[18F] Experiencing sudden watery diarrhea and severe stomach cramps

Patient Description

An 18-year-old female has been experiencing sudden watery, green diarrhea 2-4 times daily and severe stomach cramps for the past four days. The cramps, which are rated 8 out of 10 in severity, worsen with movement and are somewhat alleviated by defecation. The patient also reports fatigue. There is no recent travel history, no specific food triggers identified, and no accompanying fever or chills. The patient has a history of Hashimoto's disease diagnosed two years ago but is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. It's commonly referred to as the "stomach flu," although it's not related to the influenza virus. Symptoms typically include diarrhea, stomach cramps, and sometimes nausea, vomiting, and a low-grade fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. In some cases, antibiotics or antiparasitic medications may be needed.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment often involves long-term management of diet, lifestyle and stress. More-severe symptoms might benefit from medication and counseling.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms, which include diarrhea, nausea, vomiting, and stomach cramps, typically start within a few hours after eating the contaminated food, but they can begin days or even weeks later.

    • Treatment usually involves managing symptoms and staying hydrated. In severe cases, medical treatment may be needed.
  • Lactose intolerance: This is a common condition that can cause diarrhea, stomach cramps, and bloating after consuming dairy products.

    • Treatment involves avoiding dairy or taking lactase supplements before eating dairy.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose a lot of fluids and electrolytes, which can lead to dehydration. Make sure to drink plenty of fluids, such as water, broth, or oral rehydration solutions.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Make sure to get plenty of sleep and take it easy.

  3. Avoid certain foods: Foods that are high in fiber can make your symptoms worse. Try to stick to bland foods like rice, bananas, and toast until your symptoms improve.

  4. Over-the-counter remedies: Over-the-counter medications like loperamide (Imodium) can help manage diarrhea. However, these should not be used if you have a fever or bloody stools, as they could make your condition worse.

What you should look out for

You should seek immediate medical attention if:

  • Your diarrhea or stomach cramps become severe or don't improve after a few days.
  • You see blood in your stools.
  • You become dehydrated (symptoms of dehydration include extreme thirst, dry mouth or skin, little or no urination, severe weakness, dizziness, or lightheadedness).
  • You have a fever above 102°F (39°C).

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 and condition more thoroughly.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of sudden watery diarrhea and stomach cramps?

Common causes of sudden watery diarrhea and stomach cramps include gastroenteritis, food poisoning, irritable bowel syndrome (IBS), and lactose intolerance. These conditions can be triggered by infections, contaminated food, stress, or dietary factors.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as diarrhea and stomach cramps. However, food poisoning often occurs after consuming contaminated food and symptoms can appear within hours to days. Gastroenteritis can be caused by viruses, bacteria, or parasites and may not be linked to a specific food.


What dietary changes can help alleviate symptoms of diarrhea and stomach cramps?

To alleviate symptoms of diarrhea and stomach cramps, it is recommended to avoid high-fiber foods and stick to bland foods like rice, bananas, and toast. Staying hydrated is crucial, and avoiding dairy products may help if lactose intolerance is suspected.


When should I seek medical attention for diarrhea and stomach cramps?

You should seek medical attention if your diarrhea or stomach cramps become severe, do not improve after a few days, if you see blood in your stools, if you become dehydrated, or if you have a fever above 102°F (39°C).


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