[21F] Experiencing severe stomach pain, bloating, and diarrhea

Patient Description

A 21-year-old female presents with severe, constant stomach ache and discomfort, described as an 8-9 out of 10 in pain severity. She reports sharp, stabbing pains occurring every few minutes, primarily centered in the stomach area. The patient has been experiencing these symptoms for approximately 4 days. Accompanying symptoms include constant bloating that does not subside, diarrhea with a grey-brown coloration, and a loss of appetite starting yesterday. She denies any relief from the pain. The patient recently traveled to Cabo, Mexico, from January 13th to 20th. No fever or chills reported. The patient has not noticed any specific dietary triggers, and the bloating is localized to the central lower abdomen. There has been no recent weight change observed.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as a stomach virus or stomach flu. Symptoms can include diarrhea, stomach pain, and bloating.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress. More severe symptoms might benefit from medication and counseling.
  • Gastritis: This is an inflammation of the stomach lining. The condition can be acute (happening suddenly) or chronic (happening over time). It can cause severe stomach pain and can cause your stool to become bloody or black (if the stomach lining is bleeding).

    • Treatment typically involves antacids and other medications to decrease stomach acid, and avoiding hot and spicy foods.

Please note that these are only potential explanations for your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help with your symptoms:

  1. Stay hydrated: Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol, caffeine, and high-sugar drinks, as they can make dehydration worse.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can give your body the rest it needs.

  3. Eat light: Try to eat when you feel up to it, but stick to light foods that are easy on your stomach like rice, crackers, bananas, and applesauce.

  4. Over-the-counter remedies: There are over-the-counter medications that can help with symptoms of diarrhea and bloating.

What you should look out for

If your symptoms worsen or you notice any of the following, seek medical attention immediately:

  • Blood in your stool or vomit
  • Black, tarry stools
  • High fever (above 101°F)
  • Signs of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness
  • Severe abdominal or rectal pain
  • Uncontrolled vomiting
  • Diarrhea that lasts more than 2 days

Remember, I'm an AI and this advice is based on the symptoms you told me. It's always a good idea to consult with a healthcare provider for an accurate diagnosis.

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10 mo ago

People Also Ask


What are the common causes of severe stomach pain and diarrhea after traveling?

Common causes of severe stomach pain and diarrhea after traveling include infections from bacteria, viruses, or parasites, often referred to as traveler's diarrhea. Consuming contaminated food or water is a typical source of these infections.


How can I differentiate between gastroenteritis and irritable bowel syndrome (IBS)?

Gastroenteritis is usually acute, with symptoms like diarrhea, stomach pain, and bloating appearing suddenly, often after exposure to a virus or bacteria. IBS is a chronic condition with symptoms that can include cramping, abdominal pain, and changes in bowel habits, often triggered by stress or certain foods.


What dietary changes can help alleviate symptoms of bloating and diarrhea?

To alleviate symptoms of bloating and diarrhea, consider eating light, bland foods such as rice, bananas, applesauce, and toast. Avoid dairy, caffeine, alcohol, and spicy or fatty foods, which can exacerbate symptoms.


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

Seek medical attention if you experience blood in your stool or vomit, black tarry stools, a high fever, signs of dehydration, severe abdominal or rectal pain, uncontrolled vomiting, or diarrhea lasting more than two days.


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