[30F] With vomiting, hot flashes, and fatigue

Patient Description

A 30-year-old female has been experiencing intermittent vomiting for a week and a half, occurring about twice a day but not daily. The vomiting is described as easy and sudden, accompanied by nausea and diarrhea. She also reports sudden warmth in the form of hot flashes for the past two days and extreme fatigue. There are no specific triggers for the vomiting, and it started suddenly. She denies any recent changes in diet, travel, stress, or medications. There is no fever, chills, abdominal pain, or changes in appetite or menstrual cycle. Her medical history includes Ehlers-Danlos syndrome, diagnosed in 2013. She has allergies to cephalexin, clindamycin, and Lorabid and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can lead to vomiting, diarrhea, and fatigue. It usually resolves on its own, but staying hydrated is important.

  • Hormonal Changes: Hot flashes and fatigue can sometimes be related to hormonal fluctuations. If these symptoms persist, it might be worth discussing with a healthcare provider.

  • Dehydration: Vomiting and diarrhea can lead to dehydration, which might cause fatigue and hot flashes. Ensuring adequate fluid intake is crucial.

  • Food Intolerance or Allergy: Sometimes, certain foods can trigger symptoms like vomiting and diarrhea. Keeping a food diary might help identify any triggers.

What you can do

  • Stay Hydrated: Drink plenty of fluids, such as water or oral rehydration solutions, to prevent dehydration.

  • Rest: Ensure you get enough rest to help your body recover.

  • Monitor Symptoms: Keep track of your symptoms using MDandMe to identify any patterns or triggers. This can be helpful information for your healthcare provider.

  • Diet: Eat bland foods like bananas, rice, applesauce, and toast (the BRAT diet) to help settle your stomach.

What you should look out for

Seek medical attention if you experience:

  • Persistent vomiting or diarrhea lasting more than a few days
  • Signs of dehydration, such as dizziness, dry mouth, or decreased urination
  • Severe abdominal pain
  • Blood in your vomit or stool

Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common causes of sudden vomiting and diarrhea?

Common causes of sudden vomiting and diarrhea include viral or bacterial infections (such as gastroenteritis), food intolerances or allergies, and sometimes stress or anxiety. It's important to monitor symptoms and consult a healthcare provider if they persist.

How can I tell if I am dehydrated from vomiting and diarrhea?

Signs of dehydration include increased thirst, dry mouth, decreased urination, dark-colored urine, dizziness, and fatigue. If you experience these symptoms, it's important to increase fluid intake and seek medical advice if they worsen.

What dietary changes can help manage symptoms of nausea and vomiting?

To manage nausea and vomiting, it's recommended to eat bland foods such as bananas, rice, applesauce, and toast (the BRAT diet). Avoid spicy, fatty, or fried foods, and try to eat small, frequent meals. Staying hydrated with clear fluids is also important.

When should I seek medical attention for vomiting and diarrhea?

You should seek medical attention if vomiting or diarrhea persists for more than a few days, if you experience severe abdominal pain, if there is blood in your vomit or stool, or if you show signs of severe dehydration such as dizziness or decreased urination.

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