[66M] Experiencing excessive sneezing, chills, and vomiting

Patient Description

A 66-year-old male reports excessive sneezing, feeling hot with heavy sweating, followed by chills and regular vomiting over the past 4 hours. The vomit is often clear with no blood present. Additionally, the patient has been having more frequent bowel movements. No specific foods or new substances have been identified as triggers. The patient has been on Venlafaxine (250 mg daily) and Buspirone (30 mg daily) for an unspecified duration, as well as Rosuvastatin (5 mg daily), and has a known allergy to penicillin. No recent exposures to sick individuals, no new allergic reactions, and no relevant past medical history, conditions, or surgeries have been reported.

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Arora's Assessment

What might be happening

Based on the symptoms you have described, the following conditions might be possible:

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

    • Treatment typically involves rest, hydration, and over-the-counter medications to help manage symptoms.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms can start within hours of eating the affected food and can include nausea, vomiting, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter medications to help manage symptoms.
  • Influenza (flu): The flu is a common viral infection that can cause fever, chills, muscle aches, cough, and other symptoms.

    • Treatment usually involves rest, hydration, and over-the-counter medications to help manage symptoms.
  • Side effects of medication: Venlafaxine and Buspirone can sometimes cause side effects such as nausea, vomiting, and sweating. However, since you've been on these medications for a long time without issues, it's less likely but still possible.

    • If you suspect your symptoms are due to medication side effects, you should contact your healthcare provider.

What you can do

  1. Stay hydrated: Dehydration can occur quickly when you're vomiting and sweating a lot. Try to drink small sips of water, clear broths, or rehydration drinks (such as sports drinks or rehydration solutions).

  2. Rest: Your body needs energy to fight off the illness. Getting rest will help.

  3. Over-the-counter medication: You might find relief from symptoms such as nausea and vomiting with over-the-counter medications. However, you should check with a pharmacist or doctor before starting any new medication.

What you should look out for

You should seek immediate medical attention if you:

  • Have severe abdominal pain
  • Notice blood in your vomit or stool
  • Have symptoms of dehydration, such as dry mouth, not urinating much, or feeling extremely thirsty, dizzy, or lightheaded
  • Have a high fever (temperature over 100.4°F)
  • Your symptoms persist for more than 24 hours or get worse

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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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 symptoms of gastroenteritis and how is it treated?

Common symptoms of gastroenteritis include vomiting, diarrhea, abdominal pain, and sometimes fever. Treatment typically involves rest, staying hydrated, and using over-the-counter medications to manage symptoms.


How can I differentiate between food poisoning and the flu based on symptoms?

Food poisoning often starts with nausea, vomiting, and diarrhea shortly after eating contaminated food, while the flu typically includes fever, chills, muscle aches, and respiratory symptoms like cough. Timing and additional symptoms can help differentiate the two.


What are the potential side effects of Venlafaxine and Buspirone that I should be aware of?

Venlafaxine and Buspirone can cause side effects such as nausea, vomiting, sweating, dizziness, and headaches. If you experience new or worsening symptoms, it's important to consult your healthcare provider.


When should I seek medical attention for vomiting and sweating symptoms?

You should seek medical attention if you experience severe abdominal pain, blood in vomit or stool, signs of dehydration, a high fever, or if symptoms persist for more than 24 hours or worsen.


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