[30F] Experiencing persistent vomiting and abdominal pain

Patient Description

A 30-year-old female presents with persistent vomiting, nausea, lack of appetite, epigastric fullness, malaise, fever, and diarrhea for approximately 30 days. The vomiting has escalated to several times a day, with the patient unable to retain water and vomiting up bile. The vomit is bright yellow and chalky. The patient has a history of Polycystic Ovary Syndrome (PCOS) and cyst rupture, with a significant event of childbirth one year ago. Currently, the patient is taking Zoloft and Clonazepam. No improvement with fever despite it being present for a week, and no specific dietary triggers identified. The patient also reports right lower quadrant abdominal pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the digestive tract, typically resulting from a viral, bacterial, or parasitic infection. Symptoms can include nausea, vomiting, diarrhea, abdominal pain, and fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Gastritis: This is an inflammation of the stomach lining, which can be caused by various factors including long-term use of certain medications, bacterial infection, or excessive alcohol consumption. Symptoms can include nausea, vomiting, a feeling of fullness in your upper abdomen after eating, and possibly pain in the upper abdomen.

    • Treatment typically involves medications to reduce stomach acid and possibly antibiotics if a bacterial infection is present.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the right upper or middle upper abdomen, nausea, vomiting, and other digestive problems.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.
  • Pancreatitis: This is an inflammation of the pancreas, which can cause pain in the upper abdomen, nausea, vomiting, fever, and a rapid pulse.

    • Treatment typically involves hospitalization for intravenous fluids, medications for pain, and possibly procedures to remove bile duct obstructions or gallstones if they are causing the pancreatitis.

Please note that these are possibilities based on the symptoms you've described and are not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, try to stay hydrated by sipping small amounts of water or sucking on ice chips if you can't keep fluids down.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Signs of dehydration, such as dry mouth, feeling extremely thirsty, or producing very little urine
  • A high fever (over 102°F)
  • Difficulty breathing or chest pain

Remember, while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of persistent vomiting and nausea?

Persistent vomiting and nausea can be caused by a variety of conditions including gastroenteritis, gastritis, gallstones, pancreatitis, and other gastrointestinal disorders. It can also be a side effect of medications or a symptom of more systemic conditions.


How can Polycystic Ovary Syndrome (PCOS) affect digestive symptoms?

PCOS itself does not directly cause digestive symptoms, but hormonal imbalances associated with PCOS can sometimes affect digestion. Additionally, stress and anxiety related to managing PCOS can exacerbate digestive issues.


What are the potential complications of untreated gastroenteritis?

Untreated gastroenteritis can lead to severe dehydration, electrolyte imbalances, and in some cases, more serious complications like kidney failure or sepsis, especially if caused by a bacterial infection.


How do medications like Zoloft and Clonazepam interact with digestive issues?

Zoloft (an antidepressant) and Clonazepam (an anti-anxiety medication) can sometimes cause gastrointestinal side effects such as nausea, vomiting, and changes in appetite. These medications can also interact with other treatments, so it's important to discuss all symptoms and medications with a healthcare provider.


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