[20F] With persistent lower abdominal cramps and fatigue

What might be happening

Based on your symptoms, here are some possible explanations:

• Irritable Bowel Syndrome (IBS): This condition can cause abdominal cramps, bloating, and changes in bowel habits. Stress and certain foods can trigger symptoms.

  • Treatment often involves dietary changes, stress management, and sometimes medication.

• Gastroenteritis: Although your cramps started before the food poisoning, lingering effects could still be contributing to your symptoms.

  • Treatment usually includes staying hydrated and resting.

• Functional Dyspepsia: This is a common disorder that can cause bloating, abdominal pain, and loss of appetite.

  • Treatment may involve dietary changes and medications to reduce stomach acid.

• Medication Side Effects: While you haven't experienced side effects from fluoxetine before, it's possible for new symptoms to develop over time.

  • Discussing this with your doctor could help determine if your medication is contributing.

What you can do

• Dietary Adjustments: Try keeping a food diary to identify any potential triggers. Eating smaller, more frequent meals might help.
• Hydration: Ensure you're drinking plenty of water, especially if you experienced food poisoning recently.
• Relaxation Techniques: Stress can exacerbate symptoms, so consider activities like yoga or meditation.
• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

• Seek Medical Attention If:
  • Your symptoms worsen or become severe.
  • You experience significant weight loss or persistent vomiting.
  • You notice blood in your stool or develop a fever.

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