[31F] Experiencing severe nausea, headache, and gastrointestinal symptoms

Patient Description

A 31-year-old female presents with a sudden onset of severe nausea, a throbbing headache primarily in the frontal region, and gastrointestinal symptoms including vomiting, bloating, diarrhea, and sensitivity to sunlight. The nausea and headache have persisted for 3 days, with the headache intensity varying from a moderate to severe level. The patient reports difficulty eating, with anything other than toast exacerbating the nausea. The patient experienced significant sweating, particularly during sleep, and chills but is unsure about the presence of a fever. There has been no recent travel, no known exposure to others with similar symptoms, no significant past medical history, no known drug allergies, and no use of recreational drugs, although the patient consumed alcohol the day before symptom onset. The patient is currently on Cymbalta and Wellbutrin, which have been taken for 3 years. No changes in medication or dosage have been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, you may be experiencing:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, typically resulting from bacterial toxins or viral infection. It can cause symptoms like diarrhea, vomiting, nausea, and abdominal pain. Dehydration is a common complication, which can cause symptoms like weakness and lightheadedness.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Food poisoning: This is an illness caused by eating contaminated food. Symptoms can start within hours of eating the contaminated food and include nausea, vomiting, diarrhea, and stomach cramps.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.
  • Migraine: This is a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.

    • Treatment usually involves pain relievers and other medications.

Please note that these are only possibilities and not a definitive diagnosis.

What you can do

  1. Stay hydrated: Dehydration can worsen symptoms like weakness and lightheadedness. Try to drink small sips of water or a rehydration solution.
  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.
  3. Eat light: Try to stick to light foods like toast or rice. Avoid foods that are high in fat or sugar.
  4. Over-the-counter medication: Over-the-counter medication can help with symptoms like diarrhea and nausea.

What you should look out for

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

  • Blood in your stool or vomit
  • Severe abdominal pain
  • Symptoms of dehydration, such as dark urine, dry skin, or feeling very thirsty
  • Symptoms that last for more than a few days or get worse

Remember, I am an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your condition and provide a formal diagnosis.

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10 mo ago

People Also Ask


What are the common causes of sudden onset nausea and headache?

Common causes of sudden onset nausea and headache include viral infections, food poisoning, migraines, and sometimes medication side effects. It's important to consider recent dietary intake, stress levels, and any other accompanying symptoms.


How can I differentiate between a migraine and other types of headaches?

Migraines are often characterized by severe, throbbing pain on one side of the head, accompanied by nausea, vomiting, and sensitivity to light and sound. Other headaches, like tension headaches, may present as a dull, aching sensation across the forehead or scalp without the additional symptoms.


What are the signs of dehydration I should be aware of?

Signs of dehydration include dark urine, dry mouth, fatigue, dizziness, and decreased urine output. Severe dehydration can lead to confusion, rapid heartbeat, and fainting.


When should I seek medical attention for gastrointestinal symptoms?

You should seek medical attention if you experience blood in your stool or vomit, severe abdominal pain, signs of dehydration, or if your symptoms persist for more than a few days or worsen.


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