[18F] Experiencing recurrent abdominal pain and diarrhea

Patient Description

An 18-year-old female is experiencing recurrent, piercing abdominal pain rated 7/10, concentrated above the uterus, occurring several times daily and at night. The pain is unrelated to the menstrual cycle, which is not due for another week, and has been present for a couple of weeks. Relief is noted upon passing gas. Additionally, the patient reports watery diarrhea, occurring twice daily, which started yesterday. No fever, chills, or recent travel. No specific food triggers have been identified for the diarrhea. The patient's medical history, current medications, and any other symptoms have not been disclosed.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea. The exact cause of IBS isn't known, but certain factors play a role such as muscle contractions in the intestine, abnormalities in the nervous system, inflammation in the intestines, severe infection, or changes in bacteria in the gut.

    • Treatment of IBS typically involves long-term management of diet, lifestyle changes, and stress management. Medications and counseling might be recommended by a healthcare provider.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and highly infectious. Symptoms include diarrhea, abdominal pain, vomiting, headache, fever, and chills.

    • Treatment of gastroenteritis usually involves self-care to relieve symptoms and prevent dehydration, including drinking plenty of fluids, rest, and eating light, bland foods.
  • Food Intolerance: This is a digestive system response rather than an immune system response. It occurs when something in food irritates a person's digestive system or when a person is unable to properly digest or breakdown, the food. Symptoms can include abdominal pain, bloating, and diarrhea.

    • Treatment of food intolerances generally involves avoidance of the offending substances.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Keep a food diary: Note what you eat and how you feel afterward. This can help you identify foods that trigger your symptoms.
  2. Stay hydrated: Drink plenty of fluids to replace those lost through diarrhea. Water is good, but adding broth, juice or sports drinks to your diet may help replace lost minerals called electrolytes.
  3. Eat small meals: If you feel like eating, eat small amounts of bland foods, such as rice, bananas or applesauce.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms persist for more than a few days
  • If you notice blood in your stool or vomit
  • If you have a high fever (temperature over 100.4°F)
  • If you have signs of dehydration, such as excessive thirst, dry mouth, deep yellow urine or little or no urine, and severe weakness, dizziness or lightheadedness.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.

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11 mo ago

People Also Ask


What are common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Symptoms can vary widely among individuals.


How can I differentiate between gastroenteritis and food intolerance?

Gastroenteritis often presents with sudden onset of diarrhea, abdominal pain, vomiting, and sometimes fever, usually due to an infection. Food intolerance typically causes digestive issues like bloating and diarrhea after consuming certain foods, without fever or infection.


What dietary changes can help manage IBS symptoms?

To manage IBS symptoms, it is often recommended to eat a high-fiber diet, avoid trigger foods, eat smaller meals, and manage stress. Keeping a food diary can help identify specific triggers.


When should I seek medical attention for abdominal pain and diarrhea?

You should seek medical attention if your symptoms persist for more than a few days, if you notice blood in your stool or vomit, if you have a high fever, or if you show signs of dehydration such as excessive thirst, dry mouth, or severe weakness.


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