[18M] Experiencing recurrent fainting episodes with gastrointestinal distress

Patient Description

An 18-year-old male reports sudden onset of stomach pain described as a 'boiling' sensation, followed by a rush leading to severe dizziness, nausea, and near-fainting episodes recurring every 10 minutes for the past hour. The episodes of lightheadedness last approximately 5 minutes each. The patient also experiences diarrhea and fatigue but has not identified any specific triggers or relieving factors for these symptoms. No further information on medical history, medication use, or allergies has been provided.

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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 stomach and intestines, often caused by a viral or bacterial infection. It can cause nausea, vomiting, diarrhea, and stomach pain. The fatigue and fainting could be due to dehydration from the diarrhea and vomiting.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms can start within hours of eating the contaminated food and include nausea, vomiting, diarrhea, stomach pain, and fatigue.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Irritable Bowel Syndrome (IBS): IBS is a chronic disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, diarrhea or constipation, and mucus in the stool.

    • Treatment typically involves changes in diet, lifestyle, and stress management. Medication and counseling might be recommended by a doctor.
  • Anxiety or panic attacks: These can cause a variety of physical symptoms, including fainting, stomach pain, and diarrhea. The fatigue could be due to the stress of the situation.

    • Treatment usually involves psychological therapy and medication.

What you can do

You should seek immediate medical attention due to your fainting episodes. Fainting can be a sign of a serious condition. In the meantime:

  1. Try to stay hydrated. Drink plenty of fluids, especially water and electrolyte-replenishing drinks.
  2. Rest as much as possible.
  3. Avoid foods that may worsen your symptoms, such as spicy or fatty foods.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve within 24 hours.
  • You have a high fever (over 101.5°F).
  • You are unable to keep fluids down and are becoming increasingly dehydrated (symptoms of dehydration include dark urine, dry mouth, and feeling extremely thirsty).
  • You notice blood in your stool or vomit.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


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

Common symptoms of gastroenteritis include nausea, vomiting, diarrhea, stomach pain, and fatigue. Treatment typically involves rest, staying hydrated, and using over-the-counter medications to manage symptoms.


How can I tell if my symptoms are due to food poisoning?

Food poisoning symptoms often include nausea, vomiting, diarrhea, stomach pain, and fatigue, and they can start within hours of eating contaminated food. If you suspect food poisoning, rest and hydration are important, and symptoms usually resolve on their own.


What lifestyle changes can help manage Irritable Bowel Syndrome (IBS)?

Lifestyle changes for managing IBS include eating a balanced diet high in fiber, avoiding trigger foods, managing stress through relaxation techniques, and regular physical activity. A healthcare provider may also recommend medications or counseling.


Can anxiety or panic attacks cause physical symptoms like stomach pain and dizziness?

Yes, anxiety or panic attacks can cause physical symptoms such as stomach pain, dizziness, and diarrhea. These symptoms are due to the body's response to stress and can be managed with therapy and medication.


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