[20F] Experiencing severe gastrointestinal symptoms with dehydration

Patient Description

A 20-year-old female has been suffering from severe vomiting and diarrhea for the past 4 days. The vomiting is persistent, with an inability to keep food or liquids down, leading to bile vomiting or dry heaving in the mornings. The diarrhea is very watery, occurring 4-6 times daily, and has led to an accidental bowel movement during a vomiting episode. Accompanying these symptoms are muscle weakness, fatigue, and shortness of breath with exertion, which have been present for 3 days. The patient also reports dehydration, indicated by decreased urination and darker urine. There is no history of recent travel, pre-existing conditions, allergies, or medication use other than Hydroxizine for anxiety and acne comodone.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gastroenteritis: Often referred to as the "stomach flu," gastroenteritis is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms include diarrhea, vomiting, and stomach pain. Dehydration can occur if you're not able to keep liquids down.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. If symptoms persist, a doctor may prescribe medication to manage symptoms.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms, which include diarrhea, nausea, vomiting, and muscle aches, can start within hours of eating the contaminated food.

    • Treatment usually involves rest and hydration. Severe cases may require hospitalization.
  • Anxiety: Anxiety can cause a variety of physical symptoms, including nausea, diarrhea, and muscle weakness. Given your history of anxiety, it's possible that it could be contributing to your symptoms.

    • Treatment for anxiety often involves a combination of therapy and medication.

Please note that these are possibilities, not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Stay hydrated: Try to sip small amounts of water, clear broths, or rehydration drinks (like sports drinks or Pedialyte). These can help replenish lost fluids and electrolytes.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting enough sleep can boost your immune system and help you recover.

  3. Eat light: If you can keep food down, eat simple, bland foods like rice, crackers, or bananas.

  4. Over-the-counter medication: Over-the-counter anti-diarrheal medication or medication to relieve nausea and vomiting can help manage your symptoms. Always follow the instructions on the package.

  5. Seek medical attention: If your symptoms persist for more than a few days, or if you become severely dehydrated (symptoms include dark urine, dry skin, rapid heartbeat, or confusion), seek medical attention immediately.

What you should look out for

Here are some signs that you should seek medical attention immediately:

  • Blood in your vomit or stool
  • Severe abdominal pain
  • Signs of dehydration, like dark urine, dry skin, rapid heartbeat, or confusion
  • Persistent vomiting or diarrhea that lasts more than a few days
  • High fever (over 101°F)

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

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of severe vomiting and diarrhea?

Common causes of severe vomiting and diarrhea include gastroenteritis, food poisoning, and sometimes anxiety. These conditions can be triggered by viral or bacterial infections, contaminated food, or stress.


How can dehydration be prevented when experiencing vomiting and diarrhea?

To prevent dehydration, it's important to sip small amounts of fluids frequently, such as water, clear broths, or oral rehydration solutions like Pedialyte. Avoid caffeinated or alcoholic beverages as they can worsen dehydration.


When should someone seek medical attention for vomiting and diarrhea?

Medical attention should be sought if there is blood in vomit or stool, severe abdominal pain, signs of dehydration (such as dark urine, dry skin, rapid heartbeat, or confusion), persistent symptoms lasting more than a few days, or a high fever over 101°F.


Can anxiety cause physical symptoms like vomiting and diarrhea?

Yes, anxiety can manifest in physical symptoms, including nausea, vomiting, diarrhea, and muscle weakness. Managing anxiety through therapy, medication, or relaxation techniques can help alleviate these symptoms.


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