[29F] Experiencing multiple symptoms including vomiting and severe cough

Patient Description

A 29-year-old female presents with a constellation of symptoms persisting for approximately 5-6 days. She reports severe vomiting that occurs when she coughs, eats, or drinks, which contains chunky food particles. The vomiting is accompanied by an achy abdominal pain rated 7 out of 10 in severity, which has not been alleviated by any measures. Additionally, she has been experiencing a dry, raspy cough described as severe, alongside chest pain, a runny nose, sneezing, and a burning sensation in her nose and eyes. She also reports experiencing hot flashes. There is no presence of blood in the vomit, and her last bowel movement was described as soft. No specific dietary triggers for the vomiting have been identified, and there are no reported allergies or other medical conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible diagnoses include:

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

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if a bacterial infection is the cause.
  • Gastritis: This is an inflammation of the stomach lining, which can cause vomiting and abdominal pain. It can be caused by various factors, including prolonged use of NSAIDs, excessive alcohol consumption, stress, or infection.

    • Treatment usually involves medications to reduce stomach acid and, in some cases, antibiotics to treat a bacterial infection.
  • Influenza (Flu): This is a viral infection that can cause symptoms like fever, cough, runny nose, and body aches. Vomiting is less common but can occur, especially if the flu is causing gastroenteritis.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antiviral medication may be prescribed if the flu is diagnosed within the first 48 hours of symptom onset.

Please note that these are only possible diagnoses. You should seek care from a healthcare professional for a formal diagnosis and treatment.

What you can do

  1. Stay hydrated: Drink plenty of fluids like water, broth, or oral rehydration solutions. Avoid caffeine and alcohol as these can dehydrate you.
  2. Rest: Allow your body to recover by getting plenty of sleep and taking it easy.
  3. Over-the-counter remedies: Over-the-counter medications can help manage symptoms like fever and cough. Always follow the instructions on the package.
  4. Seek medical attention: If your symptoms persist or worsen, seek medical attention.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (temperature over 100.4°F)
  • Signs of dehydration, such as dry mouth, not urinating, or feeling extremely thirsty
  • Difficulty breathing or chest pain
  • Symptoms that persist for more than a week or get worse over time

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.

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11 mo ago

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People Also Ask


What are the common causes of vomiting when coughing or eating?

Vomiting when coughing or eating can be caused by conditions like gastroenteritis, gastritis, or even severe respiratory infections. It can also occur due to irritation of the stomach lining or esophagus.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often includes symptoms like diarrhea, vomiting, and abdominal cramps, while gastritis typically involves upper abdominal pain, nausea, and vomiting without diarrhea. A healthcare professional can provide a more accurate diagnosis.


What are the signs that my flu symptoms might be severe and require medical attention?

Severe flu symptoms that require medical attention include difficulty breathing, chest pain, persistent high fever, confusion, or symptoms that improve but then return with fever and worse cough.


What are some effective home remedies for managing a dry, raspy cough?

To manage a dry, raspy cough at home, you can try staying hydrated, using a humidifier, sucking on lozenges, and avoiding irritants like smoke. Over-the-counter cough suppressants may also help.


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