[19F] Experiencing gastrointestinal distress with multiple symptoms

Patient Description

A 19-year-old female presents with acute onset of stomach cramps described as a severe stomach ache, nausea, vomiting, diarrhea, headache, and lightheadedness starting today. The patient reports that the consumption of solid foods and soup exacerbates her stomach cramps. Relief is obtained through the use of Pepto Bismol and water. There is no mention of fever or other systemic symptoms. The patient does not report any chronic medical conditions or recent changes in diet or medication prior to symptom onset.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: Also known as the stomach flu, this is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms can include stomach cramps, nausea, vomiting, and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms are similar to gastroenteritis and can start within hours of eating the offending food.

    • Treatment is similar to gastroenteritis: rest, hydration, and over-the-counter remedies.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, often accompanied by nausea and light sensitivity. Some people also experience stomach upset with migraines.

    • Treatment involves rest, hydration, and over-the-counter or prescription medications to manage the headache and associated symptoms.

What you can do

While you should seek care from a healthcare professional for a formal diagnosis and treatment, here are some things you can do in the meantime:

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

  2. Stay hydrated: Drink lots of fluids like water or oral rehydration solutions. Avoid caffeine and alcohol as these can dehydrate you.

  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: You can take over-the-counter medication like Pepto-Bismol or Imodium to help control your symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms persist for more than a few days
  • You have severe abdominal pain
  • You notice blood in your stool or vomit
  • You become dehydrated (symptoms of dehydration include extreme thirst, dry mouth, deep yellow urine or little or no urine, and severe weakness, dizziness or lightheadedness)

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 appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include stomach cramps, nausea, vomiting, diarrhea, and sometimes fever. It is often caused by a viral or bacterial infection.


How can I differentiate between food poisoning and gastroenteritis?

Food poisoning and gastroenteritis have similar symptoms, but food poisoning often occurs after eating contaminated food and symptoms can appear within hours. Gastroenteritis can be viral and spread from person to person.


What are some effective home remedies for managing nausea and vomiting?

Effective home remedies for managing nausea and vomiting include staying hydrated with clear fluids, eating bland foods like crackers or rice, and using over-the-counter medications like Pepto-Bismol. Ginger tea or ginger ale can also help soothe the stomach.


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

You should seek medical attention if your symptoms persist for more than a few days, if you experience severe abdominal pain, notice blood in your stool or vomit, or show signs of dehydration such as extreme thirst, dry mouth, or severe weakness.


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