea include viral or bacterial infections (such as gastroenteritis), food poisoning, and conditions like irritable bowel syndrome (IBS). Stress and certain medications can also contribute to these symptoms.


How can I manage nausea and dizziness at home?

To manage nausea and dizziness at home, stay hydrated by drinking clear fluids, rest as much as possible, and try eating small, bland meals like crackers or toast. Over-the-counter medications like anti-nausea drugs can also help, but consult a healthcare provider before use.


When should I see a doctor for diarrhea and nausea?

You should see a doctor if you experience severe symptoms such as blood in your stool or vomit, a high fever, symptoms lasting more than a few days, severe abdominal pain, or signs of dehydration like excessive thirst and little or no urine.


What dietary changes can help with symptoms like nausea and diarrhea?

Dietary changes that can help include eating bland, easy-to-digest foods such as bananas, rice, applesauce, and toast (the BRAT diet). Avoid dairy, caffeine, alcohol, and fatty or spicy foods until symptoms improve.


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