[19F] Experiencing chronic gastrointestinal symptoms

Patient Description

A 19-year-old female has been suffering from chronic gastrointestinal issues for 4 years. Symptoms include severe stomach and lower abdominal pain, nausea, projectile vomiting 2-5 times a week, and difficulty passing stool with episodes of extreme pain. Stools are dark or bright green, occurring once every 2-3 days. The patient has lost significant weight at the onset of symptoms and frequently experiences lightheadedness. The patient avoids greasy, fried foods and dairy, and takes Zofran for nausea. No known allergies, medical conditions, or other medications reported. No blood in stool, but black stools are frequent. No relief from stomach pain has been found, and the patient has not been diagnosed with any long-term health conditions despite multiple doctor visits.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible causes could include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include nausea, vomiting, diarrhea, abdominal pain, and cramping. Treatment typically involves rest, hydration, and eating a bland diet until symptoms improve.

  • Irritable Bowel Syndrome (IBS): This is a chronic disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits (diarrhea, constipation, or both). Treatment often involves long-term management of diet, lifestyle changes, and stress.

  • Gastroparesis: This is a condition where the stomach can't empty itself of food in a normal way, causing nausea and vomiting. It can be caused by damage to the vagus nerve, which regulates the digestive system. Treatment typically involves dietary changes and medication.

  • Peptic Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine, or lower esophagus. Symptoms can include burning stomach pain, feeling of fullness, bloating, and intolerance of fatty foods. Treatment usually involves medication to decrease stomach acid.

  • Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain. Treatment may involve surgery to remove the gallbladder.

Please note that this is not an exhaustive list and these conditions can have similar symptoms. It's important to see a healthcare provider for an accurate diagnosis.

What you can do

While you should definitely see a healthcare provider for a formal diagnosis and treatment, here are some general tips that might help:

  1. Keep yourself hydrated: Drink plenty of water, especially if you're vomiting or having diarrhea.
  2. Eat small, light meals: Try to stick to bland foods like rice, bananas, and toast (the BRAT diet).
  3. Avoid triggers: You mentioned that greasy, fried foods and dairy seem to trigger your symptoms. Try to avoid these as much as possible.
  4. Over-the-counter medication: Antacids can help with stomach pain and heartburn. Anti-diarrheal medication can help with diarrhea. However, you should consult with a healthcare provider before starting any new medication.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Unintentional weight loss
  • Persistent vomiting or diarrhea
  • Signs of dehydration, such as dark urine, dry mouth, and feeling lightheaded when standing up

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What could cause chronic gastrointestinal symptoms like severe stomach pain, nausea, and vomiting?

Chronic gastrointestinal symptoms such as severe stomach pain, nausea, and vomiting can be caused by conditions like gastroenteritis, irritable bowel syndrome (IBS), gastroparesis, peptic ulcers, or gallstones. Each of these conditions affects the digestive system differently and requires a healthcare provider's diagnosis for appropriate treatment.


Why might someone experience dark or green stools and what does it indicate?

Dark or green stools can be caused by a variety of factors, including dietary choices (such as consuming green leafy vegetables or food coloring), rapid transit time through the intestines, or bile presence. However, persistent dark stools, especially if black, may indicate bleeding in the gastrointestinal tract and should be evaluated by a healthcare provider.


What dietary changes can help manage symptoms of gastrointestinal disorders?

Dietary changes that can help manage gastrointestinal symptoms include eating small, frequent meals, avoiding trigger foods like greasy, fried foods and dairy, and following a bland diet such as the BRAT diet (bananas, rice, applesauce, toast). Staying hydrated and avoiding caffeine and alcohol can also be beneficial.


When should someone with gastrointestinal symptoms seek immediate medical attention?

Immediate medical attention should be sought if someone with gastrointestinal symptoms experiences severe abdominal pain, blood in vomit or stool, unintentional weight loss, persistent vomiting or diarrhea, or signs of dehydration such as dark urine, dry mouth, and feeling lightheaded when standing up.


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