[42F] Experiencing nausea and vomiting with a history of chronic conditions

Patient Description

A 42-year-old female has been experiencing nausea and vomiting for several weeks. The nausea is particularly severe upon waking, rated at 6/10, and is exacerbated by taking Ozempic or magnesium. The patient has found that abstaining from eating can alleviate the nausea. Vomiting episodes occur about four times in 24 hours and do not seem to be triggered by specific foods. The patient has a medical history of hypothyroidism, high blood pressure, and diabetes, all diagnosed about 10 years ago. Current medications include Ozempic for diabetes, Lisinopril for high blood pressure, Synthroid for hypothyroidism, and Prozac. There are no known drug allergies. The patient also reports headaches and muscle aches but has not specified the duration or severity of these symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, here are a few possible explanations:

  • Gastroparesis: This is a condition where the stomach takes too long to empty its contents. It's often seen in people with diabetes, and symptoms can include nausea and vomiting of undigested food. It can be diagnosed with a gastric emptying study.

    • Treatment typically involves dietary changes, medication to speed up gastric emptying, and in severe cases, surgery.
  • Side effects from medication: Both Ozempic and Prozac can cause nausea and vomiting as side effects. It's also possible that the combination of your medications is causing your symptoms.

    • If this is the case, your doctor may adjust the dose of your medication or switch you to a different medication.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include nausea, vomiting, and abdominal pain.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.

What you can do

  1. Consult with your doctor: They can provide a formal assessment and order relevant tests if necessary. They can also review your medications and adjust them if needed.

  2. Stay hydrated: Vomiting can cause you to lose fluids and electrolytes, which can lead to dehydration. Try to drink plenty of fluids, such as water, broth, or oral rehydration solutions.

  3. Eat small, frequent meals: Instead of three large meals, try eating six small meals throughout the day. This can be easier on your stomach.

  4. Avoid triggers: If you notice that certain foods or activities make your symptoms worse, try to avoid them.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit
  • Signs of dehydration, such as dry mouth, feeling very thirsty, dark urine, or not urinating much
  • Symptoms that persist or worsen

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is gastroparesis and how is it related to diabetes?

Gastroparesis is a condition where the stomach empties its contents too slowly, which can lead to symptoms like nausea and vomiting. It is often associated with diabetes due to nerve damage that affects stomach muscles. Diagnosis typically involves a gastric emptying study, and treatment may include dietary changes and medications.


Can Ozempic and Prozac cause nausea and vomiting?

Yes, both Ozempic and Prozac can cause nausea and vomiting as side effects. It's also possible that the combination of medications can exacerbate these symptoms. Consulting with a doctor can help determine if medication adjustments are needed.


What are the common symptoms and treatments for gastroenteritis?

Gastroenteritis is an inflammation of the digestive tract, often caused by infections. Symptoms include nausea, vomiting, and abdominal pain. Treatment usually involves rest, staying hydrated, and using over-the-counter medications to manage symptoms.


How can I manage nausea and vomiting at home?

To manage nausea and vomiting at home, try staying hydrated with fluids like water or oral rehydration solutions, eat small and frequent meals, and avoid foods or activities that trigger symptoms. If symptoms persist or worsen, seek medical advice.


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