[20F] With persistent diarrhea post-food poisoning

What might be happening

Based on the information you have provided, a possible unifying diagnosis is:

• Post-Infectious Irritable Bowel Syndrome (IBS): This condition can develop after an episode of food poisoning or gastroenteritis. It is characterized by chronic diarrhea, abdominal cramps, and changes in bowel habits. The symptoms you describe, such as frequent diarrhea, stomach cramps, and nausea, are consistent with this condition.

  • Treatment: Management typically involves dietary changes, such as avoiding trigger foods (like red sauces and juices in your case), increasing fiber intake, and staying hydrated. Medications to manage symptoms, such as antidiarrheals or antispasmodics, may also be prescribed by a doctor.

• Persistent Gastroenteritis: Sometimes, the infection that caused the initial food poisoning can linger, leading to prolonged symptoms. This can be due to bacterial, viral, or parasitic infections.

  • Treatment: This may involve antibiotics if a bacterial infection is suspected, or other specific treatments depending on the cause. A doctor may order stool tests to identify the exact pathogen.

• Food Intolerance or Sensitivity: It's possible that the food poisoning episode has triggered a sensitivity to certain foods, leading to ongoing symptoms when these foods are consumed.

  • Treatment: Identifying and avoiding trigger foods is key. Keeping a food diary can help pinpoint which foods exacerbate your symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Stay Hydrated: Drink plenty of fluids, such as water, oral rehydration solutions, or clear broths, to prevent dehydration. Avoid caffeinated and alcoholic beverages.
2. Dietary Adjustments: Try to avoid foods that seem to trigger your symptoms, such as red sauces and juices. Opt for bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet).
3. Rest: Ensure you get plenty of rest to help your body recover.
4. Over-the-Counter Medications: Consider using over-the-counter medications like loperamide (Imodium) for diarrhea, but consult a healthcare provider before starting any new medication.
5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and get insights. This can be very helpful for your healthcare provider to understand your condition better.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Dehydration: Signs include extreme thirst, dry mouth, little or no urination, dizziness, or lightheadedness.
• Blood in Stool: This could indicate a more serious underlying condition.
• High Fever: A temperature over 100.4°F (38°C) could suggest a more severe infection.
• Severe Abdominal Pain: Especially if it is persistent or worsening.
• Unexplained Weight Loss: This could be a sign of a more serious condition.

Remember, while this advice can help manage your symptoms, it is not a substitute for professional medical care. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.