[19F] Experiencing fatigue and diarrhea

Patient Description

A 19-year-old female reports experiencing significant fatigue, described as a 9 out of 10 in severity, that has been gradually worsening over the course of a week. The fatigue is so severe that it impacts her ability to perform daily activities and is exacerbated by taking a shower. Alongside fatigue, the patient has been experiencing loose stools approximately four times a day for the past two days. There has been no significant weight change recently, and no specific food triggers for the diarrhea have been identified. The patient has not mentioned any other symptoms, medical history, or current medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Viral Gastroenteritis: Also known as the stomach flu, this condition can cause diarrhea and fatigue. It's usually caused by a viral infection and resolves on its own within a few days.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like diarrhea, abdominal pain, and fatigue.

    • Treatment usually focuses on long-term management of symptoms and may include dietary changes, medication, and stress management.
  • Food Intolerances or Allergies: Certain food intolerances or allergies can cause diarrhea and fatigue. Common culprits include lactose, gluten, and certain types of carbohydrates (FODMAPs).

    • Treatment involves identifying and avoiding the offending foods.

Please remember that these are just possibilities and not a definitive diagnosis. You should consult a healthcare professional for a proper evaluation.

What you can do

While waiting for a medical appointment, you can:

  1. Keep a food diary to track what you eat and how it affects your symptoms. This can help identify any potential food triggers.
  2. Stay hydrated. Diarrhea can lead to dehydration, so it's important to drink plenty of fluids. Water, broth, or rehydration solutions are good options.
  3. Rest. Fatigue can be your body's way of telling you it needs to recover, so make sure you're getting enough sleep and taking it easy when you can.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.3°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Persistent vomiting
  • Diarrhea that lasts more than 3 days

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are common causes of severe fatigue and diarrhea in young adults?

Common causes of severe fatigue and diarrhea in young adults include viral infections like gastroenteritis, irritable bowel syndrome (IBS), and food intolerances or allergies. It's important to consult a healthcare provider for an accurate diagnosis.


How can I manage symptoms of viral gastroenteritis at home?

To manage symptoms of viral gastroenteritis at home, ensure you stay hydrated by drinking plenty of fluids, get plenty of rest, and consider over-the-counter medications to alleviate symptoms. Avoid caffeine, alcohol, and dairy products until you feel better.


What dietary changes can help with managing IBS symptoms?

For managing IBS symptoms, dietary changes such as following a low-FODMAP diet, increasing fiber intake, and avoiding trigger foods like caffeine, alcohol, and fatty foods can be helpful. It's best to work with a healthcare provider or dietitian to tailor a plan to your needs.


When should I seek medical attention for diarrhea and fatigue?

You should seek medical attention if you experience severe abdominal pain, blood in your stool, high fever, signs of dehydration, persistent vomiting, or if diarrhea lasts more than three days. These could indicate a more serious condition requiring medical intervention.


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