[39F] Experiencing nausea, vomiting, and lack of appetite

Patient Description

A 39-year-old female reports experiencing nausea, particularly in the morning and late at night, with occasional vomiting, including an episode today after eating. She has a decreased appetite and has been feeling generally unwell, which has impacted her smoking habits, reducing her usual consumption. She is unsure if she is currently pregnant, with her last menstrual period starting on January 28, and her cycles have recently become regular after discontinuing the depot shot nearly two years ago. The patient has a history of a traumatic brain injury from a car accident four years ago. She is currently on medications for depression (Ampateipli), memory (Donepiz), and a muscle relaxer (Balfin). No known allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information provided, there are several possibilities that might explain your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines that can cause nausea, vomiting, and general feelings of being unwell. It's typically caused by a viral or bacterial infection and can be accompanied by other symptoms like diarrhea, stomach pain, and fever. However, you didn't mention having these additional symptoms.

    • Treatment typically involves rest, hydration, and eating bland foods when you feel able to.
  • Pregnancy: Nausea and vomiting, particularly in the morning (commonly known as "morning sickness"), can be early signs of pregnancy. Given your age, sex, and the timing of your symptoms, this is a possibility, especially since you mentioned that you're not sure if you're pregnant.

    • A home pregnancy test can provide a quick and easy answer, but you should also consult with a healthcare provider for confirmation and prenatal care if the test is positive.
  • Side effects from medication: Nausea and vomiting can be side effects of many medications. You mentioned that you're taking several medications, including Ampateipli for depression, Donepiz for memory, and a muscle relaxer called Balfin. It's possible that your symptoms are related to these medications.

    • You should consult with your healthcare provider about these symptoms, especially if they started or worsened after beginning a new medication.
  • Nicotine withdrawal: You mentioned that you've been smoking less recently because it makes you feel sick. Nausea can be a symptom of nicotine withdrawal.

    • If you're trying to quit smoking, there are many resources available to help manage withdrawal symptoms and cravings.

What you can do

  1. If you think you might be pregnant, consider taking a home pregnancy test. If the test is positive, schedule an appointment with a healthcare provider for prenatal care.
  2. Try to stay hydrated and eat bland foods when you feel able to. This can help manage symptoms of nausea and vomiting.
  3. Consult with your healthcare provider about your symptoms, especially if they started or worsened after beginning a new medication. They may be able to adjust your medication regimen to reduce these side effects.
  4. If you're trying to quit smoking, consider seeking help from resources like quitline services, support groups, or your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your vomit
  • Symptoms of dehydration, such as dark urine, dry mouth, or feeling lightheaded when standing up
  • Symptoms that persist for more than a few days or worsen over time

Please note that while I strive to provide accurate and helpful health information, I am not a doctor. 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

People Also Ask


What are the common symptoms of early pregnancy?

Common symptoms of early pregnancy include nausea (often referred to as morning sickness), vomiting, missed periods, breast tenderness, fatigue, and increased urination. If you suspect pregnancy, a home pregnancy test can provide an initial indication.


Can medications for depression and memory cause nausea and vomiting?

Yes, medications for depression and memory, such as those you are taking, can sometimes cause side effects like nausea and vomiting. It's important to discuss these symptoms with your healthcare provider, as they may need to adjust your medication.


What are the symptoms of nicotine withdrawal?

Symptoms of nicotine withdrawal can include irritability, anxiety, difficulty concentrating, increased appetite, cravings for nicotine, and physical symptoms like nausea and headaches. These symptoms can vary in intensity and duration.


How can I manage nausea and vomiting at home?

To manage nausea and vomiting at home, try to stay hydrated by sipping clear fluids, eat small and bland meals, avoid strong odors, and rest as much as possible. Ginger tea or ginger ale can also help alleviate nausea. If symptoms persist, consult a healthcare provider.


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