[22M] Experiencing acute gastrointestinal symptoms with fever

Patient Description

A 22-year-old male presents with acute onset of upper and middle abdominal cramps, watery diarrhea, projectile vomiting, fever, clamminess, headache, lightheadedness, and body aches. The symptoms began yesterday and have intensified, with the abdominal cramps occurring in waves and most severe when the patient is moving. Relief is found through sleep and rest. The patient has been able to tolerate Gatorade, a popsicle, and saltines, but has a reduced appetite and is averse to the idea of food. No specific food or drink triggers have been identified. The patient has not traveled recently and has not had a Covid test since the onset of the fever. The fever developed within the last hour, and the patient is also experiencing burning eyes. No additional medical history or medication use has been reported.

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

Gastroenteritis: Commonly known as the stomach flu, this condition is often caused by a viral or bacterial infection. Symptoms typically include diarrhea, vomiting, stomach cramps, and sometimes fever and body aches.
- Treatment usually involves rest, hydration, and over-the-counter remedies for symptoms. In severe cases, prescription medication or hospitalization may be required.
Food Poisoning: This occurs when you eat food contaminated with bacteria, viruses, or parasites. Symptoms are similar to gastroenteritis and can start suddenly.
- Treatment is similar to gastroenteritis, with hydration and rest being key. In severe cases, medical attention may be necessary.
COVID-19: Given the current pandemic, it's important to consider COVID-19, which can cause a wide range of symptoms including fever, body aches, and gastrointestinal issues.
- If you suspect you have COVID-19, you should get tested and isolate yourself from others.

What you can do

Stay hydrated: This is especially important if you're experiencing diarrhea and vomiting, which can cause you to lose fluids quickly. Try to sip small amounts of water, broth, or electrolyte solutions regularly.
Rest: Your body needs energy to fight off the infection. Make sure you're getting plenty of sleep.
Over-the-counter medication: Over-the-counter medication can help with symptoms such as fever and body aches. Be sure to follow the instructions on the package.
Get tested for COVID-19: Given your symptoms and the current pandemic, it would be a good idea to get a COVID-19 test.

What you should look out for

You should seek immediate medical attention if you:

Have severe abdominal pain
Are vomiting so much that you cannot keep liquids down
Have bloody stools or vomit
Have a high fever (over 102°F)
Have symptoms that persist for more than a few days

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines