[22F] With abdominal cramps and diarrhea

Patient Description

A 22-year-old female has been experiencing mild abdominal cramps and watery diarrhea for the past three days. The pain is rated as a 3 out of 10 and is diffuse across the abdomen. The patient reports frequent bowel movements with brown, watery stools and slight nausea, but no vomiting, fever, chills, or signs of dehydration. There have been no recent changes in diet, travel, or contact with individuals with similar symptoms. The last menstrual period was over two months ago, but multiple pregnancy tests have been negative. The patient is currently taking Fluoxetine 20 mg and Wellbutrin XL (approximately 200 mg) once daily, and has been using Pepto-Bismol for symptom relief. There are no known allergies or chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms include diarrhea, cramps, and nausea. It usually resolves on its own within a few days.

    • Treatment typically involves staying hydrated and resting. Over-the-counter medications like Pepto-Bismol can help manage symptoms.

  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine, causing symptoms like cramping, diarrhea, and nausea. Stress and certain foods can trigger symptoms.

    • Management includes dietary changes, stress management, and sometimes medication.

  • Medication Side Effects: Sometimes, medications like Fluoxetine and Wellbutrin can cause gastrointestinal symptoms, including diarrhea and nausea.

    • Discussing with your doctor can help determine if your medications might be contributing to your symptoms.

What you can do

  • Stay Hydrated: Drink plenty of fluids like water or oral rehydration solutions to prevent dehydration.
  • Rest: Give your body time to recover by getting plenty of rest.
  • Diet: Try eating bland foods like bananas, rice, applesauce, and toast (the BRAT diet) to ease your stomach.
  • Track Symptoms: 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 you experience:

  • Severe abdominal pain or persistent vomiting
  • Signs of dehydration, such as dizziness or decreased urination
  • Blood in your stool or a high fever

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

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2 mo ago

People Also Ask

What are the common causes of mild abdominal cramps and watery diarrhea?

Common causes of mild abdominal cramps and watery diarrhea include viral or bacterial infections (gastroenteritis), food intolerances, stress, and side effects from medications. It's important to consider recent dietary changes, travel, or contact with sick individuals.

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

Gastroenteritis is usually acute, with symptoms like diarrhea and cramps resolving within a few days, often due to an infection. IBS is a chronic condition with recurring symptoms that can be triggered by stress or certain foods. A healthcare provider can help differentiate between the two based on symptom patterns and duration.

Can medications like Fluoxetine and Wellbutrin cause gastrointestinal symptoms?

Yes, medications like Fluoxetine and Wellbutrin can cause gastrointestinal symptoms such as diarrhea and nausea. If you suspect your medication is causing these symptoms, it's important to discuss this with your doctor.

What are the signs that I should seek medical attention for diarrhea and abdominal cramps?

You should seek medical attention if you experience severe abdominal pain, persistent vomiting, signs of dehydration (such as dizziness or decreased urination), blood in your stool, or a high fever. These could indicate a more serious condition requiring medical intervention.

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