[23F] Experiencing acute nausea, vomiting, and stomach pain with mild fever

Patient Description

A 23-year-old female presented with sudden onset of nausea followed by an episode of vomiting, characterized as spit up rather than food. The symptoms began approximately three hours prior to the encounter. She was able to eat lunch but then felt weak, with a recorded temperature of 99.8°F. The nausea is currently the most bothersome symptom. It was noted that drinking water and taking anti-nausea medication provided some relief. The patient mentioned that the nausea worsened after walking her dog and while reading in her bedroom. There was only one instance of vomiting today, and no specific food triggers were identified. The patient has not indicated any other accompanying symptoms or relevant medical history during this brief interaction.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gastroenteritis: Also known as the stomach flu, this condition can cause nausea, vomiting, and stomach pain. It's usually caused by a viral or bacterial infection.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Food poisoning: If you've eaten something contaminated with harmful bacteria, viruses, or parasites, you may experience symptoms like nausea, vomiting, and stomach pain.

    • Treatment usually involves rest, hydration, and time. In severe cases, medical attention may be necessary.
  • Pregnancy: Although you've indicated that you're not currently pregnant, it's worth noting that sudden nausea and vomiting can be early signs of pregnancy.

    • A home pregnancy test can confirm or rule out this possibility.

What you can do

  1. Rest and stay hydrated. Dehydration can make your symptoms worse and lead to other complications.
  2. Avoid eating solid foods until your vomiting stops. Then try eating light, bland foods, like rice, bananas, or toast.
  3. Over-the-counter medication may help manage your symptoms. Be sure to follow the instructions on the packaging.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms persist for more than a few days.
  • You're unable to keep down fluids.
  • You have severe abdominal pain.
  • You notice blood in your vomit or stool.

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of sudden nausea and vomiting?

Common causes of sudden nausea and vomiting include viral infections like gastroenteritis, food poisoning from contaminated food, and sometimes early pregnancy. Other causes can include stress, motion sickness, or certain medications.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis often involves symptoms like diarrhea and stomach cramps in addition to nausea and vomiting, and is usually caused by a viral infection. Food poisoning symptoms can be similar but often occur after eating contaminated food and may include more severe stomach pain and fever.


What are some effective home remedies for managing nausea?

Effective home remedies for managing nausea include staying hydrated with clear fluids, eating bland foods like crackers or toast, ginger tea, and using over-the-counter anti-nausea medications. Resting and avoiding strong odors can also help.


When should I seek medical attention for nausea and vomiting?

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


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