[58F] Experiencing severe nausea, weakness, and other symptoms

What might be happening

Based on the information you've provided, possible diagnoses include:

• Gastrointestinal Bleeding: Black, tarry stools (also known as melena) can be a sign of bleeding in the upper gastrointestinal tract. This could be due to a variety of conditions, including peptic ulcers, gastritis, or esophageal varices.

  • Diagnostic tests may include a fecal occult blood test, endoscopy, or colonoscopy. Treatment depends on the underlying cause but may include medications, endoscopic therapy, or surgery.

• Gastritis or Peptic Ulcer Disease: Your symptoms of upper abdominal bloating and pain could be due to inflammation or irritation of the stomach lining (gastritis) or a peptic ulcer. Both of these conditions can also cause nausea.

  • Diagnosis typically involves an upper endoscopy. Treatment usually includes medications to reduce stomach acid and possibly antibiotics if a bacterial infection (H. pylori) is present.

• Migraines: Your description of severe, pounding headaches on one side of your head that occur in the mornings could be consistent with migraines.

  • Diagnosis is typically based on your symptoms and possibly imaging tests to rule out other causes. Treatment may include medications to prevent or relieve migraines.

• Depression or Anxiety: Chronic nausea and weakness can sometimes be symptoms of mental health conditions like depression or anxiety. Your current medications (Trintellix, mirtazapine, and Seroquel) are often used to treat these conditions.

  • Diagnosis is typically based on a thorough evaluation by a mental health professional. Treatment may include psychotherapy, medications, or both.

Remember, these are possible diagnoses based on the information you've provided. You should consult with a healthcare provider for a formal diagnosis and treatment plan.

What you can do

1. Consult with a healthcare provider as soon as possible. They can perform a thorough evaluation and order appropriate tests to determine the cause of your symptoms.
2. Keep a symptom diary. This can help you and your healthcare provider identify any patterns or triggers related to your symptoms.
3. Stay hydrated and try to eat a balanced diet. This can help manage your symptoms and support your overall health.
4. Continue taking your medications as prescribed by your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

• Severe or worsening abdominal pain
• Vomiting blood or material that looks like coffee grounds
• Severe or worsening headaches
• Sudden changes in your vision, speech, or movement
• Any other new or worsening symptoms

Remember, while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.