[27F] Experiencing nausea, vomiting, fatigue, and headache

Patient Description

A 27-year-old female reports a month-long history of fatigue, which has been affecting her daily activities and work. She has also experienced significant weight loss and has had a decreased appetite for several years. Recently, she had an episode of nausea and vomiting, with nausea peaking at a severity of 9 or 10 on a scale, and vomiting 3-4 times in one session. Additionally, she had a sharp headache in the front left of her forehead, which lasted for about an hour but has since resolved. The patient also observed her lips turning a pale, almost icy blue color for about an hour today. She has a medical history of depression and lymphangioleiomyomatosis, diagnosed 10 years and 7 years ago, respectively. She is currently on Adderall, sirolimus, Prozac, doxycycline, and nitrofurantoin, and has had adverse reactions to Benadryl and Percocet in the past.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Side effects of medication: Some of the symptoms you're experiencing, such as fatigue, nausea, and vomiting, can be side effects of the medications you're taking. For example, Adderall and Prozac can cause nausea and vomiting, and sirolimus can cause fatigue.

    • If this is the case, your doctor may adjust your medication regimen to help manage these side effects.
  • Lymphangioleiomyomatosis (LAM): This is a rare lung disease that typically affects women and can cause symptoms such as fatigue and shortness of breath. The blue color of your lips may be due to low oxygen levels in your blood, a condition known as cyanosis, which can be caused by lung diseases like LAM.

    • Treatment for LAM often involves medications to help manage symptoms and slow disease progression. In severe cases, oxygen therapy or lung transplantation may be necessary.
  • Depression: Chronic fatigue and loss of appetite can be symptoms of depression. Given your history of depression, it's possible that these symptoms are related.

    • Treatment for depression typically involves a combination of medication, psychotherapy, and lifestyle changes.

What you can do

  1. Consult your doctor: Given the severity and duration of your symptoms, it's important to consult your doctor as soon as possible. They can provide a formal assessment, order relevant tests if necessary, and adjust your treatment plan if needed.

  2. Monitor your symptoms: Keep track of your symptoms, including when they occur, how long they last, and any potential triggers. This information can be helpful for your doctor.

  3. Take care of your mental health: If you're feeling depressed, reach out to a mental health professional. There are many resources available, including therapy and support groups.

  4. Stay hydrated and eat a balanced diet: This can help manage symptoms of nausea and vomiting, and prevent dehydration.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Chest pain
  • Confusion or difficulty concentrating
  • Fainting or loss of consciousness
  • Severe headache or a headache that is different from your usual headaches

Please remember that while I strive to provide accurate and helpful health information, I am not a doctor. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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11 mo ago

People Also Ask


Can medications like Adderall and Prozac cause nausea and vomiting?

Yes, medications such as Adderall and Prozac can cause side effects including nausea and vomiting. It's important to discuss these symptoms with your doctor, as they may need to adjust your medication regimen.


What is lymphangioleiomyomatosis and how does it affect the body?

Lymphangioleiomyomatosis (LAM) is a rare lung disease that primarily affects women and can lead to symptoms like fatigue, shortness of breath, and low oxygen levels in the blood, which may cause cyanosis (blue lips). Treatment often involves medications to manage symptoms and slow disease progression.


How can depression contribute to symptoms like fatigue and loss of appetite?

Depression can lead to chronic fatigue and loss of appetite due to its impact on mood, energy levels, and interest in daily activities. Treatment typically involves medication, therapy, and lifestyle changes to help manage these symptoms.


What should I do if I notice my lips turning blue?

If you notice your lips turning blue, it could indicate low oxygen levels in your blood, a condition known as cyanosis. This can be serious, so it's important to seek medical attention promptly to determine the underlying cause and receive appropriate treatment.


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