[28F] With sudden onset of upset stomach and nausea

Patient Description

A 28-year-old female presents with a sudden onset of upset stomach and nausea lasting for 12 hours. The primary symptom is abdominal pain located below the belly button, rated as a 5 out of 10 in severity. The symptoms are accompanied by vomiting, diarrhea, and chills, but there is no fever. The patient denies any recent unusual food intake, travel, or new medications. There are no signs of dehydration, such as dry mouth or decreased urination. The patient's medical history includes depression and rheumatoid arthritis, diagnosed 12 years ago. Current medications include Lexapro (20 mg once daily), trazodone (50 mg once daily), and Aleve as needed. The patient has allergies to penicillin and clindamycin.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms typically include sudden onset of diarrhea, nausea, vomiting, abdominal pain, and sometimes chills. It often resolves on its own within a few days.

    • Treatment usually involves staying hydrated, resting, and possibly taking over-the-counter medications to manage symptoms.

  • Food Poisoning: This occurs after consuming contaminated food or water. Symptoms can be similar to gastroenteritis, including diarrhea, nausea, vomiting, and abdominal cramps.

    • Treatment is similar to gastroenteritis, focusing on hydration and rest.

  • Irritable Bowel Syndrome (IBS): While IBS is a chronic condition, stress or certain foods can trigger acute episodes of symptoms like diarrhea and abdominal pain.

    • Management involves dietary changes, stress management, and sometimes medication.

What you can do

  1. Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to prevent dehydration.
  2. Rest: Give your body time to recover by getting plenty of rest.
  3. Diet: Stick to bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your stomach feels better.
  4. Avoid Irritants: Stay away from caffeine, alcohol, dairy, and fatty or spicy foods until your symptoms improve.
  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Persistent vomiting or diarrhea lasting more than a couple of days
  • Signs of dehydration, such as dry mouth, extreme thirst, or reduced urination
  • High fever or worsening chills
  • Severe abdominal pain or blood in your stool

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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23 d ago

People Also Ask

What are the common causes of sudden onset abdominal pain with nausea and vomiting?

Common causes of sudden onset abdominal pain with nausea and vomiting include gastroenteritis, food poisoning, and sometimes stress-related conditions like IBS. It's important to consider recent dietary intake, travel, and any other symptoms to help identify the cause.

How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning have similar symptoms, such as diarrhea, nausea, vomiting, and abdominal cramps. However, food poisoning is often linked to consuming contaminated food or water, while gastroenteritis can be viral or bacterial. Both conditions typically resolve on their own with rest and hydration.

What are the signs of dehydration I should watch for if I have vomiting and diarrhea?

Signs of dehydration include dry mouth, extreme thirst, reduced urination, dark-colored urine, dizziness, and fatigue. It's important to stay hydrated by drinking fluids like water, clear broths, or oral rehydration solutions.

Can my current medications for depression and rheumatoid arthritis affect my stomach symptoms?

While Lexapro and trazodone are not commonly associated with gastrointestinal symptoms, they can occasionally cause nausea or upset stomach. Aleve (naproxen) can irritate the stomach lining, especially if taken on an empty stomach. It's best to discuss any concerns with your healthcare provider.

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