[42F] Experiencing extreme dry mouth, headache, and swallowing difficulty

Patient Description

A 42-year-old female presents with extreme dry mouth described as feeling like having eaten dry cereal or cotton balls, with associated pain in the roof of the mouth and difficulty swallowing food, but no sore throat. The symptoms have been persistent for 5 days, starting after a severe vomiting episode that occurred from 1am to 8am on Sunday. The patient reports continuous vomiting every 15 minutes during that time, ending with yellow liquid. Additionally, the patient has been experiencing a constant, all-over headache rated 5/10 in intensity for 6 days, which is unrelieved by Tylenol, and a loss of appetite for 2 days. The patient has a history of severe menstrual cramps and cysts, for which she was prescribed Lo Lo Esterin, a low-dose birth control pill, to control her period symptoms. The patient restarted this medication two days before the onset of symptoms after a 1.5-year hiatus. The patient has no known allergies to this medication and has not experienced these symptoms previously while on it. No other medications are reported. The patient also has severe allergies to Percocet, Prilosec, Tamiflu, and ibuprofen, which cause hives.

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Arora's Assessment

What might be happening

Based on the information provided, possible conditions include:

  • Dehydration: This can result from excessive vomiting, leading to dry mouth and difficulty swallowing. Dehydration can also cause headaches and fatigue.

    • Treatment typically involves rehydration with water and electrolytes. Severe cases may require intravenous fluids.
  • Gastroesophageal Reflux Disease (GERD): This is a condition where 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 heartburn, regurgitation of food or sour liquid, and a sensation of a lump in your throat.

    • Treatment typically involves lifestyle changes and over-the-counter medications. Prescription medications or surgery might be needed in severe cases.
  • Side effects of medication: The birth control pill you recently started taking again may be causing some of your symptoms. Although it's a medication you've taken before, your body may react differently to it now.

    • Treatment would involve discussing these side effects with your doctor. They may suggest stopping the medication or switching to a different one.

Please note that these are potential explanations based on the information you provided, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids, especially water, to help alleviate dry mouth and prevent dehydration.
  2. Eat small, frequent meals: This can help manage your loss of appetite and ensure you're getting enough nutrients.
  3. Avoid triggers: If certain foods make your symptoms worse, try to avoid them.
  4. Consult with your doctor: Discuss your symptoms with your doctor, especially since they started after you began taking a new medication. They can provide a proper diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Difficulty breathing
  • Severe headache
  • Signs of severe dehydration, such as extreme thirst, very dry mouth, skin, and mucous membranes, little or no urination, sunken eyes, shriveled and dry skin that lacks elasticity and doesn't "bounce back" when pinched into a fold, and in serious cases, confusion, irritability, or unconsciousness.

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 accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of dehydration and how can it be treated?

Common symptoms of dehydration include dry mouth, thirst, dark urine, fatigue, dizziness, and headache. Treatment involves rehydrating with fluids and electrolytes. In severe cases, intravenous fluids may be necessary.


Can starting or restarting birth control pills cause side effects like headaches and dry mouth?

Yes, starting or restarting birth control pills can cause side effects such as headaches, nausea, and dry mouth. It's important to discuss any new or worsening symptoms with your doctor, as they may suggest adjusting the medication.


What are the symptoms of Gastroesophageal Reflux Disease (GERD) and how is it managed?

Symptoms of GERD include heartburn, regurgitation of food or sour liquid, and a sensation of a lump in the throat. Management typically involves lifestyle changes, over-the-counter medications, and in some cases, prescription medications or surgery.


How can I differentiate between a headache caused by dehydration and other types of headaches?

A headache caused by dehydration is often accompanied by other symptoms of dehydration, such as dry mouth and dizziness. It may improve with hydration. Other types of headaches, like migraines, may have different triggers and symptoms, such as sensitivity to light or nausea.


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