[65F] Experiencing severe nausea, body aches, and chills

Patient Description

A 65-year-old female has been suffering from severe nausea (rated 8/10), body aches, and chills for a duration of 7 days. The nausea has led to vomiting approximately 4-5 times over the last week, with two episodes occurring this morning without identifiable triggers. The patient is currently on multiple medications for heart and thyroid conditions, including Levothyroxine, Hydrochlorothiazide, and Metoprolol. There is no known history of allergies or adverse reactions to medications, and the patient does not have any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, possible causes include:

  • Viral Gastroenteritis: Often referred to as the "stomach flu," this condition can cause nausea, vomiting, and body aches. It's usually caused by a viral infection and can last up to a week or more.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Influenza: Known as the "flu," this is a viral infection that can cause body aches, chills, and sometimes gastrointestinal symptoms like nausea and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral medication may be prescribed if caught early.
  • Side effects of medication: Some medications, including those for heart and thyroid conditions, can cause nausea and vomiting as side effects.

    • If this is the case, your doctor may adjust your medication regimen.

Please note that 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: Dehydration can worsen nausea and vomiting. Try to sip on water, broth, or a sports drink with electrolytes.
  2. Rest: Your body needs energy to fight off an infection. Get plenty of sleep and take it easy.
  3. Over-the-counter remedies: There are over-the-counter medications that can help manage nausea and vomiting. Always use these as directed and consult a healthcare professional if you have any questions.
  4. Consult a healthcare professional: If your symptoms persist or get worse, seek medical attention. They can provide a proper diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if you:

  • Have severe abdominal pain
  • Notice blood in your vomit
  • Are unable to keep down fluids
  • Have symptoms of dehydration, such as dark urine, dry mouth, and feeling lightheaded when standing up
  • Have a high fever or your symptoms worsen after a week

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

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1 yr ago

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People Also Ask


What are the common symptoms of viral gastroenteritis?

Common symptoms of viral gastroenteritis include nausea, vomiting, diarrhea, stomach cramps, and sometimes fever and body aches. It is often referred to as the 'stomach flu' and is caused by a viral infection.


Can medications for heart and thyroid conditions cause nausea and vomiting?

Yes, medications such as Levothyroxine, Hydrochlorothiazide, and Metoprolol can sometimes cause nausea and vomiting as side effects. It's important to discuss any side effects with your doctor, who may adjust your medication regimen if necessary.


How can I differentiate between the flu and a stomach virus?

The flu typically includes symptoms like fever, body aches, chills, and respiratory symptoms such as a cough or sore throat, while a stomach virus primarily causes gastrointestinal symptoms like nausea, vomiting, and diarrhea. However, there can be overlap, so consulting a healthcare professional is advised for an accurate diagnosis.


What are the signs of dehydration to watch out for?

Signs of dehydration include dark urine, dry mouth, feeling lightheaded or dizzy, especially when standing up, and decreased urine output. It's important to stay hydrated, especially if experiencing vomiting or diarrhea.


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