[19F] Experiencing crampy stomachache and persistent watery diarrhea

Patient Description

A 19-year-old female has been experiencing a crampy stomachache and persistent watery diarrhea for approximately 5-6 days, which began after returning from a flight. The abdominal pain is localized just above the pubic hairline and is severe, rated an 8 out of 10 in intensity. The patient has tried Pepto-Bismol, healthier foods, and electrolytes without relief. Initially, there were fever and chills, but these symptoms have since subsided. The diarrhea occurs up to seven times a day and is not triggered by specific foods, though the color changes with food intake. The patient has a recent history of international travel within the last month.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: Also known as the stomach flu, this condition is often caused by a viral or bacterial infection. It can cause diarrhea, stomach cramps, and sometimes fever and vomiting. The fact that your symptoms started after a flight could suggest that you picked up an infection while traveling.

    • Treatment usually involves rest, hydration, and eating bland foods until the infection clears.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. However, IBS usually doesn't cause changes in stool color or consistency.

    • Treatment often involves long-term lifestyle adjustments.
  • Food poisoning: This is an illness caused by eating contaminated food. Symptoms can start within hours of eating the contaminated food and can include diarrhea, stomach cramps, and vomiting.

    • Treatment usually involves rest, hydration, and avoiding the offending food.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose a lot of water and electrolytes. Drink plenty of fluids, such as water or electrolyte solutions. Avoid caffeine and alcohol, as they can dehydrate you.

  2. Eat bland foods: When you feel ready to eat solid foods, start with bland foods like rice, crackers, or bananas.

  3. Rest: Your body needs energy to fight off the infection. Getting rest will help.

  4. Over-the-counter treatments: There are over-the-counter medicines that can help with symptoms of diarrhea and stomach cramps. However, these should not be used for more than a couple of days without talking to a doctor.

What you should look out for

If your symptoms continue for more than a week, or if you have any of the following symptoms, you should seek medical attention:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.3°F)
  • Signs of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of gastroenteritis after international travel?

Common causes of gastroenteritis after international travel include viral infections like norovirus or rotavirus, bacterial infections such as E. coli or Salmonella, and sometimes parasitic infections. These can be contracted through contaminated food, water, or surfaces.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as diarrhea and stomach cramps. However, food poisoning often occurs shortly after consuming contaminated food and may include vomiting. Gastroenteritis can be viral or bacterial and may not be linked to a specific meal.


What are the signs of dehydration to watch out for when experiencing diarrhea?

Signs of dehydration include dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, and lightheadedness. It's important to stay hydrated by drinking fluids and electrolyte solutions.


When should I seek medical attention for persistent diarrhea and stomach cramps?

You should seek medical attention if your symptoms persist for more than a week, if you experience severe abdominal or rectal pain, blood in your stool, black or tarry stools, a high fever above 101.3°F, or signs of severe dehydration.


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