[23F] Experiencing multiple symptoms including sore throat, nausea, and vomiting

Patient Description

A 23-year-old female presents with a 4-day history of sore throat, nasal congestion, body aches, heat flashes, nausea, and vomiting. The sore throat is described as scratchy and swollen, worsened in the morning, and somewhat relieved by cough drops. Nausea is severe, rated 7 out of 10, with vomiting triggered by ingestion of water, resulting in the expulsion of yellow and green bile. The patient also experiences heat flashes prior to vomiting episodes. Difficulty breathing has been noted, specifically shortness of breath. The patient is unable to retain liquids and has been coughing up yellow phlegm. She works in retail and is frequently exposed to the public. The patient has not been vaccinated for influenza or COVID-19. Medical history includes IBS and PCOS, diagnosed earlier in the year. Current medications include Ondansetron 4mg as needed, Omeprazole 40mg daily, Cetirizine 10mg daily, Vitamin C 500mg daily, Vitamin D3 125mcg daily, and a prebiotic 15mg daily. No known drug allergies or recent changes in medication have been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, a few conditions come to mind:

  • Influenza (Flu): Your symptoms of body aches, sore throat, congestion, and chills are common symptoms of the flu. The flu is a respiratory illness caused by influenza viruses. It can cause mild to severe illness and at times can lead to death.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antiviral drugs may be a treatment option depending on your overall health status and the timing of the onset of your symptoms.
  • COVID-19: Given the current pandemic, it's also possible that your symptoms could be due to COVID-19, especially considering your exposure to many people at your retail job. Symptoms can range from mild to severe illness, and appear 2-14 days after exposure to the virus.

    • Testing is necessary to confirm this diagnosis. If positive, treatment involves rest, hydration, and symptom management. Severe cases may require hospitalization.
  • Gastroenteritis: Your symptoms of nausea, vomiting, and inability to keep liquids down could suggest gastroenteritis, an inflammation of the stomach and intestines usually caused by a viral or bacterial infection.

    • Treatment typically involves rest, hydration, and eating light, bland foods as tolerated.

Please note that these are just potential diagnoses based on the symptoms you've provided. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Seek medical attention: Given your symptoms, it's important to seek medical attention as soon as possible. If you're unable to keep down fluids, this could lead to dehydration, which is a serious condition.

  2. Rest and hydrate: Make sure to get plenty of rest and stay hydrated. If you're having trouble keeping down fluids, try taking small sips of water or sucking on ice chips.

  3. Monitor your symptoms: Keep track of your symptoms and any changes. This information can be helpful for your healthcare provider.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face
  • Severe or persistent vomiting
  • Signs of dehydration, such as dark urine, dry mouth, and feeling dizzy when standing up

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of influenza and how is it treated?

Common symptoms of influenza include fever, chills, body aches, sore throat, nasal congestion, and fatigue. Treatment typically involves rest, hydration, and over-the-counter medications to relieve symptoms. Antiviral medications may be prescribed in some cases.


How can I differentiate between COVID-19 and the flu based on symptoms?

Both COVID-19 and the flu can cause fever, cough, and body aches, but COVID-19 may also include symptoms like loss of taste or smell, and shortness of breath. Testing is necessary to confirm COVID-19, as symptoms can overlap.


What are the signs of dehydration and why is it important to address them?

Signs of dehydration include dark urine, dry mouth, dizziness, and feeling lightheaded. It's important to address dehydration because it can lead to serious complications, including kidney problems and shock.


What should I do if I experience severe nausea and vomiting?

If you experience severe nausea and vomiting, try to stay hydrated by taking small sips of water or sucking on ice chips. Avoid solid foods until vomiting subsides. If symptoms persist, seek medical attention to prevent dehydration and identify the underlying cause.


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