[19M] Experiencing diarrhea and abdominal distension affecting daily activities

Patient Description

A 19-year-old male reports experiencing watery diarrhea more than 8 times a day and abdominal distension, feeling as if he has eaten a lot even when he hasn't, for approximately one and a half months. These symptoms have significantly impacted his ability to participate in sports, particularly soccer, due to the fear of incontinence during play. The patient has not identified any specific food triggers and has not traveled recently. There have been no changes in diet, but there is an indication of increased stress levels. No weight changes, blood or mucus in stools, fever, or chills have been reported. The patient's stress levels have changed recently, which might be contributing to the symptoms.

Arora's Assessment

What might be happening

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

Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like diarrhea, abdominal cramping, bloating, and gas. Stress can often worsen these symptoms.
- Treatment typically involves lifestyle modifications, such as stress management, and changes in diet. Medications may also be prescribed to manage symptoms.
Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include diarrhea, abdominal pain, and bloating.
- Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.
Food Intolerances or Allergies: Certain foods may cause digestive symptoms. Common culprits include lactose, found in dairy products, and gluten, found in wheat and other grains.
- Treatment involves identifying and avoiding the offending foods.

What you can do

Try to identify any triggers for your symptoms. This could include certain foods or stress. Keeping a food and symptom diary may be helpful.
Stay hydrated. Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water.
Try over-the-counter remedies. Anti-diarrheal medications may help reduce your symptoms.
Consider seeking medical attention. If your symptoms persist, worsen, or significantly affect your life, it would be a good idea to see a healthcare provider.

What you should look out for

Seek immediate medical attention if you:

See blood in your stool
Have severe abdominal pain
Have a high fever
Are unable to keep fluids down due to vomiting
Have signs of dehydration, such as dry mouth, feeling very thirsty, or producing very little urine

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome