[27F] Experiencing constant nausea and rash with no apparent trigger

Patient Description

A 27-year-old female has been experiencing constant nausea, rated as 7 out of 10 in severity, throughout the day and night for several days. This nausea is not related to eating and does not improve with any specific activities or foods. Alongside, she has developed a hot, itchy rash on her face, chin, and neck over the past 2 days, initially mistaken for dry skin due to a history of eczema. She also reports red, itchy, and dry eyes for a couple of days, which she occasionally experiences with seasonal changes. There is slight joint pain but no fever, chills, difficulty breathing, or swelling of the face or throat. The patient is currently on Adderall (2x15mg/day) and Vyvanse (70mg/day) for ADHD and has not introduced any new medications, supplements, or recreational drugs recently. There are no known allergies or adverse reactions to medications, and she has no significant past medical history.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Allergic Reaction: The combination of a rash, itchy eyes, and nausea could indicate an allergic reaction. This could be due to a new food, medication, or environmental factor. Allergic reactions can cause a variety of symptoms, including skin changes and gastrointestinal symptoms like nausea.

    • Treatment typically involves avoiding the allergen and taking antihistamines to manage symptoms.
  • Viral Infection: Given your recent flu, it's possible that your symptoms are due to a viral infection. Viruses can cause a wide range of symptoms, including nausea, rashes, and red, itchy eyes.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Drug Side Effects: Both Adderall and Vyvanse can cause side effects, including nausea and skin reactions. However, if you've been on these medications for a while without previous issues, this is less likely.

    • Treatment would involve discussing with your doctor whether the benefits of the medication outweigh the side effects.

What you can do

  1. Try to identify any new foods, medications, or environmental factors that could be causing an allergic reaction. If you identify a potential allergen, avoid it and see if your symptoms improve.
  2. Stay hydrated and get plenty of rest to help your body recover if your symptoms are due to a viral infection.
  3. Over-the-counter antihistamines can help manage symptoms of an allergic reaction or viral infection. However, you should consult with a healthcare professional before starting any new medication.
  4. If your symptoms persist or worsen, please seek medical attention.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or swallowing
  • Swelling of your face, lips, tongue, or throat
  • Severe abdominal pain
  • High fever or chills
  • Symptoms that rapidly worsen

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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8 mo ago


People Also Ask


What are common symptoms of an allergic reaction?

Common symptoms of an allergic reaction include skin rashes, itching, hives, swelling, nausea, vomiting, diarrhea, and respiratory symptoms like sneezing or difficulty breathing.


Can ADHD medications like Adderall and Vyvanse cause skin reactions or nausea?

Yes, ADHD medications such as Adderall and Vyvanse can cause side effects, including nausea and skin reactions, although these are less common. If these symptoms are new and you have been on the medication for a while, it might be worth discussing with your doctor.


How can I differentiate between a viral infection and an allergic reaction?

A viral infection often comes with symptoms like fever, body aches, and fatigue, in addition to nausea and rashes. Allergic reactions typically involve itching, hives, and respiratory symptoms without fever. A healthcare professional can help differentiate between the two.


What should I do if my symptoms persist or worsen?

If your symptoms persist or worsen, it is important to seek medical attention. This is especially crucial if you experience severe symptoms like difficulty breathing, swelling, or high fever, as these could indicate a more serious condition.


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