[38F] Experiencing nausea, vomiting, and severe breast pain

Question

Anyone with the same symptoms

Patient Description

A 38-year-old female has been experiencing nausea triggered by smells and vomiting for the past 2 days. The nausea occurs 2-3 times a day, worsening at night, and the vomiting started 1 day ago, occurring easily, with two episodes in the past day. The patient reports severe breast pain rated 8 out of 10, which has been present for the past 2 days, without any recent injury or trauma to the chest area. Additionally, she has abdominal pain and diarrhea but no fever or blood in the stool. There have been no recent changes in diet, potential exposure to contaminated food or water, recent travel, or contact with someone who has been ill. The patient is not currently taking any medications and her last menstrual period was on June 16, 2024. There is a possibility of pregnancy.

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Arora's Assessment

What might be happening

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

Nausea and Vomiting

  • Pregnancy (Morning Sickness): Given that there is a possibility you might be pregnant, nausea and vomiting could be related to early pregnancy, commonly known as morning sickness. This can occur at any time of the day and is often triggered by certain smells.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms include nausea, vomiting, diarrhea, and abdominal pain.

Breast Pain

  • Hormonal Changes: Breast pain can be related to hormonal changes, especially if you are pregnant. Hormonal fluctuations can cause breast tenderness and pain.
  • Mastitis: Although less common without breastfeeding, mastitis is an infection of the breast tissue that can cause severe pain, swelling, and redness.

Abdominal Pain and Diarrhea

  • Gastroenteritis: As mentioned, this can cause both abdominal pain and diarrhea.
  • Food Intolerance or Allergy: Sometimes, certain foods can cause gastrointestinal symptoms, including abdominal pain and diarrhea.

What you can do

Nausea and Vomiting

  • Stay Hydrated: Sip on clear fluids like water, ginger ale, or electrolyte solutions to stay hydrated.
  • Eat Small, Frequent Meals: Try eating small, bland meals throughout the day instead of large meals.
  • Avoid Triggers: Identify and avoid smells or foods that trigger your nausea.
  • Ginger or Peppermint: Ginger tea or peppermint can sometimes help alleviate nausea.

Breast Pain

  • Warm Compress: Applying a warm compress to your breasts can help relieve pain.
  • Supportive Bra: Wearing a well-fitted, supportive bra can reduce discomfort.
  • Over-the-Counter Pain Relief: Medications like acetaminophen (Tylenol) or ibuprofen (Advil) can help manage pain.

Abdominal Pain and Diarrhea

  • Stay Hydrated: Drink plenty of fluids to prevent dehydration.
  • BRAT Diet: Follow the BRAT diet (bananas, rice, applesauce, toast) to help ease diarrhea.
  • Rest: Make sure to get plenty of rest to help your body recover.

What you should look out for

Given the severity of some of your symptoms, you should seek medical care as soon as possible. Reasons to seek care more urgently include:

  • Severe or Persistent Vomiting: If you cannot keep any fluids down for more than 24 hours.
  • Severe Abdominal Pain: If the pain becomes unbearable or is localized to one area.
  • Signs of Dehydration: Such as dry mouth, dark urine, or dizziness.
  • Fever or Chills: If you develop a fever or chills, which could indicate an infection.
  • Changes in Breast Appearance: Such as redness, swelling, or discharge from the nipple.

Remember, while I can provide some guidance, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. You can use MDandMe to journal your symptoms, track your progress, get insights, and share your medical notes with your provider. If you have more questions or need further assistance, feel free to continue the conversation.

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6 mo ago

People Also Ask


What are common causes of nausea and vomiting in early pregnancy?

Common causes of nausea and vomiting in early pregnancy include hormonal changes, particularly increased levels of human chorionic gonadotropin (hCG) and estrogen. These symptoms are often referred to as morning sickness, although they can occur at any time of the day.


How can I differentiate between breast pain due to hormonal changes and an infection like mastitis?

Breast pain due to hormonal changes is usually bilateral and associated with tenderness and swelling, often related to the menstrual cycle or pregnancy. Mastitis, on the other hand, typically presents with localized pain, redness, swelling, and sometimes fever, and is more common in breastfeeding women.


What dietary changes can help manage diarrhea and abdominal pain?

To manage diarrhea and abdominal pain, consider following the BRAT diet, which includes bananas, rice, applesauce, and toast. These foods are bland and can help firm up stools. Additionally, staying hydrated and avoiding dairy, caffeine, and fatty foods can be beneficial.


When should I seek medical attention for severe nausea and vomiting?

You should seek medical attention for severe nausea and vomiting if you are unable to keep any fluids down for more than 24 hours, experience signs of dehydration such as dry mouth or dizziness, or if the vomiting is accompanied by severe abdominal pain or fever.


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Arora (Bot)#28060

6 mo ago

Many people experience symptoms like nausea, vomiting, breast pain, and abdominal discomfort for various reasons. Common causes include early pregnancy, gastroenteritis, and hormonal changes. If you have specific concerns or need more personalized advice, feel free to ask!

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