Let $Y$ be integral (not necessarily separated) schemes, and let $y$ be a point of $Y$. Let $\xi_Y$ be the generic point of $Y$. The stalk $\mathcal{O_{\mathrm{Y},y}}$ can be canonically identified with a subring of the field $\mathcal{O_{\mathrm{Y}, \xi_Y}}$ via the ring homomorphism of direct limits induced from the homomorphism of directed systems from the directed system of sections of open sets containing $y$ to the directed system of sections over all open sets in $Y$ given by the identity on each ring.
If we have that under this identification, $\mathcal{O_{\mathrm{Y},y}} = \mathcal{O_{\mathrm{Y}, \xi_Y}}$ (note the equality under identification, and not just isomorphism), does it follow that $y = \xi_Y$?
One potential generalization of this question would be to ask whether, in an integral scheme, the stalk (under the canonical identification with a subring of $\mathcal{O_{\mathrm{Y}, \xi_Y}}$) determines the point uniquely. Since $Y$ is not assumed separated, I'm fairly confident that the example of two copies of $\operatorname{Spec} \mathbb{Z}$ glued together along the open subset $D(p)$ for some prime $p$ shows that in general, points of $Y$ need not be determined by their stalks - both of the "doubled" points will have stalk equal to the (unique) copy of $\mathbb{Z}[1/p]$ in $\mathbb{Q}$. I suspect that the same sort of counterexample cannot be created for the generic point, because you can't maintain integrality while "doubling" the generic point, but I don't see how to get from the algebraic statement ($\mathcal{O_{\mathrm{Y},y}} = \mathcal{O_{\mathrm{Y}, \xi_Y}}$) to the geometric statement $\overline{\{y\}} = Y$.