[18F] Experiencing gastrointestinal and urinary symptoms

Patient Description

An 18-year-old female reports several days of gastrointestinal symptoms, including frequent gas every 15-20 minutes, bloating in the lower abdomen that worsens after eating, slight cramping, and increased bowel movements with stool consistency resembling diarrhea. She also experiences a sensation of vomiting in her mouth without actual emesis and increased hunger. Additionally, she notes an increase in the frequency of urination. The patient has a history of severe dizziness that resolved on its own about a year ago. She is currently on birth control and had unprotected sex after her last menstrual period, which was a week ago. She has a mild peanut allergy. No other medications are reported, and there are no signs of fever, chills, severe abdominal pain, or bloody stools.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are several possibilities:

  • Gastroenteritis: This is an inflammation of the gastrointestinal tract, often caused by a viral or bacterial infection. Symptoms can include diarrhea, vomiting, and abdominal pain or cramping.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment often includes dietary changes, lifestyle modifications, and managing stress.
  • Pregnancy: Some of your symptoms, such as bloating, increased urination, and feeling hungry all the time, can also be early signs of pregnancy. Even though you're on birth control and had your period last week, no method of birth control is 100% effective.

    • If you suspect you might be pregnant, you should take a home pregnancy test.

What you can do

  1. Stay hydrated: Drink plenty of fluids to replace any lost through diarrhea and vomiting.
  2. Rest: Your body needs energy to fight off the virus. Getting enough sleep can help.
  3. Eat small, light meals: If you can eat without vomiting, stick to light, bland foods like rice, bread, and bananas.
  4. Over-the-counter medication: You could consider over-the-counter medication to help manage your symptoms.

If you suspect you might be pregnant, you should take a home pregnancy test.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.5 F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

Remember, while I strive to provide accurate information, I'm not a doctor. You should seek care from a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of gastroenteritis and how can it be treated?

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


How can I differentiate between IBS and other gastrointestinal issues?

IBS symptoms often include cramping, abdominal pain, bloating, gas, and changes in bowel habits. It can be differentiated from other issues by its chronic nature and the absence of alarm symptoms like weight loss or blood in stools. A healthcare provider can help with diagnosis.


Can I still get pregnant while on birth control and having had a recent period?

Yes, it is possible to get pregnant while on birth control, as no method is 100% effective. Having a period does not completely rule out pregnancy, especially if the bleeding was lighter or shorter than usual. A home pregnancy test can help determine if you are pregnant.


What dietary changes can help manage symptoms of bloating and diarrhea?

To manage bloating and diarrhea, consider eating small, light meals and avoiding foods that trigger symptoms. Bland foods like rice, bread, and bananas can be helpful. It's also important to stay hydrated and avoid caffeine and alcohol.


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