[24F] Experiencing severe nausea, vomiting, and headache

Question

Has anyone one else dealt with this?

Patient Description

A 24-year-old female has been experiencing severe nausea and forceful, frequent vomiting of thin, yellowish fluid for a week, with no identifiable triggers and inability to hold down any food. The vomiting has been described as both clear and yellow in color. Additionally, the patient reports a never-ending stuffy nose leading to ear problems, an itchy throat, feeling warm without an actual fever, a dry cough that varies in severity, and a sharp headache rated 10/10 in intensity that started a week ago. The patient also mentioned experiencing dizziness or lightheadedness, particularly after vomiting and when standing up, as well as some changes in vision or sensitivity to light after vomiting. There is no reported neck stiffness, rash, or fever. The patient has not identified any relief measures for nausea and has been experiencing these intense headaches frequently.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possibilities:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause nausea, vomiting, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Migraine: This is a severe type of headache that can cause intense throbbing or a pulsing sensation in one area of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.

    • Treatment usually involves medications to relieve symptoms and prevent future attacks.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms like a stuffy nose, cough, and headache.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

Here are some things you can do to manage your symptoms:

  1. Stay hydrated: This is especially important if you're vomiting frequently. Try to sip small amounts of water or suck on ice chips if you can't keep anything down.
  2. Rest: Your body needs energy to fight off an infection. Getting plenty of sleep can help.
  3. Over-the-counter medications: These can help manage symptoms like a headache and stuffy nose. Be sure to follow the instructions on the package.
  4. Avoid triggers: If you notice that certain foods or activities make your symptoms worse, try to avoid them.

What you should look out for

Here are some signs that you should seek medical attention immediately:

  • Severe headache that doesn't improve with over-the-counter medications
  • Vomiting that continues for more than 24 hours
  • Signs of dehydration, like dark urine, dry mouth, and feeling lightheaded
  • High fever (over 100.4°F or 38°C)

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago

People Also Ask


What could be causing my severe nausea and vomiting of yellowish fluid?

Severe nausea and vomiting of yellowish fluid could be caused by conditions like gastroenteritis, which is an inflammation of the stomach and intestines often due to infection. It could also be related to migraines, which can cause nausea and vomiting.


Why do I feel dizzy and lightheaded, especially after vomiting?

Feeling dizzy and lightheaded, especially after vomiting, could be due to dehydration or a drop in blood pressure when standing up. It's important to stay hydrated and seek medical advice if these symptoms persist.


What might be causing my intense headaches and sensitivity to light?

Intense headaches and sensitivity to light could be symptoms of a migraine. Migraines are severe headaches that can cause throbbing pain and are often accompanied by nausea and sensitivity to light and sound.


How can I manage my stuffy nose and ear problems?

A stuffy nose and ear problems could be related to sinusitis, which is an inflammation of the sinuses. Managing these symptoms can involve using over-the-counter medications, staying hydrated, and resting.


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3 Comments


Brian#4030

9 mo ago

I've been working in a clinic for a while and have seen some patients with similar symptoms. The yellow color of the vomit is typically from bile, meaning that you're vomiting on an empty stomach. Usually its just gasteroenteritis, but that tends to last less than a week and resolve on its own. The other cause could be if you have a sinus infection leading to a headache this could lead to nausea and vomiting depending on the nature of the headache. Have you seen a doctor and asked about antibiotics for your stuffed nose, ear problems, and cough (which sound like an infection)?

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Brian#4030

9 mo ago

The vomiting and headache also reminds me of when my wife got pregnant for the first time and we thought she was really sick all of a sudden but turned out it was just "morning sickness". I have no idea if this is at all applicable to you though lol

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Janice#4034

9 mo ago

I had that once or twice in college when norovirus was going around but I don’t think it lasted for a whole week

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