[19M] Experiencing abdominal pain with bloody stools

Patient Description

A 19-year-old male reports a constant dull ache throughout the stomach, with pain levels fluctuating between 1 and 7 out of 10. The patient has experienced increased frequency in bowel movements, with up to 7 episodes within an hour, and has had one instance of bright red blood present in the stool, separate from the feces. The patient notes some relief from symptoms when in a warm bath. There is no reported fever or chills, but the patient feels hot while appearing cold to others. The patient has been feeling generally tired and has some nausea without vomiting. There is no reported weight loss, lightheadedness, or fainting. The patient has used marijuana but is not on any medications and has no known allergies or adverse reactions to medications. There is no known family history of gastrointestinal diseases. No other significant medical history was reported.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and highly infectious. Symptoms can include diarrhea, stomach pain, nausea, and sometimes vomiting.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial cause is identified.
  • Inflammatory Bowel Disease (IBD): This is a term for two conditions (Crohn's disease and ulcerative colitis) that are characterized by chronic inflammation of the gastrointestinal (GI) tract. Symptoms can include diarrhea, abdominal pain, fatigue, and blood in the stool.

    • Treatment typically involves medication to reduce inflammation and prevent flare-ups. In some cases, surgery may be required.
  • Gastrointestinal bleeding: This could be a sign of a more serious condition, such as a peptic ulcer, diverticulosis, or colorectal cancer. The presence of bright red blood suggests the bleeding is occurring in the lower GI tract.

    • Treatment depends on the underlying cause and may include medication, endoscopic therapy, or surgery.

Please note that this is not an exhaustive list and other diagnoses are also possible.

What you can do

Given the presence of blood in your stool, it's important to seek medical attention as soon as possible. This is not a symptom that should be ignored. In the meantime, try to stay hydrated and eat bland, easy-to-digest foods.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe abdominal pain
  • Persistent vomiting
  • Signs of dehydration (such as dark urine, dry skin, or feeling dizzy when standing up)
  • Large amounts of blood or clots in your stool

Please remember that while I strive to provide accurate information, I am not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

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People Also Ask


What could cause bright red blood in the stool?

Bright red blood in the stool can be caused by conditions such as hemorrhoids, anal fissures, diverticulosis, or more serious conditions like colorectal cancer or inflammatory bowel disease. It indicates bleeding in the lower gastrointestinal tract.


How can I manage symptoms of gastroenteritis at home?

To manage symptoms of gastroenteritis at home, it is important to stay hydrated by drinking plenty of fluids, eat bland foods like rice, bananas, and toast, and rest. Over-the-counter medications may help with symptoms, but it's important to consult a healthcare provider if symptoms persist.


What are the differences between Crohn's disease and ulcerative colitis?

Crohn's disease can affect any part of the gastrointestinal tract from mouth to anus and often involves the entire thickness of the bowel wall. Ulcerative colitis, on the other hand, is limited to the colon and rectum and affects only the innermost lining of the colon. Both conditions involve chronic inflammation but have different patterns and areas of involvement.


When should I seek medical attention for gastrointestinal symptoms?

You should seek medical attention for gastrointestinal symptoms if you experience severe abdominal pain, persistent vomiting, signs of dehydration, or large amounts of blood or clots in your stool. These could indicate a more serious underlying condition that requires prompt medical evaluation.


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