[19F] Experiencing acute stomach pain with diarrhea and nausea

Patient Description

A 19-year-old female presents with acute onset of crampy middle abdominal pain rated 6/10 in intensity, accompanied by watery diarrhea and nausea. The symptoms began suddenly about 1 hour ago, following a meal. The patient reports chills but no fever, dizziness, or lightheadedness. There is no blood in the stool or vomit, and the patient has been able to keep down liquids. No recent travel, no known food triggers, and no use of recreational drugs or alcohol. The patient denies any significant past medical history or family history of gastrointestinal diseases. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastroenteritis: Often referred to as the "stomach flu," gastroenteritis is inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms typically include abdominal cramps, diarrhea, and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to help with symptoms.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms, which include stomach pain, diarrhea, nausea, and chills, usually start within a few hours after eating the contaminated food.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to help with symptoms.
  • Gastritis: This is inflammation of the stomach lining, which can be caused by factors such as certain medications, alcohol, and stress. Symptoms include stomach pain, nausea, and vomiting.

    • Treatment often involves medications to reduce stomach acid.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to alleviate your symptoms:

  1. Stay hydrated: Drink plenty of fluids such as water or oral rehydration solutions. Avoid caffeine and alcohol as they can worsen dehydration.
  2. Rest: Your body needs energy to fight off the virus. 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.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms persist for more than a few days
  • If you notice blood in your stool or vomit
  • If you develop a high fever (temperature over 100.4°F)
  • If you are unable to keep down fluids due to vomiting
  • If you feel dizzy or lightheaded when standing up

Please remember that while I strive to provide accurate information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of sudden abdominal pain and diarrhea?

Common causes of sudden abdominal pain and diarrhea include viral or bacterial infections (such as gastroenteritis or food poisoning), stress, and certain medications. It's important to consider recent food intake and any other accompanying symptoms.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, but food poisoning often occurs shortly after eating contaminated food and may affect others who ate the same food. Gastroenteritis can be viral and spread from person to person. A healthcare provider can help differentiate based on symptoms and history.


What are the best ways to stay hydrated if experiencing diarrhea and nausea?

To stay hydrated, drink plenty of clear fluids like water, oral rehydration solutions, or broths. Avoid caffeine and alcohol as they can worsen dehydration. Sipping small amounts frequently can help if nausea is present.


When should I seek medical attention for symptoms like these?

You should seek medical attention if symptoms persist for more than a few days, if you notice blood in your stool or vomit, if you develop a high fever, if you are unable to keep down fluids, or if you experience dizziness or lightheadedness when standing up.


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