[23F] With nausea, dizziness, and menstrual delay

Patient Description

A 23-year-old female presents with sudden onset nausea persisting for four days, exacerbated by all activities and unrelieved by any measures. She also reports dizziness characterized by a spinning sensation, mild when lying down but severe upon standing. Her menstrual period is delayed, and an attempted pregnancy test returned invalid. Additional symptoms include increased vaginal wetness, breast sensitivity without tenderness, headache, chest pain, and abdominal pain near the right hip. She has not eaten in two days due to nausea and has experienced vomiting, fever, and chills. There have been no recent changes in diet, stress, or medications, and no recent travel or exposure to illness. No pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Your symptoms could be related to several possible conditions:

  1. Pregnancy: Given your late period, breast changes, and increased vaginal discharge, pregnancy is a possibility. An invalid test result might require a retest or a visit to a healthcare provider for confirmation.

  2. Vertigo or Inner Ear Issues: The spinning sensation and dizziness, especially when standing, could be related to an inner ear problem like vertigo.

  3. Infection or Hormonal Imbalance: Fever, chills, and abdominal pain could suggest an infection or hormonal changes affecting your menstrual cycle.

What you can do

Nausea and Dizziness:

  • Try to stay hydrated by sipping water or clear fluids.
  • Rest in a comfortable position and avoid sudden movements.
  • Consider over-the-counter remedies like ginger tea or anti-nausea medications, if appropriate.

Late Period and Breast Changes:

  • Retake a pregnancy test in a few days or consult a healthcare provider for a more accurate test.
  • Keep track of your menstrual cycle and any changes using a journal or app like MDandMe.

Fever and Chills:

  • Monitor your temperature and stay hydrated.
  • Use over-the-counter fever reducers like acetaminophen if needed.

What you should look out for

Seek medical attention if you experience:

  • Severe abdominal pain or cramping.
  • Persistent vomiting or inability to keep fluids down.
  • Worsening dizziness or fainting.
  • Chest pain that persists or worsens.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment. If you have more questions or need further assistance, feel free to reach out.

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2 mo ago

People Also Ask

Could my symptoms indicate pregnancy even with an invalid test result?

Yes, your symptoms could indicate pregnancy, especially with a delayed period and breast changes. An invalid test result might require a retest or a visit to a healthcare provider for a more accurate test.

What could be causing the dizziness and spinning sensation?

The dizziness and spinning sensation could be related to an inner ear issue such as vertigo. It's important to monitor these symptoms and consult a healthcare provider if they persist or worsen.

How can I manage nausea and vomiting at home?

To manage nausea and vomiting at home, try to stay hydrated by sipping water or clear fluids, rest in a comfortable position, and avoid sudden movements. Over-the-counter remedies like ginger tea or anti-nausea medications may also help.

When should I seek medical attention for my symptoms?

You should seek medical attention if you experience severe abdominal pain or cramping, persistent vomiting or inability to keep fluids down, worsening dizziness or fainting, or chest pain that persists or worsens.

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