[39F] Experiencing cough, nausea, and shaking

Patient Description

A 39-year-old female reports a moderate, heavy wet cough that has been present for a week, sometimes hacking and productive with phlegm. Additionally, she experiences moderate nausea that occurs after eating, lasting for two days, and mild shaking in her hands that comes and goes over a few days. The patient also describes dizziness and a new sensation of heaviness in the head, specifically at the crown, rated as a 4 in severity, starting today. No other medications are reported, and the patient has a history of asthma managed with an inhaler.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include nausea, vomiting, diarrhea, and abdominal pain. Treatment typically involves rest, hydration, and over-the-counter remedies.

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause symptoms like nausea and coughing. Treatment often involves lifestyle changes and over-the-counter medications.

  • Respiratory Tract Infection: This could be causing your coughing and the phlegm production. It could be a common cold, flu, or a more serious condition like pneumonia. Treatment depends on the cause and may include rest, fluids, and possibly antibiotics if it's bacterial.

  • Anxiety or Stress: These can cause a variety of physical symptoms, including shaking, nausea, and a feeling of heaviness in the head. It's important to manage stress and anxiety, and there are many strategies to do so, including relaxation techniques, exercise, and counseling.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to prevent dehydration, especially if you've been vomiting or have diarrhea.
  2. Rest: Make sure you're getting enough sleep and taking time to relax and recover.
  3. Over-the-Counter Remedies: There are many over-the-counter products that can help with symptoms like nausea and coughing. Ask your pharmacist for recommendations.
  4. Eat Small, Frequent Meals: This can sometimes help with nausea after eating.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (over 100.4°F)
  • Shortness of breath or difficulty breathing
  • Severe headache or confusion
  • Persistent or worsening symptoms

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What could be causing my persistent cough with phlegm?

Your persistent cough with phlegm could be due to a respiratory tract infection, such as a cold, flu, or pneumonia. It might also be related to gastroesophageal reflux disease (GERD), where stomach acid irritates the esophagus and causes coughing.


Why do I feel nauseous after eating?

Nausea after eating could be a symptom of gastroenteritis, which is an inflammation of the digestive tract, or GERD, where acid reflux irritates the esophagus. Both conditions can cause discomfort after meals.


What might be causing the dizziness and heaviness in my head?

Dizziness and a sensation of heaviness in the head could be related to stress or anxiety, which can manifest physically. It might also be a symptom of a respiratory infection affecting your overall well-being.


Could my hand shaking be related to stress or anxiety?

Hand shaking can indeed be related to stress or anxiety, as these conditions can cause physical symptoms like tremors. It's important to manage stress through relaxation techniques, exercise, or counseling.


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