[18M] Experiencing gastrointestinal discomfort and loss of appetite

Patient Description

An 18-year-old male reports a 4-month history of gastrointestinal discomfort, particularly in the mornings, and a significant loss of appetite. The patient describes the stomach discomfort as a dull sensation, rating it a 2 out of 10 in severity, and feels an urgency to have a bowel movement upon waking. The patient also experiences sweaty palms and feet several times a day, which started about a week ago. No specific foods have been identified as triggers, and there is no noted change in the sense of taste or smell. The patient has chills but no fever, and occasionally notices dark urine. There is no blood in the stool, severe or persistent diarrhea, signs of dehydration, severe abdominal pain, or persistent vomiting. The patient had previously been diagnosed with acid buildup and had temporary relief with medication.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause symptoms such as loss of appetite, stomach discomfort, and bowel urgency. However, it usually resolves on its own within a few days to a week.

    • Treatment typically involves rest, hydration, and eating bland foods until symptoms resolve.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms such as cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. Some people with IBS find certain foods can trigger these symptoms.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress management.
  • Hyperhidrosis: This is a condition characterized by excessive sweating, even when the temperature isn't hot and you're not exercising. If you're experiencing sweaty palms and feet, it could be a sign of this condition.

    • Treatment can involve prescription antiperspirants, medications, nerve-blocking medications, or even surgery in severe cases.
  • Anxiety: Anxiety can cause a variety of physical symptoms, including stomach discomfort, loss of appetite, and excessive sweating. Given your age and the range of symptoms you're experiencing, it's possible that anxiety could be playing a role.

    • Treatment typically involves a combination of psychotherapy (cognitive behavioral therapy) and medications.

Please remember that these are only possibilities, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Stay hydrated: Drink plenty of fluids, especially if you're experiencing dark urine, which can be a sign of dehydration.
  2. Eat small, frequent meals: If you're experiencing loss of appetite, try eating smaller meals more frequently throughout the day.
  3. Keep a symptom diary: Note down what you eat and when you experience symptoms to see if there's a pattern or trigger.
  4. Practice stress management: Techniques such as deep breathing, meditation, and yoga can help manage symptoms if anxiety is a factor.

What you should look out for

If your symptoms persist or worsen, or if you experience any of the following, seek medical attention immediately:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Persistent vomiting or diarrhea
  • Signs of dehydration, such as dizziness, lightheadedness, or very dark urine

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


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

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and changes in bowel habits such as diarrhea or constipation. Some people may also experience a combination of these symptoms.


How can anxiety affect physical health, particularly in young adults?

Anxiety can manifest physically in various ways, including stomach discomfort, loss of appetite, excessive sweating, and even gastrointestinal issues. In young adults, stress and anxiety can significantly impact daily life and overall well-being.


What are the signs of dehydration and how can it be prevented?

Signs of dehydration include dark urine, dizziness, lightheadedness, dry mouth, and fatigue. To prevent dehydration, it's important to drink plenty of fluids, especially water, and to increase fluid intake during hot weather or when experiencing symptoms like dark urine.


What are some effective ways to manage hyperhidrosis?

Effective ways to manage hyperhidrosis include using prescription antiperspirants, taking medications that reduce sweating, and practicing stress management techniques. In severe cases, treatments like nerve-blocking medications or surgery may be considered.


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