[28F] Experiencing nausea, cramping, dizziness, and increased hunger

Patient Description

A 28-year-old female has been experiencing nausea rated at 6/10 severity, which worsens immediately after eating, for the past 3 days. She also reports cramping, lightheadedness upon standing rated at 4/10 severity, fatigue, and an unusual increase in hunger, feeling as if she is starving. She has noticed some changes in weight but denies severe abdominal pain, blood in vomit or stool, heartburn, acid reflux symptoms, and has no family history of gastrointestinal diseases. She does not use recreational drugs, alcohol, or tobacco. She has a history of high blood pressure diagnosed in 2018 but is not currently on any medications and has no known drug allergies.

Show More

Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause nausea, vomiting, abdominal cramping, and diarrhea.

    • Treatment usually involves rest, hydration, and bland foods. Antibiotics may be necessary if the cause is bacterial.
  • Gastritis: This is an inflammation of the stomach lining, which can cause nausea, especially after eating, as well as abdominal pain and bloating.

    • Treatment typically involves medications to decrease stomach acid, and avoiding irritating foods and beverages, such as those that are spicy, acidic, fried or fatty.
  • Peptic Ulcer Disease: These are sores that develop on the lining of the stomach, upper small intestine or esophagus, often caused by long-term use of NSAIDs or infection with the bacterium H. pylori. Symptoms can include burning stomach pain, feeling of fullness, bloating or belching, intolerance to fatty foods, heartburn, and nausea.

    • Treatment usually involves medications to decrease stomach acid, and in the case of H. pylori infection, antibiotics.
  • Gallstones: These are hardened deposits in the gallbladder that can cause pain and nausea, especially after eating.

    • Treatment may involve surgery to remove the gallbladder or medications to dissolve the gallstones.
  • Pregnancy: Nausea, increased appetite, and fatigue are common symptoms of early pregnancy. Even if you believe you are not pregnant, it may be worth taking a pregnancy test to rule this out.

    • If you are pregnant, prenatal care is crucial. If you are not, and these symptoms persist, you should see a doctor.

What you can do

  1. Try to rest and stay hydrated. Drink small sips of water or sucking ice chips can help if you're feeling nauseated.
  2. Avoid foods that are high in fat, fried, spicy, or very sweet, as these can make nausea worse.
  3. Over-the-counter antacids may help with nausea and any stomach discomfort.
  4. If you're feeling lightheaded when standing up, try to get up slowly to give your body time to adjust to the change in position.

What you should look out for

Please seek medical attention immediately if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • High fever (temperature over 100.4°F)
  • Symptoms persisting for more than a week
  • Severe dehydration signs, such as extreme thirst, dark yellow and strong-smelling urine, feeling dizzy or lightheaded, and feeling tired or lethargic.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

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 nausea after eating?

Common causes of nausea after eating include gastroenteritis, gastritis, peptic ulcer disease, gallstones, and sometimes pregnancy. It can also be triggered by food intolerances or stress.


How can I differentiate between gastritis and peptic ulcer disease?

Gastritis often presents with nausea, bloating, and discomfort after eating, while peptic ulcer disease typically causes burning stomach pain, especially when the stomach is empty. Both conditions can cause nausea, but ulcers are more likely to cause a burning sensation.


What are the symptoms of early pregnancy that might be confused with gastrointestinal issues?

Early pregnancy symptoms that might be confused with gastrointestinal issues include nausea (often referred to as morning sickness), increased appetite, fatigue, and sometimes lightheadedness. A pregnancy test can help determine if pregnancy is the cause.


What lifestyle changes can help manage symptoms of lightheadedness upon standing?

To manage lightheadedness upon standing, try to rise slowly, stay hydrated, and ensure adequate salt intake. Wearing compression stockings and avoiding prolonged standing can also help. If symptoms persist, consult a healthcare provider.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback