[42F] Experiencing stomach pain, vomiting, and hot flashes

Patient Description

A 42-year-old female presents with cramping stomach pain rated 7/10, located in the middle of the abdomen around the navel area, and has been ongoing for one day. The patient reports vomiting every 4-5 hours, which has been occurring for one day, with the vomit being dark brown in color. There are no identified triggers for the vomiting. The patient also experienced a hot flash once while sitting down, lasting about a minute. The patient has a history of Lupus diagnosed last year. No known allergies or adverse reactions to medications have been reported, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. The symptoms are often intense for a couple of days and then gradually improve.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics are not usually needed unless a bacterial cause is confirmed.
  • Gastric Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine or esophagus. The most common symptom of a stomach ulcer is a burning or gnawing pain in the center of the abdomen.

    • Treatment typically involves medications to decrease stomach acid and protect the stomach lining. In some cases, antibiotics may be needed.
  • Gallstones: These are hardened deposits in the gallbladder that can cause sudden pain in the upper right abdomen or center of the abdomen.

    • Treatment can range from lifestyle changes to surgery, depending on the severity of the condition and the symptoms.
  • Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that may radiate to the back, and vomiting.

    • Treatment typically involves hospitalization for intravenous fluids, pain control, and sometimes surgery.

Remember, these are just possibilities and not a definitive diagnosis. You should consult a healthcare professional for an accurate diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids, especially water, to prevent dehydration. Avoid alcohol, caffeine, and high-sugar drinks, which can make dehydration worse.

  2. Rest: Give your body a chance to recover.

  3. Over-the-counter medication: Over-the-counter antacids or acid blockers can be used to relieve stomach pain.

  4. Diet: Eat bland foods like rice, bananas, and toast. Avoid spicy, fatty, or high-fiber foods until you feel better.

What you should look out for

Seek immediate medical attention if you:

  • Have severe abdominal pain
  • Vomit blood or have blood in your stool
  • Have a fever over 101.5°F
  • Are unable to keep down fluids
  • Have signs of dehydration, such as excessive thirst, dry mouth, little or no urination, severe weakness, or dizziness when standing up.

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What could cause dark brown vomit?

Dark brown vomit can be a sign of bleeding in the gastrointestinal tract, often from the stomach or upper small intestine. It can also be due to the presence of digested blood, which may indicate a serious condition that requires medical evaluation.


How does Lupus affect gastrointestinal symptoms?

Lupus can affect the gastrointestinal system by causing inflammation, which may lead to symptoms like abdominal pain, nausea, and vomiting. It can also increase the risk of certain gastrointestinal conditions, such as ulcers or pancreatitis.


What are the common symptoms of a gastric ulcer?

Common symptoms of a gastric ulcer include a burning or gnawing pain in the center of the abdomen, bloating, heartburn, nausea, and sometimes vomiting. The pain often occurs between meals or at night and may be temporarily relieved by eating or taking antacids.


When should I seek medical attention for abdominal pain and vomiting?

You should seek medical attention if you experience severe abdominal pain, vomit blood or have blood in your stool, have a fever over 101.5°F, are unable to keep down fluids, or show signs of dehydration such as excessive thirst, dry mouth, little or no urination, severe weakness, or dizziness when standing up.


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