[24F] Experiencing persistent vomiting and sharp stomach pain

Patient Description

A 24-year-old female has been experiencing persistent vomiting and sharp stomach pain for 5 days. The vomiting episodes, totaling about 10 a day, consist of green, yellow, and clear vomit, without any identifiable triggers. The sharp stomach pain is localized on the left side and radiates upward, with a severity rating of 7.5 out of 10. Relief from pain is found when laying on the stomach, taking deep breaths, and taking hot baths. The patient's last bowel movement was liquid and occurred the day before. Accompanying symptoms include chills and dizziness, and the patient is unable to keep down fluids. No blood has been observed in the vomit or stool. The patient is currently taking Zoloft, Lamotrigine, and Nuedexta, with no known drug allergies or adverse reactions. There is no history of pre-existing conditions or chronic illnesses.

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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 stomach and intestines, usually resulting from a viral or bacterial infection. It can cause symptoms like vomiting, diarrhea, stomach pain, and sometimes fever or chills.

    • Treatment typically involves rest, hydration, and over-the-counter medications to help manage symptoms. In severe cases, hospitalization may be required for intravenous fluids and medications.
  • Gastritis: This is an inflammation of the stomach lining, which can cause severe stomach pain, nausea, and vomiting. It can be caused by various factors, including long-term use of certain medications, excessive alcohol consumption, stress, or an autoimmune reaction.

    • Treatment usually involves medications to reduce stomach acid and, in some cases, antibiotics to treat a bacterial infection.
  • Peptic Ulcer Disease: This condition is characterized by painful sores or ulcers in the lining of the stomach or the first part of the small intestine (the duodenum). Symptoms can include burning stomach pain, nausea, vomiting, and weight loss.

    • Treatment usually involves medications to reduce stomach acid and, in some cases, antibiotics to treat a bacterial infection.
  • Pancreatitis: This is an inflammation of the pancreas, which can cause severe abdominal pain that radiates to the back, nausea, vomiting, and fever. It can be caused by gallstones, heavy alcohol use, or certain medications.

    • Treatment usually involves hospitalization for intravenous fluids, pain management, and sometimes surgery.

Please note that these are potential explanations for your symptoms, but they are not definitive. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, try to stay hydrated as much as possible. If you can tolerate it, try to take small sips of water or suck on ice chips. Avoid eating solid food until vomiting stops.

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
  • Signs of dehydration, such as dry mouth, decreased urination, or lightheadedness
  • Persistent or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What are the common causes of persistent vomiting and sharp stomach pain?

Persistent vomiting and sharp stomach pain can be caused by conditions such as gastroenteritis, gastritis, peptic ulcer disease, and pancreatitis. These conditions may result from infections, medication side effects, stress, or lifestyle factors.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often presents with vomiting, diarrhea, and sometimes fever or chills, while gastritis typically involves severe stomach pain, nausea, and vomiting without diarrhea. A healthcare provider can help differentiate these conditions through a physical exam and possibly further testing.


What are the potential complications of untreated pancreatitis?

Untreated pancreatitis can lead to serious complications such as infection, kidney failure, breathing problems, diabetes, and malnutrition. It is important to seek medical treatment to manage the condition and prevent these outcomes.


How can medications like Zoloft, Lamotrigine, and Nuedexta affect gastrointestinal symptoms?

Medications like Zoloft, Lamotrigine, and Nuedexta can sometimes cause gastrointestinal side effects, including nausea and vomiting. It's important to discuss any new or worsening symptoms with a healthcare provider to determine if medication adjustments are needed.


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