[22F] With diarrhea and severe stomach cramps

What might be happening

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

• Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. The presence of mucus in your stool and the fact that your symptoms worsen after eating are consistent with IBS.

  • Treatment: Management of IBS often involves dietary changes, stress management, and sometimes medications to relieve symptoms. A healthcare provider may recommend a low-FODMAP diet, which involves avoiding certain types of carbohydrates that can trigger symptoms.

• Inflammatory Bowel Disease (IBD): This includes conditions like Crohn's disease and ulcerative colitis. Given your family history of Crohn's disease, this is a possibility. Symptoms of IBD can include severe abdominal pain, diarrhea, weight loss, and mucus in the stool.

  • Treatment: Treatment for IBD typically involves medications to reduce inflammation and manage symptoms. In some cases, surgery may be necessary. A healthcare provider may also recommend specific dietary changes.

• Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include diarrhea, stomach cramps, and mucus in the stool. However, gastroenteritis usually comes on suddenly and is often accompanied by fever, which you do not have.

  • Treatment: Treatment usually involves staying hydrated and resting. In some cases, antibiotics may be necessary if a bacterial infection is present.

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 to manage your symptoms in the meantime:

1. Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to prevent dehydration.
2. Eat a Balanced Diet: Focus on eating small, frequent meals that are easy to digest. Avoid foods that are high in fat, spicy, or high in fiber, as these can exacerbate symptoms.
3. Keep a Symptom Journal: Use MDandMe to journal your symptoms, track your progress, and get insights. This can help you identify any potential triggers and provide useful information to your healthcare provider.
4. Manage Stress: Stress can worsen gastrointestinal symptoms. Practice relaxation techniques such as deep breathing, meditation, or yoga.
5. Over-the-Counter Medications: Consider using over-the-counter medications like anti-diarrheal agents (e.g., loperamide) or antispasmodics (e.g., peppermint oil) to manage symptoms, but consult a healthcare provider before starting any new medication.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe or Persistent Symptoms: If your symptoms do not improve or worsen over time.
• Blood in Stool: If you notice blood in your stool, seek medical attention immediately.
• Severe Dehydration: Signs of severe dehydration include dark urine, dizziness, and rapid heartbeat.
• High Fever: If you develop a fever (temperature over 100.4°F) or chills.

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