[22F] Experiencing nausea and diarrhea postprandially

Patient Description

A 22-year-old female reports experiencing nausea rated 6/10 in severity, occurring after meals and triggered by certain smells for the past few days. The patient has found some relief using nausea medication. Additionally, she reports diarrhea but no vomiting, blood in stool, high fever, or severe abdominal pain. Her medical history includes anxiety and bipolar disorder, diagnosed three years ago, and she is currently on fluoxetine (60 mg) and olanzapine (5 mg) with no side effects. There are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause nausea, vomiting, and diarrhea.

  • Food poisoning: This occurs when you eat food that is contaminated with bacteria, viruses, or parasites. Symptoms can start within hours of eating the contaminated food and can include nausea, vomiting, and diarrhea.

  • Side effects of medication: Both fluoxetine and olanzapine can cause gastrointestinal side effects, including nausea and diarrhea.

  • Anxiety: Anxiety can also cause physical symptoms, including nausea and diarrhea.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water. You can also drink oral rehydration solutions, which are available over the counter at most pharmacies.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting enough sleep can help your body recover.

  3. Eat small, light meals: If you can eat, try small amounts of bland foods like rice, bananas, or toast.

  4. Continue taking your medications: Unless advised otherwise by a healthcare professional, continue taking your prescribed medications.

What you should look out for

If your symptoms persist for more than a few days, or if you experience any of the following, seek medical attention immediately:

  • Severe abdominal or rectal pain
  • Blood in your stool or vomit
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • A high fever (over 101.5°F)

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


Can anxiety cause physical symptoms like nausea and diarrhea?

Yes, anxiety can cause a range of physical symptoms, including nausea, diarrhea, and other gastrointestinal issues. Stress and anxiety can affect the digestive system, leading to these symptoms.


What are some common side effects of fluoxetine and olanzapine?

Common side effects of fluoxetine can include nausea, diarrhea, dry mouth, and insomnia. Olanzapine may cause weight gain, drowsiness, and gastrointestinal issues like nausea and diarrhea. It's important to discuss any side effects with your doctor.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as nausea, diarrhea, and stomach cramps. However, food poisoning often occurs suddenly after eating contaminated food, while gastroenteritis can develop more gradually and may be caused by a virus or bacteria. A healthcare professional can help determine the cause based on your symptoms and history.


What should I do if my symptoms persist or worsen?

If your symptoms persist for more than a few days or worsen, or if you experience severe symptoms like high fever, blood in stool, or signs of dehydration, you should seek medical attention immediately. These could indicate a more serious condition that requires treatment.


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