[19F] Experiencing abdominal pain with nausea and liquid diarrhea

Patient Description

A 19-year-old female presents with symptoms of nausea, vomiting of yellow or clear liquid, abdominal pain described as cramping above the belly button, and liquid brown diarrhea. The abdominal pain is a 5 out of 10 in severity, cramping in nature, and felt throughout the entire stomach area. These symptoms have been persistent for 3 days. The patient has not identified any specific food triggers for vomiting and reports relief of abdominal pain with the use of marijuana. There is no associated fever or chills, and the vomiting has occurred once in the past 24 hours. The patient denies any changes in the color or consistency of stool prior to the current episode.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It typically causes diarrhea, vomiting, nausea, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter medications to help with symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms can start within hours of eating the affected food and can include nausea, vomiting, diarrhea, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter medications to help with symptoms.
  • Irritable Bowel Syndrome (IBS): This is a chronic disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment often involves long-term management of diet, lifestyle changes, and stress.
  • Gastritis: This is an inflammation of the stomach lining, which can cause nausea, vomiting, and upper abdominal pain.

    • Treatment usually involves medications to reduce stomach acid and potentially antibiotics if an infection is present.

Please remember that these are possible conditions and not a definitive diagnosis. It's important to consult with a healthcare professional for a formal diagnosis.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol, caffeine, and sugary drinks, as they can make dehydration worse.

  2. Rest: Your body needs energy to fight off the virus or bacteria. Getting extra sleep can help.

  3. Eat light: If you can eat without vomiting, eat small amounts of bland foods like rice, applesauce, or crackers.

  4. Over-the-counter medication: Medications like Pepto-Bismol or Imodium can help with symptoms of diarrhea and nausea.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal or rectal pain
  • Blood in your stool or vomit
  • Signs of dehydration, such as not urinating, dry mouth and throat, feeling dizzy when standing up
  • A fever above 102°F (39°C)
  • Diarrhea for more than three days

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for a formal diagnosis.

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10 mo ago

People Also Ask


What are the common causes of nausea and vomiting?

Common causes of nausea and vomiting include viral infections, food poisoning, gastritis, pregnancy, motion sickness, and certain medications. It's important to identify any accompanying symptoms to help determine the cause.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as nausea, vomiting, diarrhea, and abdominal pain. However, food poisoning often occurs after consuming contaminated food and symptoms can appear within hours. Gastroenteritis may be viral or bacterial and can spread from person to person.


What dietary changes can help manage symptoms of IBS?

For managing IBS, it's often recommended to eat a high-fiber diet, avoid trigger foods (such as caffeine, alcohol, and fatty foods), eat smaller meals, and stay hydrated. 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 you experience severe abdominal or rectal pain, blood in your stool or vomit, signs of dehydration (like not urinating or feeling dizzy), a fever above 102°F (39°C), or if diarrhea persists for more than three days.


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