[32F] Experiencing sudden onset of severe nausea

Patient Description

A 32-year-old female reports sudden onset of severe nausea rated 10/10, with associated mild neck stiffness and slight changes in vision. The symptoms began approximately 20 minutes prior to reporting. There is no vomiting, diarrhea, headache, or abdominal pain. The patient has not consumed any unusual or contaminated food and has not been in contact with sick individuals recently. She has a history of depression and bipolar disorder, diagnosed in her teenage years, and is currently on a monthly Abilify 400 mg injection. The patient takes ibuprofen 800 mg as needed for toothaches or migraines. She is highly allergic to morphine, tegretal, and haldol. No other medications or over-the-counter drugs were reported. The patient has received all recommended vaccinations, including the flu shot.

Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

Gastroenteritis: This is an inflammation of the stomach and intestines that can cause nausea, vomiting, and diarrhea. It can be caused by a viral or bacterial infection, and can sometimes be contracted from someone who is sick.
- Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
Migraine: Migraines can cause severe headaches, nausea, and changes in vision. However, you did not mention having a severe headache, which is a common symptom of migraines.
- Treatment typically involves rest, hydration, and over-the-counter or prescription medications to manage symptoms.
Side effects of medication: Abilify can cause nausea and other gastrointestinal symptoms in some people.
- If you suspect your symptoms are due to your medication, you should contact your healthcare provider. Do not stop taking your medication without consulting a healthcare provider.

Please note that this is not an exhaustive list of possible conditions, and other conditions could also explain your symptoms.

What you can do

Rest and stay hydrated: This can help manage symptoms of many illnesses, including gastroenteritis and migraines.
Over-the-counter remedies: Over-the-counter antacids or anti-nausea medications may help manage your symptoms. However, you should consult a healthcare provider before starting any new medication.
Consult a healthcare provider: If your symptoms persist or worsen, you should seek medical attention. Your healthcare provider can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

Reasons to seek urgent medical attention include:

Severe abdominal pain
Blood in your stool or vomit
High fever (temperature over 100.4°F)
Severe headache or neck stiffness
Worsening vision changes
Symptoms of dehydration, such as dry mouth, not urinating, or feeling extremely thirsty or tired

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

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