[27F] Experiencing constant nausea and abdominal discomfort

Patient Description

A 27-year-old female has been experiencing constant nausea rated at a severity of 7 out of 10 for the past 5 days, which worsens with eating and movement but is alleviated by lying down. The nausea began gradually and is persistent throughout the day. Additionally, the patient reports a 4 out of 10 abdominal discomfort on the left side that has been present for three days, accompanied by a feeling of bloating. The patient's last bowel movement was today, described as hard or formed, and there is no presence of fever or chills. The patient also reports a loss of appetite, fatigue, and constipation.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and constipation or diarrhea, or both. IBS is a chronic condition that you'll need to manage long term.

    • Treatment of IBS typically involves long-term strategies to manage symptoms, such as changes in diet and lifestyle, and sometimes medications.
  • Gastroparesis: This is a condition that affects the stomach muscles and prevents proper stomach emptying. Symptoms include nausea, vomiting, abdominal bloating, and early satiety.

    • Treatment typically involves dietary changes, medication, and, in severe cases, surgery.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus or bacteria. It can cause symptoms like nausea, vomiting, diarrhea, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult a healthcare professional for a formal diagnosis.

What you can do

  1. Try to stay hydrated. Dehydration can worsen nausea and fatigue. Drink small sips of water or a rehydration solution.
  2. Eat smaller, more frequent meals instead of three large meals a day.
  3. Avoid foods that are high in fat and sugar. Stick to bland foods like rice, bananas, and toast.
  4. Try over-the-counter remedies for nausea and constipation, but make sure to follow the instructions on the package.
  5. Rest as much as possible. Fatigue can be a sign that your body is trying to fight off an illness.

What you should look out for

Seek immediate medical attention if you:

  • Vomit blood or have blood in your stool.
  • Have severe abdominal pain.
  • Are unable to keep down fluids.
  • Have symptoms that last longer than a week or are getting worse.
  • Have signs of dehydration, such as dark urine, dry mouth, and feeling lightheaded when standing up.

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and changes in bowel habits such as constipation or diarrhea.


How is gastroparesis typically treated?

Gastroparesis is typically treated with dietary changes, such as eating smaller, more frequent meals, medications to help with stomach emptying, and in severe cases, surgery may be considered.


What dietary changes can help manage nausea and bloating?

To manage nausea and bloating, it is recommended to eat smaller, more frequent meals, avoid high-fat and high-sugar foods, and stick to bland foods like rice, bananas, and toast.


When should I seek medical attention for abdominal discomfort and nausea?

You should seek medical attention if you experience severe abdominal pain, are unable to keep down fluids, have blood in your vomit or stool, or if your symptoms last longer than a week or worsen.


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1 Comments


Leo#3962

11 mo ago

Norovirus season?

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