[20F] Experiencing gastrointestinal and flu-like symptoms

Patient Description

A 20-year-old female presents with a 5-day history of unusual smelling urine, crampy abdominal pain, diarrhea, nausea, headache, fatigue, body aches, and intermittent hot flashes and chills. The abdominal pain is described as crampy, rated currently at 3/10 in severity, and does not localize to one side or worsen with any particular action. The patient also reports that the diarrhea has been persistent over the same duration but has now progressed to a point where defecation is attempted but not productive. The stool is described as yellow, flaky, and long. Previously, the patient experienced fever and chills, but these are not currently present. The patient denies pregnancy.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Gastroenteritis: Often referred to as the stomach flu, gastroenteritis is inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms can include diarrhea, nausea, abdominal pain, and sometimes fever and chills.

    • Treatment usually 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 cramping, abdominal pain, bloating, gas, diarrhea or constipation, or both.

    • Treatment often includes dietary changes, medication, and managing stress.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. A UTI might explain the change in the smell of your urine.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.

Remember, these are just possibilities and not a definitive diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids like water, broth, or oral rehydration solutions. Avoid alcohol, coffee, and other caffeinated drinks, as they can lead to dehydration.
  2. Rest: Your body needs energy to fight off the virus. Getting enough sleep can help you recover.
  3. Over-the-counter medication: Over-the-counter medication can help manage symptoms like diarrhea and abdominal pain. Always follow the instructions on the package.
  4. Monitor your symptoms: If your symptoms persist or get worse, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.5 F)
  • Signs of dehydration, such as dark urine, dry skin, thirst, and less frequent urination

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What could cause unusual smelling urine?

Unusual smelling urine can be caused by a variety of factors, including dehydration, certain foods, medications, or infections such as a urinary tract infection (UTI). If the smell persists, it is advisable to consult a healthcare professional.


How can I differentiate between gastroenteritis and IBS?

Gastroenteritis typically presents with sudden onset of symptoms like diarrhea, nausea, vomiting, and abdominal pain, often accompanied by fever and chills, and is usually short-lived. IBS, on the other hand, is a chronic condition characterized by recurrent abdominal pain and changes in bowel habits, such as diarrhea or constipation, without an underlying infection.


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain in women. If you suspect a UTI, it's important to see a doctor for diagnosis and treatment.


When should I seek medical attention for abdominal pain and diarrhea?

You should seek medical attention if you experience severe abdominal or rectal pain, blood in your stool or black, tarry stools, a high fever (above 101.5 F), or signs of dehydration such as dark urine, dry skin, thirst, and less frequent urination. Persistent or worsening symptoms also warrant a visit to a healthcare provider.


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