[29F] Experiencing nausea, vomiting, chills, and diarrhea

Patient Description

A 29-year-old female presents with nausea, vomiting, chills, and diarrhea. The vomiting occurs 4 to 5 times a day and is accompanied by nausea, lasting for the past 2 days. Chills occur after each vomiting episode and last for about 30 minutes. The patient also reports some crampy abdominal pain but denies any fever or blood in vomit or stool. There has been no recent travel, unusual food intake, or contact with individuals with similar symptoms. The patient is currently taking Bactrim (800 mg twice daily) for a UTI, Bentyl (20 mg as needed), Zofran (4 mg every 4 hours), and Nauzene (230 mg, 1-2 tablets as needed). The patient has a history of asthma diagnosed around 2014 and has allergies to latex and Loratabs.

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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 nausea, vomiting, diarrhea, and abdominal cramps.

    • Treatment: Gastroenteritis usually resolves on its own within a few days. Staying hydrated is crucial. In some cases, anti-nausea medications like Zofran (which you are already taking) can help.
  • Side Effects of Bactrim: Bactrim (an antibiotic) can sometimes cause gastrointestinal side effects, including nausea, vomiting, and diarrhea.

    • Treatment: If Bactrim is causing your symptoms, your doctor may recommend stopping the medication or switching to a different antibiotic.
  • Food Poisoning: This occurs after consuming contaminated food or drink and can cause symptoms similar to gastroenteritis.

    • Treatment: Like gastroenteritis, food poisoning often resolves on its own. Hydration and rest are key.
  • Irritable Bowel Syndrome (IBS): IBS can cause crampy abdominal pain, diarrhea, and nausea. Stress and certain foods can trigger symptoms.

    • Treatment: Managing IBS often involves dietary changes, stress management, and sometimes medications like Bentyl (which you are already taking).

What you can do

  1. Stay Hydrated: Drink plenty of fluids like water, clear broths, or oral rehydration solutions to prevent dehydration.
  2. Rest: Give your body time to recover by getting plenty of rest.
  3. Monitor Your Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you and your healthcare provider identify patterns and triggers.
  4. Dietary Adjustments: Stick to bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
  5. Medication Management: Continue taking Zofran as prescribed to help manage nausea. If you suspect Bactrim is causing your symptoms, contact your healthcare provider for advice.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Dehydration: Signs include dry mouth, extreme thirst, little or no urination, and dizziness.
  • Persistent Symptoms: If your symptoms do not improve after a few days or worsen.
  • High Fever: A fever over 100.4°F that does not go away.
  • Blood in Vomit or Stool: This could indicate a more serious condition.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to ask.

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5 mo ago


People Also Ask


What are the common causes of nausea and vomiting?

Common causes of nausea and vomiting include viral infections, food poisoning, side effects of medications, and gastrointestinal disorders like gastroenteritis or IBS.


Can antibiotics like Bactrim cause gastrointestinal side effects?

Yes, antibiotics like Bactrim can cause gastrointestinal side effects such as nausea, vomiting, and diarrhea. If you suspect this is the case, consult your healthcare provider.


What is the BRAT diet and how can it help with gastrointestinal symptoms?

The BRAT diet consists of bananas, rice, applesauce, and toast. These bland foods are easy on the stomach and can help manage symptoms of nausea and diarrhea by providing gentle nutrition.


When should I seek medical attention for symptoms like nausea and diarrhea?

You should seek medical attention if you experience severe dehydration, persistent symptoms that do not improve, a high fever over 100.4°F, or blood in vomit or stool, as these could indicate a more serious condition.


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