[18F] With severe stomach cramps and increased bowel movements

Patient Description

An 18-year-old female has been experiencing severe stomach cramps, rated 6 out of 10, occurring every couple of hours for the past three days. These cramps are followed by bowel movements, which have increased to about six times a day. The stool is described as more liquidy, broken into pieces resembling ground beef, and has a brownish-gray color. The patient reports no recent changes in diet, no recent travel, and no known contact with anyone who is sick. She has not experienced fever, chills, nausea, vomiting, or blood in the stool but has noticed dark urine and significant gas and abdominal bloating. She has a history of acid reflux but no other chronic medical conditions. She is not currently taking any medications or supplements and has not consumed alcohol or recreational drugs recently. She is expecting her menstrual period soon.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms typically include stomach cramps, diarrhea, and sometimes vomiting. The sudden onset and the nature of your stool suggest this could be a possibility.

    • Treatment: Gastroenteritis usually resolves on its own within a few days. Staying hydrated is crucial. Over-the-counter medications like loperamide (Imodium) can help manage diarrhea, but it's best to consult a healthcare provider before taking any medication.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine, causing symptoms like cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Stress and certain foods can trigger symptoms.

    • Treatment: Management includes dietary changes, stress management, and sometimes medications to relieve symptoms. Keeping a food diary can help identify triggers.
  • Food Poisoning: Consuming contaminated food or water can lead to food poisoning, which often presents with symptoms like stomach cramps, diarrhea, and sometimes vomiting.

    • Treatment: Similar to gastroenteritis, staying hydrated is key. Most cases resolve within a few days without the need for medical treatment.
  • Menstrual-Related Gastrointestinal Symptoms: Some women experience gastrointestinal symptoms like cramps and diarrhea around their menstrual period due to hormonal changes.

    • Treatment: Over-the-counter pain relievers like ibuprofen can help with cramps. Staying hydrated and eating a balanced diet can also help.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids like water, clear broths, or oral rehydration solutions to prevent dehydration, especially since you've noticed dark urine.
  2. Eat a Bland Diet: Stick to easily digestible foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
  3. Avoid Irritants: Stay away from caffeine, alcohol, dairy products, and fatty or spicy foods, as these can worsen your symptoms.
  4. Rest: Give your body time to recover by getting plenty of rest.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying any patterns or triggers.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Dehydration: Signs include very dark urine, dizziness, or feeling faint.
  • Blood in Stool: This could indicate a more serious condition that needs immediate attention.
  • High Fever: A temperature over 100.4°F (38°C) could suggest a more serious infection.
  • Persistent or Worsening Symptoms: If your symptoms do not improve within a few days or get worse, consult a healthcare provider.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. Take care and feel better soon!

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6 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 severe stomach cramps and diarrhea?

Common causes of severe stomach cramps and diarrhea include gastroenteritis, food poisoning, irritable bowel syndrome (IBS), and sometimes menstrual-related gastrointestinal symptoms. It's important to consider recent dietary changes, travel history, and contact with sick individuals when identifying the cause.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can present with similar symptoms like stomach cramps and diarrhea. Gastroenteritis is often viral and can spread from person to person, while food poisoning is typically caused by consuming contaminated food or water. A healthcare provider can help determine the cause based on symptoms and history.


What dietary changes can help manage symptoms of irritable bowel syndrome (IBS)?

To manage IBS symptoms, it's helpful to keep a food diary to identify triggers. Common dietary changes include increasing fiber intake, avoiding high-gas foods, and eating smaller, more frequent meals. Some people find relief by following a low-FODMAP diet, which limits certain carbohydrates that can cause bloating and gas.


Are gastrointestinal symptoms common before or during menstruation?

Yes, gastrointestinal symptoms such as cramps and diarrhea can occur before or during menstruation due to hormonal changes. These symptoms are usually temporary and can be managed with over-the-counter pain relievers, hydration, and a balanced diet.


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