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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes fatigue, nausea, vomiting , diarrhea, headache and sharp stomach pain?

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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3625 Questions

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Posted on Wed, 8 Aug 2018 in Medicines and Side Effects
Question: Fatigue, nausea, some vomiting, some diarrhea, headache over 7 days, night sweats, sharp stomach pains, body aches, no energy, insomnia feeling of constant hunger eat small amount but pain and nausea persists
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Answered by Dr. Panagiotis Zografakis 1 hour later
Brief Answer:
viral gastroenteritis is likely

Detailed Answer:
Hello,

the symptoms you've described are consistent with the diagnosis of a viral gastroenteritis although diagnosing anything from afar is too risky to consider. In most cases the patient starts with nausea, upper abdominal pain and vomiting and then diarrhea appears. Diarrhea may last for a few days (usually less than a week). Vomiting usually improves after the first 2-3 days. The stool is watery.

Worrisome signs or symptoms include abdominal distention, failure to improve, other signs of worsening (like low blood pressure, fainting, etc).

Since the symptoms have lasted for more than 7 days I would recommend testing (basic biochemical panel, inflammatory markers and perhaps an abdominal X-ray).

Regarding treatment you can try domperidone or metoclopramide for nausea unless you've got abdominal distention. In that case a visit to the ER might be more appropriate.

Kind regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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