[26F] Experiencing vomiting, body aches, diarrhea, and temperature dysregulation

Patient Description

A 26-year-old female presents with symptoms that started this morning, including vomiting that is yellow, watery, and contains particles and mucus, without the presence of bile or blood. She is also experiencing sharp body aches with a severity of 7 out of 10, primarily affecting her right side hips and legs, and the general abdominal area, which worsen with walking and are somewhat alleviated by curling up into a ball. Additionally, she reports loose, watery, light-colored diarrhea occurring 10-14 times a day since yesterday, along with hot and cold flashes characterized by feeling warm to the touch but having goosebumps. She has a severe headache but no neck stiffness. Her past medical history includes gallbladder removal, with no other pre-existing conditions, known drug allergies, or current medications.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: Often referred to as the stomach flu, gastroenteritis is inflammation of the stomach and intestines, typically resulting from a viral or bacterial infection. Symptoms can include diarrhea, vomiting, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is the cause.
  • Food poisoning: This occurs when you eat food contaminated with bacteria, viruses, or parasites. Symptoms are often similar to those of gastroenteritis and can start within hours of eating the contaminated food.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. In severe cases, hospitalization may be required.
  • Gallbladder disease or complications: Since you've had your gallbladder removed, it's possible that you could be experiencing complications related to that surgery, such as bile leakage or a bile duct injury. These can cause symptoms like abdominal pain, vomiting, and diarrhea.

    • Treatment may involve medications or further surgical intervention.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are some things you can do:

  1. Stay hydrated: With frequent vomiting and diarrhea, you're at risk of dehydration. Try to drink plenty of fluids, ideally water or rehydration solutions which also replace lost salts.
  2. Rest: Your body needs energy to fight off the infection. Getting rest will help.
  3. Avoid solid food: Until vomiting stops, avoid eating solid food. Once the vomiting stops, start with bland foods like rice, applesauce, or crackers.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Blood in your vomit or stool
  • Severe abdominal pain
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Your symptoms persist for more than a couple of days or get worse

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your condition and provide appropriate treatment.

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11 mo ago

People Also Ask


What are the common causes of yellow, watery vomiting without bile or blood?

Yellow, watery vomiting without bile or blood can be caused by conditions like gastroenteritis or food poisoning. It may also occur due to irritation of the stomach lining or as a result of consuming certain foods or drinks.


How can I differentiate between gastroenteritis and food poisoning based on symptoms?

Gastroenteritis and food poisoning share similar symptoms such as diarrhea, vomiting, and abdominal pain. However, food poisoning symptoms often appear more suddenly and can be traced back to a specific meal, whereas gastroenteritis may develop more gradually and is often viral.


What are the potential complications after gallbladder removal that could cause abdominal pain and diarrhea?

After gallbladder removal, complications such as bile leakage, bile duct injury, or post-cholecystectomy syndrome can occur. These may lead to symptoms like abdominal pain, diarrhea, and vomiting.


What are the signs of dehydration to watch for when experiencing frequent vomiting and diarrhea?

Signs of dehydration include excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, and lightheadedness. It's important to seek medical attention if these symptoms occur.


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