[62F] Experiencing nausea, vomiting, diarrhea, and muscle aches

Patient Description

A 62-year-old female presents with a 2-day history of nausea associated with cramping, which is severe (rated 8/10) and persists regardless of meal times. The patient also reports a single episode of vomiting accompanied by dizziness today, described as lightheadedness. Additionally, the patient has been experiencing explosive, uncontrollable diarrhea approximately three times a day for the past two days, as well as dull muscle aches in the legs and arms that started a day ago, rated 4/10 in severity. The patient has controlled high blood pressure, diagnosed 5 years ago, and is currently on medication for it. There are no known allergies or adverse reactions to medications. No recent travel or injuries were reported. Symptoms such as chills are present, but there is no fever, blood in stool, severe abdominal pain, or changes in heart rate. The patient finds relief from nausea with antiemetics.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause symptoms such as nausea, vomiting, diarrhea, and muscle aches.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Food Poisoning: This occurs when you eat food contaminated with bacteria, viruses, or parasites. Symptoms can start within hours of eating the contaminated food and can include nausea, vomiting, diarrhea, and muscle aches.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.

Please note that this is not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms in person.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose fluids quickly, so it's important to drink plenty of water. Try to sip small amounts of water, clear broths, or rehydration drinks.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting plenty of rest can help.

  3. Avoid certain foods: Until you feel better, avoid foods that can irritate your stomach, such as dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods.

  4. Over-the-counter medication: You can consider taking over-the-counter medication for symptom relief, but always follow the instructions on the packaging.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Symptoms that last more than a few days
  • Severe abdominal or rectal pain
  • Bloody or black stools
  • High fever (above 101.5°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

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 appropriate examination, testing, and care.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of nausea and diarrhea in adults?

Common causes of nausea and diarrhea in adults include viral infections (such as norovirus), bacterial infections (like Salmonella or E. coli), food poisoning, stress, and certain medications. It's important to consider recent dietary changes or exposures to potentially contaminated food or water.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as nausea, vomiting, diarrhea, and muscle aches. However, food poisoning often occurs after consuming contaminated food and symptoms can appear within hours. Gastroenteritis can be viral or bacterial and may not be linked to a specific meal. A healthcare provider can help determine the cause based on symptoms and history.


What are the best ways to stay hydrated when experiencing vomiting and diarrhea?

To stay hydrated during vomiting and diarrhea, drink small sips of water, clear broths, or oral rehydration solutions. Avoid caffeinated, alcoholic, or sugary drinks as they can worsen dehydration. Eating ice chips or popsicles can also help maintain hydration.


When should I seek medical attention for symptoms like nausea, vomiting, and diarrhea?

You should seek medical attention if symptoms persist for more than a few days, if you experience severe abdominal or rectal pain, bloody or black stools, a high fever, or signs of dehydration such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness.


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