[20M] With acute gastrointestinal distress and associated symptoms

Patient Description

A 20-year-old male reports acute onset of intense, sharp, and crampy stomach pain rated 9 out of 10, which started a few minutes after eating French toast and has progressively worsened. Accompanying symptoms include nausea with a feeling of impending vomiting, a mild fever of 99.5°F, chills, a moderate wet cough, and liquid bowel movements. The patient also notes generalized stomach sensitivity to light touch, tachycardia that is palpable throughout the body and ears, and associated chest pain. The patient has tested negative for COVID-19. No relief from symptoms has been reported with intake of water or other interventions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause symptoms like stomach pain, nausea, vomiting, and diarrhea. Your fever and chills could also be related to this condition.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Food poisoning: This occurs when you eat food that has been contaminated with harmful bacteria, viruses, or parasites. Symptoms can start within hours of eating the contaminated food and can include stomach pain, vomiting, diarrhea, fever, and chills.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Gastritis: This is an inflammation of the stomach lining, which can cause pain, nausea, and vomiting. It can be caused by various factors, including certain medications, excessive alcohol consumption, and infections.

    • Treatment typically involves medications to reduce stomach acid and possibly antibiotics if an infection is present.

Please note that these are possibilities based on the symptoms you've described, and only a healthcare professional can provide a definitive diagnosis.

What you can do

Here are some general suggestions that may help you feel better:

  1. Rest and stay hydrated. Drink small sips of water or suck on ice chips if you're having trouble keeping fluids down.
  2. Avoid eating solid food until your vomiting stops. Then try eating small amounts of bland foods, like rice, applesauce, or crackers.
  3. Over-the-counter medications like Pepto-Bismol or Imodium can help with diarrhea and stomach upset. Be sure to follow the package instructions.
  4. If you have a fever, over-the-counter medications like acetaminophen or ibuprofen can help reduce your temperature and make you more comfortable.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • Symptoms that last more than a few days or get worse
  • Dehydration symptoms, such as extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

People Also Ask


What are the common causes of acute stomach pain after eating?

Common causes of acute stomach pain after eating include food poisoning, gastroenteritis, gastritis, and sometimes food intolerances or allergies. It's important to consider recent dietary changes or consumption of potentially contaminated food.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as stomach pain, nausea, vomiting, and diarrhea. However, food poisoning often occurs suddenly after consuming contaminated food, while gastroenteritis can develop more gradually and may be caused by a viral or bacterial infection.


What are the signs that indicate I should seek immediate medical attention for stomach pain?

You should seek immediate medical attention if you experience severe abdominal pain, blood in vomit or stool, symptoms that persist or worsen over several days, or signs of dehydration such as extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness.


What home remedies can help alleviate symptoms of stomach pain and nausea?

Home remedies for stomach pain and nausea include resting, staying hydrated with small sips of water or ice chips, avoiding solid foods until vomiting stops, and then consuming bland foods like rice or crackers. Over-the-counter medications like Pepto-Bismol or Imodium can also help manage symptoms, but it's important to follow package instructions.


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