[24F] Experiencing headache, stomach pain, and nausea

Patient Description

A 24-year-old female presents with a headache described as a throbbing pain near the eyes and stomach pain characterized as cramping in the center of the abdomen. Both symptoms have been present for a few hours, with a severity rated at 6 out of 10. The patient also reports feeling nauseous and cold, but has not found relief for the stomach pain. The patient has a history of an autoimmune disease diagnosed at age 18 and is currently taking Albuterol, Delsym, and Theraflu. No known allergies or adverse reactions to medications have been reported. The patient's last bowel movement was this morning and appeared normal. There is no reported fever, but the patient feels cold. The patient has experienced similar headaches in the past, which worsen with movement.

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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 lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the most common cause and is often referred to as a stomach or intestinal flu. Symptoms can include stomach pain, nausea, and sometimes headaches.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Gastritis: This is an inflammation of the stomach lining. It can be caused by various factors, including long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), an infection with the bacteria H. pylori, or autoimmune disorders.

    • Treatment often involves taking antacids and other drugs to decrease stomach acid, which helps speed healing.
  • Migraine: Migraines can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Some people may experience auras, which are warning symptoms that occur before the headache.

    • Treatment typically involves medications to help reduce the frequency and severity of migraines.

Please note that these are only possibilities. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids. Dehydration can worsen both headaches and stomach pain.
  2. Over-the-counter remedies: Over-the-counter pain relievers can help with the headache and stomach pain. Over-the-counter antacids can also help with stomach pain.
  3. Avoid triggers: If you notice certain foods or activities worsen your symptoms, try to avoid them.
  4. Consult a healthcare provider: If your symptoms persist or worsen, it's important to seek medical attention.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or vomit
  • High fever (temperature over 100.4°F)
  • Severe headache
  • Changes in vision or difficulty speaking
  • Symptoms that persist or worsen

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

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11 mo ago

People Also Ask


What are common causes of headaches that worsen with movement?

Headaches that worsen with movement are often associated with migraines. Other causes can include tension headaches, sinus infections, or dehydration. It's important to consider other symptoms and consult a healthcare provider for an accurate diagnosis.


How can I differentiate between a migraine and a regular headache?

Migraines are usually characterized by severe throbbing pain on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. Regular headaches might not have these additional symptoms and are generally less severe.


What are the typical symptoms of gastroenteritis?

Typical symptoms of gastroenteritis include stomach pain, cramping, nausea, vomiting, diarrhea, and sometimes headaches. It is often caused by viral infections, but bacteria and parasites can also be responsible.


How can autoimmune diseases affect gastrointestinal symptoms?

Autoimmune diseases can cause inflammation in various parts of the body, including the gastrointestinal tract. This can lead to symptoms like stomach pain, cramping, and nausea. The specific effects depend on the type of autoimmune disease and its activity level.


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