[28M] With persistent nausea, vomiting, constipation, and headaches

Patient Description

A 28-year-old male has been experiencing persistent nausea for the past 5 days, with a sensation of impending vomiting. He has vomited 3 times in the past 2 days, with the presence of blood in the vomit noted yesterday. He has also been constipated for the past 5 days, with the last bowel movement being dark green in color. Additionally, he reports an aching headache behind his eyeball that has persisted for 6 months. The patient feels extremely fatigued, has aching legs, and has lost 20 pounds in the last 2 months. He also reports upper abdominal pain, fever, chills, and night sweats. The patient smokes marijuana and vapes. There is no known family medical history due to being from an orphanage in Romania, and he is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several serious conditions that could be causing your discomfort:

  1. Gastrointestinal Bleeding: The presence of blood in your vomit is a concerning sign and could indicate bleeding in your stomach or esophagus. This can be caused by ulcers, gastritis, or other serious conditions.
  2. Bowel Obstruction: Your inability to have a bowel movement for 5 days, combined with abdominal pain and nausea, could suggest a bowel obstruction. This is a serious condition that requires immediate medical attention.
  3. Severe Dehydration or Electrolyte Imbalance: Persistent vomiting and inability to eat or drink properly can lead to severe dehydration and electrolyte imbalances, which can cause fatigue, leg pain, and other symptoms.
  4. Infection or Inflammatory Condition: The combination of fever, chills, night sweats, and abdominal pain could indicate an infection or inflammatory condition such as gastroenteritis, appendicitis, or diverticulitis.
  5. Weight Loss and Fatigue: Unintentional weight loss and extreme fatigue over a short period can be signs of a more serious underlying condition, such as a chronic infection, cancer, or metabolic disorder.

What you can do

Given the severity and combination of your symptoms, it is crucial that you seek immediate medical attention. Here are the steps you should take:

  1. Go to the Emergency Room: Given the presence of blood in your vomit, severe abdominal pain, and other serious symptoms, you should go to the emergency room as soon as possible. If you are unable to get there yourself, please call 911 or have someone drive you.
  2. Do Not Delay: These symptoms could indicate a life-threatening condition that requires prompt medical intervention. Do not wait to see if the symptoms improve on their own.
  3. Stay Hydrated: If possible, try to drink small sips of water to stay hydrated, but avoid solid foods until you have been evaluated by a healthcare professional.
  4. Avoid Self-Medication: Do not take any over-the-counter medications to try to relieve your symptoms without consulting a healthcare provider, as this could potentially worsen your condition.

Remember, I am not a doctor, and it is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your health and safety are the top priority.

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7 mo ago

People Also Ask


What could cause blood in vomit?

Blood in vomit, also known as hematemesis, can be caused by several conditions including stomach ulcers, gastritis, esophageal varices, or a tear in the esophagus. It is a serious symptom that requires immediate medical evaluation.


What are the symptoms of a bowel obstruction?

Symptoms of a bowel obstruction can include severe abdominal pain, nausea, vomiting, inability to pass gas or have a bowel movement, and abdominal swelling. It is a medical emergency that needs prompt treatment.


How can persistent nausea and vomiting affect your body?

Persistent nausea and vomiting can lead to dehydration, electrolyte imbalances, and malnutrition. These conditions can cause fatigue, muscle cramps, and other serious health issues if not addressed promptly.


What might cause unintentional weight loss and fatigue?

Unintentional weight loss and fatigue can be caused by a variety of conditions, including chronic infections, cancer, metabolic disorders, or gastrointestinal diseases. It is important to seek medical evaluation to determine the underlying cause.


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