[24F] Experiencing vomiting, diarrhea, and intense chest pain

Patient Description

A 24-year-old female presents with symptoms of vomiting, diarrhea, and intense chest pain. The most bothersome symptom reported is vomiting. Additional details regarding the onset, duration, and characteristics of the vomiting, as well as any associated symptoms, were not provided. No information on possible triggers, alleviating factors, or related medical history was discussed.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines that can cause vomiting, diarrhea, and abdominal pain. It's often caused by a viral or bacterial infection.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Gallstones: These are hard deposits in the gallbladder that can cause intense pain in the upper right abdomen or chest, along with nausea and vomiting.

    • Treatment may include medication to dissolve the gallstones or surgery to remove the gallbladder.
  • Heart Attack: Although less common in young women, intense chest pain accompanied by vomiting could be a sign of a heart attack. This is especially true if the chest pain is severe, crushing, squeezing, or feels like heavy pressure. It could also spread to the arms, neck, jaw, back, or stomach.

    • Treatment involves immediate medical attention to restore blood flow to the heart.

What you can do

Given the severity of your symptoms, especially the intense chest pain, you should seek immediate medical attention. While waiting for help:

  1. Try to stay calm and rest. Avoid any physical activity.
  2. If you have aspirin and are not allergic to it, chew one 325 mg tablet.

What you should look out for

If you experience any of the following symptoms, it could indicate a serious condition like a heart attack:

  • Chest pain that spreads to the arms, neck, jaw, back, or stomach
  • Shortness of breath
  • Lightheadedness or fainting
  • Sweating
  • Nausea

Remember, I'm an AI and this advice is based on the information you've provided. It's important to get help from a healthcare professional who can evaluate your condition.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of vomiting and diarrhea in young adults?

Common causes of vomiting and diarrhea in young adults include viral infections like norovirus, bacterial infections such as food poisoning, and conditions like gastroenteritis. Stress and certain medications can also contribute to these symptoms.


How can I differentiate between chest pain caused by a heart attack and other conditions?

Chest pain from a heart attack is often severe and may feel like crushing, squeezing, or heavy pressure. It can spread to the arms, neck, jaw, back, or stomach and is often accompanied by other symptoms like shortness of breath, sweating, and nausea. Other conditions, like gastroesophageal reflux disease (GERD) or muscle strain, may cause chest pain but usually lack these additional symptoms.


What immediate steps should I take if I suspect a heart attack?

If you suspect a heart attack, call emergency services immediately. While waiting for help, try to stay calm and rest. If you have aspirin and are not allergic, chew a 325 mg tablet to help thin the blood and improve blood flow to the heart.


What are the treatment options for gallstones?

Treatment options for gallstones include medication to dissolve the stones, though this is less common. More often, surgery to remove the gallbladder (cholecystectomy) is recommended, especially if the stones cause significant symptoms or complications.


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