[20M] With abdominal pain, itching, and other symptoms

Patient Description

A 20-year-old male has been experiencing several symptoms over the past couple of days. These include itching around the stomach and chest, described as tingling and a little burning, with no visible changes on the skin and no relief from any measures. He also reports mild abdominal pain (rated 1 out of 10) and a sore throat that feels swollen, both present for 2 days. Additionally, he has headaches located at the back of his head, described as a mild ache (rated 3 out of 10), which gets worse when he shakes his head violently. The patient also mentions neck pain and frequent bowel movements with diarrhea, described as little and long pieces with a normal light brown color. There are no associated symptoms of nausea, vomiting, fever, chills, or blood in the stool. The patient has not had any recent changes in diet, travel history, or started any new medications or supplements. He has a history of anxiety, diagnosed in middle school, and is currently taking Tylenol for his symptoms. He has a known allergy to cats.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include abdominal pain, diarrhea, and sometimes a mild fever. The itching and tingling sensation around your stomach and chest could be due to irritation or an allergic reaction to something you ate or came into contact with.

    • Treatment: Gastroenteritis usually resolves on its own within a few days. Staying hydrated and resting are key. Over-the-counter medications can help manage symptoms.
  • Food Intolerance or Allergy: Sometimes, certain foods can cause gastrointestinal symptoms like diarrhea and abdominal pain. The itching and tingling could be related to an allergic reaction, even if you haven't identified a specific trigger.

    • Treatment: Identifying and avoiding the offending food is crucial. Keeping a food diary can help pinpoint the cause.
  • Anxiety: Given your history of anxiety, it's possible that stress or anxiety could be contributing to your gastrointestinal symptoms and headaches. Anxiety can sometimes manifest with physical symptoms like stomach pain, diarrhea, and headaches.

    • Treatment: Managing anxiety through relaxation techniques, therapy, or medication can help alleviate these symptoms.
  • Viral Pharyngitis: The swollen feeling in your throat could be due to a viral infection, which can also cause mild systemic symptoms like headaches and neck pain.

    • Treatment: Viral infections usually resolve on their own. Staying hydrated and using over-the-counter pain relievers can help manage symptoms.

What you can do

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

  1. Stay Hydrated: Drink plenty of fluids, especially if you are experiencing diarrhea. Oral rehydration solutions can help maintain electrolyte balance.
  2. Rest: Give your body time to heal by getting plenty of rest.
  3. Monitor Your Diet: Keep a food diary to track what you eat and any symptoms that follow. This can help identify any potential food intolerances or allergies.
  4. Over-the-Counter Medications: Use over-the-counter medications like antacids for stomach pain, antihistamines for itching, and pain relievers for headaches.
  5. Manage Anxiety: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety.
  6. Use MDandMe: Journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider using MDandMe.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Abdominal Pain: If your abdominal pain becomes severe or is accompanied by vomiting, seek medical attention.
  • High Fever: If you develop a fever over 100.4°F or experience chills, it could indicate an infection that needs medical treatment.
  • Blood in Stool: If you notice blood in your stool, seek medical attention immediately.
  • Difficulty Breathing: If the swelling in your throat worsens or you have difficulty breathing, seek emergency medical care.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What are the common causes of itching and tingling sensations around the stomach and chest?

Itching and tingling sensations around the stomach and chest can be caused by allergic reactions, skin irritation, or even anxiety. It's important to identify any potential allergens or irritants and avoid them.


How can anxiety contribute to physical symptoms like headaches and gastrointestinal issues?

Anxiety can manifest physically, leading to symptoms such as headaches, stomach pain, and diarrhea. Stress can affect the body's digestive system and increase muscle tension, contributing to these symptoms.


What are the typical symptoms and treatments for viral pharyngitis?

Viral pharyngitis is an inflammation of the throat caused by a viral infection. Symptoms include a sore throat, swollen feeling, and sometimes mild systemic symptoms like headaches. Treatment involves rest, hydration, and over-the-counter pain relievers.


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

You should seek medical attention for diarrhea and abdominal pain if the pain becomes severe, if you experience vomiting, high fever, or if there is blood in your stool. These could indicate a more serious condition that requires medical evaluation.


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