[24F] Experiencing fever, vomiting, and gastrointestinal symptoms

Patient Description

A 24-year-old female has been experiencing a range of symptoms for the past two weeks, including a fever that fluctuates but has reached 99.9°F. She reports severe lower back pain, rated 7 out of 10, which worsens with bending and prolonged sitting. The patient also describes muscle soreness throughout her body, similar to flu-like symptoms, and rates this soreness as 7 out of 10 as well. She has been vomiting approximately 30 minutes after eating, which consists of yellow bile with a chemical taste. Additionally, she has had yellow, mucus-like diarrhea once a day and has noted smelly bowel movements for the past week. She feels bloated, has no appetite, and is fatigued. The patient started taking Vancomycin HCL 125 mg today and has no known allergies or adverse reactions to medications. She has no significant past medical history.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include diarrhea, vomiting, abdominal pain, fever, and muscle aches.

  • Gallbladder Disease: The gallbladder stores bile, a substance that helps your body break down fats. Gallbladder disease can cause symptoms such as yellow diarrhea, vomiting, and abdominal pain.

  • Pancreatitis: This is an inflammation of the pancreas, which can cause symptoms such as yellow diarrhea, vomiting, abdominal pain, and fever.

  • Side Effects of Vancomycin: Vancomycin is an antibiotic used to treat serious bacterial infections. Some of its side effects can include stomach pain, nausea, and vomiting.

Please note that these are possibilities based on the symptoms you've described and are not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Stay Hydrated: With symptoms like vomiting and diarrhea, it's important to stay hydrated. Try to drink plenty of fluids like water, broth, or oral rehydration solutions.

  2. Rest: Your body needs energy to fight off an infection. Getting enough sleep can help your body recover.

  3. Over-the-Counter Medication: Over-the-counter medication can help manage symptoms like fever and muscle aches. However, it's important to follow the instructions on the packaging and not exceed the recommended dose.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (over 103°F)
  • Severe dehydration symptoms, such as extreme thirst, very dry mouth, skin, and mucous membranes, little or no urination, severe weakness, dizziness or lightheadedness, or feeling faint
  • Symptoms that persist or worsen

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important to consult with a healthcare professional who can provide advice based on a thorough examination.

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10 mo ago

People Also Ask


What are the common causes of yellow diarrhea and vomiting?

Yellow diarrhea and vomiting can be caused by several conditions, including gastroenteritis, gallbladder disease, and pancreatitis. These symptoms may also result from certain medications or infections.


Can Vancomycin cause gastrointestinal side effects?

Yes, Vancomycin can cause gastrointestinal side effects such as nausea, vomiting, and stomach pain. If these symptoms are severe or persistent, it's important to consult a healthcare professional.


What are the symptoms of pancreatitis?

Symptoms of pancreatitis include abdominal pain that may radiate to the back, nausea, vomiting, fever, and yellow diarrhea. If you suspect pancreatitis, seek medical attention promptly.


How can I manage muscle soreness and fever at home?

To manage muscle soreness and fever at home, ensure you stay hydrated, get plenty of rest, and consider using over-the-counter medications like acetaminophen or ibuprofen to relieve pain and reduce fever. Always follow the dosage instructions on the medication packaging.


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