[35F] Experiencing nausea, cough, and other symptoms

Patient Description

A 35-year-old female has been experiencing constant nausea rated 4/10 in severity, moderate dry cough, and light-headedness described as feeling faint for the past 3 days. She also reports chills, blotchy skin, and itchy skin all over her body. Additionally, she has been suffering from neck and back pain for 2 weeks, with the neck pain being stiff and worsening at night, and sharp back pain that becomes more noticeable when lifting her child. The patient has a slight burning sensation in her chest and some wheezing but no swelling of the face, lips, or tongue. She has no known allergies or adverse reactions to medications and is not currently taking any medications. She has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you provided, here are a few possibilities:

  • Anxiety or Panic Disorder: These conditions can cause a variety of physical symptoms, including nausea, lightheadedness, difficulty breathing, and chest pain. The medications you're taking (Zoloft, hydroxyzine, and gabapentin) are often used to manage anxiety disorders.

    • Treatment typically involves a combination of medication and cognitive-behavioral therapy.
  • Allergic Reaction: The blotchy, red, itchy skin could be a sign of an allergic reaction. However, this would typically also involve swelling of the face, lips, or tongue, which you did not report.

    • Treatment involves avoiding the allergen and taking antihistamines to manage symptoms. In severe cases, an epinephrine autoinjector may be needed.
  • Viral Infection: Your symptoms of cough, nausea, lightheadedness, and chills could be due to a viral infection, such as the flu.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Musculoskeletal Strain: Your neck and back pain could be due to strain from physical activity, such as picking up your child.

    • Treatment usually involves rest, physical therapy, and over-the-counter pain relievers.

What you can do

  1. Continue taking your prescribed medications and follow your doctor's instructions.
  2. Try to identify any potential allergens in your environment that could be causing your skin symptoms.
  3. Rest and stay hydrated to help your body recover if you have a viral infection.
  4. Practice good posture and lifting techniques to prevent further strain on your neck and back.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a few days.
  • You develop new symptoms, such as high fever, severe chest pain, or difficulty breathing.
  • You experience swelling of the face, lips, or tongue, which could indicate a severe allergic reaction.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What could be causing my constant nausea and light-headedness?

Constant nausea and light-headedness can be caused by a variety of factors, including anxiety or panic disorders, viral infections, or other underlying conditions. It's important to monitor your symptoms and consult with a healthcare provider for a proper diagnosis.


How can I manage my neck and back pain effectively?

To manage neck and back pain, consider rest, applying heat or cold packs, practicing good posture, and using over-the-counter pain relievers. Physical therapy may also be beneficial. Avoid activities that exacerbate the pain, such as heavy lifting.


Is it possible that my symptoms are due to an allergic reaction even without facial swelling?

Yes, it is possible to have an allergic reaction without facial swelling. Symptoms can include itchy, blotchy skin and other reactions. Identifying and avoiding potential allergens and using antihistamines can help manage symptoms.


What should I do if my symptoms do not improve or worsen?

If your symptoms do not improve or worsen, it is important to seek medical attention. This is especially crucial if you develop new symptoms like high fever, severe chest pain, or difficulty breathing, as these could indicate a more serious condition.


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