[32F] Experiencing nausea, fatigue, and increased urination

Patient Description

A 32-year-old female has been experiencing extreme nausea and fatigue for the past few days. The nausea sometimes improves with eating but is worsened by the smell of fried food. The severity of nausea is rated as 8 or 9 out of 10. Laying down and closing her eyes helps somewhat, but complete relief only occurs after sleeping or eating bread. Additionally, she reports an increase in urination without pain, blood in the urine, or severe lower back pain. She has experienced occasional dizziness when standing up after sitting for long periods, described as a blackout type of dizziness. Recently, she has also felt achiness in her lower stomach. The patient is currently taking Suboxone, with a dosage of one 2 mg tablet in the morning and one in the afternoon. No other medications, supplements, or herbal remedies are being taken. There are no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Pregnancy: Nausea, fatigue, and increased urination are common early signs of pregnancy. The nausea you described, especially when triggered by certain smells, is often referred to as "morning sickness," although it can occur at any time of the day.

    • Testing: A home pregnancy test or a visit to your healthcare provider for a blood test can confirm pregnancy.
    • Treatment: If you are pregnant, managing nausea can include eating small, frequent meals, avoiding triggers, and staying hydrated. Your healthcare provider can give you more specific advice.
  • Urinary Tract Infection (UTI): Increased urination and lower stomach achiness can be signs of a UTI, even if you don't have pain or blood in your urine.

    • Testing: A urine test at your healthcare provider's office can diagnose a UTI.
    • Treatment: UTIs are typically treated with antibiotics. Drinking plenty of water can help flush out bacteria.
  • Side Effects of Suboxone: Suboxone can cause nausea and dizziness as side effects, particularly if the dosage is not well-tolerated.

    • Management: Consult your healthcare provider to discuss your symptoms and whether your Suboxone dosage needs adjustment.

What you can do

While waiting to see a healthcare provider, you can try the following:

  1. Home Pregnancy Test: Consider taking a home pregnancy test if there is any possibility you could be pregnant.
  2. Stay Hydrated: Drink plenty of water to help with both nausea and potential UTI symptoms.
  3. Dietary Adjustments: Eat small, frequent meals and avoid foods and smells that trigger your nausea. Bland foods like bread or crackers may help.
  4. Rest: Ensure you get plenty of rest to help manage fatigue and dizziness.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe abdominal pain or pain that doesn't go away
  • Blood in your urine or severe pain during urination
  • Persistent or worsening dizziness, especially if it leads to fainting
  • Severe nausea and vomiting that prevents you from keeping down fluids

Remember, while this information can help guide you, it is important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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7 mo ago

People Also Ask


What are common early signs of pregnancy?

Common early signs of pregnancy include nausea (often referred to as morning sickness), fatigue, increased urination, and sensitivity to certain smells. A home pregnancy test or a blood test at a healthcare provider's office can confirm pregnancy.


How can I tell if I have a urinary tract infection (UTI)?

Symptoms of a urinary tract infection (UTI) can include increased frequency of urination, a burning sensation when urinating, cloudy or strong-smelling urine, and lower abdominal pain. A urine test at a healthcare provider's office can diagnose a UTI.


What are the side effects of Suboxone?

Suboxone can cause side effects such as nausea, dizziness, headache, constipation, and sweating. If you experience severe or persistent side effects, it's important to consult your healthcare provider.


How can I manage nausea effectively at home?

To manage nausea at home, try eating small, frequent meals, avoid foods and smells that trigger nausea, stay hydrated, and rest. Bland foods like bread or crackers may help alleviate symptoms.


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