[33M] With gastrointestinal and sinus symptoms

Patient Description

A 33-year-old male presents with gastrointestinal and sinus symptoms. The patient reports experiencing stomach cramps, nausea, and sinus drainage. The vomiting began this morning with clear and yellowish vomit. The patient almost vomited yesterday but managed to hold it back. The patient suspects probiotic yogurt might have triggered the vomiting. The patient had a slight fever, which has now subsided. Sinus drainage is yellow and green, worsening at night and causing difficulty breathing. The patient has a history of sinus surgery as a child and has been cancer-free for the past two years. The patient is currently taking Zyrtec (1 tablet daily) and has no known drug allergies. The patient also reports a sharp and throbbing headache in the front part of the head and sinuses, with a current intensity of 2/10. The headache was more intense (5/10) initially. The patient has a little sensitivity to light but no confusion, neck stiffness, severe abdominal pain, or persistent vomiting. The patient has consumed alcohol recently but has not used recreational drugs or tobacco.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include vomiting, diarrhea, stomach cramps, and fever. The yellow and clear vomit could be bile, which is common when the stomach is empty.

    • Treatment: Gastroenteritis usually resolves on its own within a few days. Staying hydrated, resting, and eating bland foods can help. Over-the-counter medications like anti-nausea or anti-diarrheal drugs may also be useful.
  • Sinus Infection (Sinusitis): Given your history of sinus issues and the presence of yellow and green drainage, you might have a sinus infection. Sinusitis can cause headaches, facial pain, and congestion.

    • Treatment: Over-the-counter decongestants, saline nasal sprays, and steam inhalation can help relieve symptoms. If symptoms persist for more than a week or are severe, you may need antibiotics prescribed by a doctor.
  • Food Intolerance or Allergy: Your symptoms could be related to a reaction to the probiotic yogurt, especially if you have not consumed it before. This could cause gastrointestinal symptoms like nausea, vomiting, and cramps.

    • Treatment: Avoiding the suspected food and monitoring for improvement is key. If symptoms persist, consult a healthcare provider for further evaluation.

What you can do

  1. Stay Hydrated: Drink plenty of fluids like water, oral rehydration solutions, or clear broths to stay hydrated, especially if you're vomiting.
  2. Rest: Give your body time to recover by getting plenty of rest.
  3. Diet: Eat bland foods like bananas, rice, applesauce, and toast (the BRAT diet) to help settle your stomach.
  4. Over-the-Counter Medications: Consider using over-the-counter medications like anti-nausea drugs, decongestants, or pain relievers to manage your symptoms.
  5. Avoid Triggers: If you suspect the probiotic yogurt is the cause, avoid it and monitor your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Persistent Symptoms: If your symptoms worsen or do not improve after a few days.
  • Dehydration: Signs of dehydration include dry mouth, dark urine, dizziness, and decreased urine output.
  • High Fever: A fever over 100.4°F that does not go down with over-the-counter medications.
  • Severe Abdominal Pain: If the pain becomes severe or is localized to one area.
  • Blood in Vomit or Stool: If you notice blood in your vomit or stool, seek medical attention immediately.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common symptoms of gastroenteritis and how can it be treated at home?

Common symptoms of gastroenteritis include vomiting, diarrhea, stomach cramps, and fever. It can often be treated at home by staying hydrated, resting, and eating bland foods. Over-the-counter medications like anti-nausea or anti-diarrheal drugs may also help.


How can I tell if my sinus symptoms are due to a sinus infection?

Sinus symptoms like yellow and green drainage, headaches, facial pain, and congestion could indicate a sinus infection. If these symptoms persist for more than a week or are severe, it may be a sinus infection.


Could probiotic yogurt cause gastrointestinal issues, and what should I do if I suspect it does?

Probiotic yogurt can cause gastrointestinal issues if you have a food intolerance or allergy. If you suspect it is causing your symptoms, avoid consuming it and monitor for improvement. Consult a healthcare provider if symptoms persist.


When should I seek medical attention for sinus or gastrointestinal symptoms?

Seek medical attention if your symptoms worsen or do not improve after a few days, if you experience signs of dehydration, have a high fever, severe abdominal pain, or notice blood in your vomit or stool.

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