[33F] Experiencing persistent nausea with multiple symptoms

Patient Description

A 33-year-old female has been experiencing persistent nausea for a week, which occurs before and after meals and leads to vomiting. The nausea is present all day and does not seem to have a specific trigger. Over-the-counter medications like Kaopectate and Mucinex provide some relief. Accompanying symptoms include a headache, diarrhea, coughing, nasal drainage, and back pain. The patient has not identified any activities or situations that worsen the nausea. Pregnancy has been ruled out.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause nausea, vomiting, diarrhea, and abdominal pain. It can also cause a general feeling of being unwell, which might explain your headache and back pain.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Migraine: Migraines are severe headaches that can cause nausea and vomiting. They can be triggered by various factors, including certain foods, stress, and hormonal changes.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, coughing, and nasal congestion. If the sinuses become blocked and filled with fluid, germs can grow and cause an infection.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.

What you can do

  1. Stay hydrated: Drink plenty of fluids to replace any lost through diarrhea or vomiting.
  2. Rest: Allow your body to recover by getting plenty of sleep and taking it easy.
  3. Over-the-counter medication: Continue taking medications like Kaopectate or Mucinex as directed to manage your symptoms.
  4. Avoid triggers: If you notice certain foods or activities worsen your symptoms, try to avoid them.

What you should look out for

  • If your symptoms persist for more than a week or get worse
  • If you develop a high fever (over 100.4°F)
  • If you have severe abdominal pain
  • If you are unable to keep down fluids due to vomiting

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of persistent nausea and vomiting?

Persistent nausea and vomiting can be caused by a variety of factors including gastroenteritis, migraines, sinusitis, food poisoning, stress, and certain medications. It's important to identify any accompanying symptoms to help determine the cause.


How can I differentiate between a migraine and a sinus headache?

Migraines often present with severe, throbbing headaches on one side of the head, sensitivity to light and sound, and nausea. Sinus headaches are usually associated with sinusitis and involve pressure or pain in the forehead, cheeks, and around the eyes, often accompanied by nasal congestion.


What are the signs that I should see a doctor for my symptoms?

You should see a doctor if your symptoms persist for more than a week, worsen, or if you experience a high fever, severe abdominal pain, or are unable to keep down fluids due to vomiting.


How can I manage symptoms of gastroenteritis at home?

To manage symptoms of gastroenteritis at home, stay hydrated by drinking plenty of fluids, rest to allow your body to recover, and use over-the-counter medications to alleviate symptoms. Avoid foods and drinks that may irritate your stomach, such as dairy, caffeine, and alcohol.


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