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

Patient Description

A 29-year-old female is presenting with severe nausea, projectile and frequent vomiting every 15-30 minutes, and sudden, frequent diarrhea occurring 5 or more times a day. These symptoms have been present for less than 12 hours. The patient is unable to keep any fluids down and is experiencing lightheadedness, which may indicate dehydration. The vomit consists of bile without the presence of blood or undigested food. The patient reports some abdominal pain but no fever, chills, chest pain, or difficulty breathing. There is no recent travel history, no consumption of alcohol or recreational drugs, and no known pre-existing medical conditions or medications being taken. The patient has not indicated any other symptoms or relevant medical history.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gastroenteritis: Often referred to as the stomach flu, this condition is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is highly infectious and can be spread through close contact with an infected person or by eating or drinking contaminated food or water.

    • Treatment: Rest and rehydration are important. Over-the-counter medication may help control your symptoms. If symptoms persist, a doctor may prescribe antibiotics or antiparasitics.
  • Food poisoning: This is an illness caused by eating contaminated food. Infectious organisms — including bacteria, viruses and parasites — or their toxins are the most common causes of food poisoning.

    • Treatment: Food poisoning often improves without treatment within 48 hours. To help keep yourself more comfortable and prevent dehydration while you recover, try to rest, avoid dehydration, avoid certain foods and medications.
  • Peptic ulcer: Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain.

    • Treatment: Peptic ulcers include eliminating factors that may be causing the ulcers, such as nonsteroidal anti-inflammatory drugs, reducing stress levels, and changing lifestyle factors.

What you can do

  1. Stay hydrated: Try to sip small amounts of water regularly to avoid dehydration. You can also try drinking oral rehydration solutions.
  2. Rest: Your body needs energy to fight off the virus. Getting enough rest can provide your body with the energy it needs.
  3. Avoid certain foods: Until you feel better, avoid dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods.
  4. Seek medical attention: If your symptoms persist for more than a couple of days, seek medical attention.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Inability to keep liquids down for 24 hours
  • Vomiting blood
  • Severe abdominal pain
  • Rapid heartbeat
  • Frequent episodes of vomiting and inability to keep liquids down
  • Blood in bowel movements or black, tarry, sticky stools
  • Diarrhea for more than three days

Please note that while I strive to provide accurate and helpful health information, this is not a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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10 mo ago

People Also Ask


What are the common causes of severe nausea and vomiting?

Severe nausea and vomiting can be caused by a variety of factors including viral infections like gastroenteritis, food poisoning, pregnancy, migraines, or more serious conditions like peptic ulcers. It's important to consider recent activities, such as food intake or contact with sick individuals, to help identify the cause.


How can I tell if I am dehydrated due to vomiting and diarrhea?

Signs of dehydration include feeling very thirsty, dry mouth, lightheadedness, dark yellow urine, and decreased urine output. In severe cases, you might experience rapid heartbeat, confusion, or fainting. It's important to address dehydration promptly, especially if you are unable to keep fluids down.


What are the best ways to stay hydrated if I can't keep fluids down?

To stay hydrated when you can't keep fluids down, try taking small sips of water or sucking on ice chips. Oral rehydration solutions can also be helpful as they contain electrolytes that help replenish lost nutrients. Avoid caffeinated or sugary drinks as they can worsen dehydration.


When should I seek medical attention for symptoms like these?

You should seek medical attention if you are unable to keep liquids down for 24 hours, experience severe abdominal pain, have a rapid heartbeat, or notice blood in your vomit or stools. Additionally, if diarrhea persists for more than three days or you have signs of severe dehydration, it's important to consult a healthcare professional.


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