Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 30, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for a 60-year-old Female with Vomiting and Runny Nose

Single Most Likely Diagnosis

  • Viral Gastroenteritis: This is the most likely diagnosis given the symptoms of vomiting and runny nose, which are common presentations of viral infections affecting the gastrointestinal and respiratory systems.

Other Likely Diagnoses

  • Influenza: The combination of vomiting and runny nose could be indicative of influenza, especially during flu season, as it can cause both gastrointestinal and respiratory symptoms.
  • Food Poisoning: This could be another likely cause, especially if the patient has recently consumed contaminated or spoiled food, leading to vomiting.
  • Common Cold: Although primarily a respiratory infection, the common cold can sometimes lead to gastrointestinal symptoms like vomiting, especially in adults.

Do Not Miss Diagnoses

  • Appendicitis: Although less common in presentation with runny nose, appendicitis can cause vomiting and should not be missed due to its potential for severe complications if not treated promptly.
  • Pneumonia: If the runny nose is accompanied by other respiratory symptoms like cough or difficulty breathing, pneumonia should be considered, as it can be life-threatening, especially in older adults.
  • Dehydration and Electrolyte Imbalance: Not a disease per se, but a critical condition that can arise from prolonged vomiting, requiring immediate attention to prevent serious complications.

Rare Diagnoses

  • Rabies: Extremely rare, but if the patient has been exposed to animals that could potentially carry rabies, this diagnosis should be considered, especially if there are neurological symptoms accompanying the vomiting and runny nose.
  • Botulism: Another rare condition that could present with vomiting among other symptoms like difficulty swallowing or speaking, and is critical to identify due to its potential for severe outcomes if not treated.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.