[20F] Experiencing severe abdominal pain and diarrhea

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 the second most common illness in the U.S. It causes diarrhea and can also cause symptoms such as abdominal cramps and pain.

  • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial cause is identified.

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea. The exact cause of IBS isn't known, but certain factors play a role, such as changes in the gut's muscles that can affect how well they move food through your digestive system.

  • Treatment of IBS typically involves long-term management of diet, lifestyle changes, and stress management. Medications may also be prescribed to help manage symptoms.

• Food Intolerance or Allergy: Certain foods might be triggering your symptoms. Common culprits include lactose, fructose, and gluten.

  • Treatment typically involves avoiding the offending food. An allergist or a dietitian may be able to help identify food triggers.

• Anxiety: Anxiety can cause a variety of physical symptoms, including digestive issues like diarrhea and abdominal cramping. Since you have a known history of anxiety, it's possible that your symptoms are at least partially related to this.

  • Treatment for anxiety-related digestive issues often involves managing the underlying anxiety. This could involve medication, therapy, lifestyle changes, or a combination of these.

What you can do

1. Stay hydrated: Diarrhea can cause dehydration, so it's important to drink plenty of fluids. Water is the best choice, but you can also sip on clear broths or eat popsicles.

2. Eat a bland diet: Foods like rice, bananas, and toast can be easier on your stomach.

3. Over-the-counter remedies: Anti-diarrheal medications can help with diarrhea, and antacids can help with stomach pain.

4. Rest: Your body needs energy to fight off any potential infection, so make sure you're getting plenty of sleep.

5. Keep a food diary: Write down what you eat and how you feel afterwards to see if you can identify any food triggers.

6. Seek medical attention: If your symptoms persist for more than a week, or if they get worse, you should see a doctor. They can perform tests to help determine the cause of your symptoms and suggest appropriate treatment.

What you should look out for

• Blood in your stool
• Severe abdominal pain
• High fever (over 101°F)
• Signs of dehydration, like dark urine, dry mouth, and feeling lightheaded when you stand up
• Unintentional weight loss

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.