[23F] Experiencing severe abdominal discomfort, diarrhea, and vomiting

Patient Description

A 23-year-old female reports severe abdominal discomfort, diarrhea, bloating, hypersalivation, and one episode of vomiting over the past 2 days. The abdominal pain is described as a dull ache with pressure around the front, severe in the lower abdomen and mid-back. The patient has experienced four episodes of diarrhea in the last 45 minutes, consisting of liquid and mucus with large chunks of undigested food. The bloating is significant in the stomach region, and the patient has had a decrease in appetite over the past 24 hours. There has been one episode of vomiting, occurring 10 minutes ago, consisting of liquid and undigested food, last eaten 8 hours prior. The patient also reports lightheadedness and shaking following the vomiting episode. No recent travel, injuries, or accidents were reported. The patient denies the presence of blood in stool or vomit and has not experienced any recent weight loss.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms typically include diarrhea, vomiting, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be necessary if a bacterial infection is identified.
  • Irritable Bowel Syndrome (IBS): This is a chronic disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment typically involves long-term dietary changes and stress management. Medications may be prescribed to manage symptoms.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms, which include diarrhea, vomiting, and stomach cramps, typically start within a few hours after eating the contaminated food.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. In severe cases, medical treatment may be necessary.
  • Peptic Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine or esophagus. Symptoms include burning stomach pain, feeling of fullness, bloating or belching, and intolerance to fatty foods.

    • Treatment typically involves medications to decrease stomach acid. If caused by a bacterial infection, antibiotics may be necessary.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose a lot of fluids and electrolytes quickly, which can lead to dehydration. Try to drink small sips of water, clear broths, or rehydration drinks.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting enough sleep can boost your immune system and help you recover more quickly.

  3. Avoid certain foods: Until you feel better, avoid dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods.

  4. Over-the-counter medication: Over-the-counter medication can help manage your symptoms. However, these should not be taken without consulting a healthcare professional if you have bloody diarrhea or fever.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.3°F)
  • Signs of dehydration, such as dry mouth and throat, dizziness when standing up, or decreased urine output

Remember, I'm an artificial intelligence and this advice is based on the symptoms you've told me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.

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8 mo ago

People Also Ask


What are the common causes of severe abdominal discomfort and diarrhea?

Common causes of severe abdominal discomfort and diarrhea include infections like gastroenteritis, food poisoning, irritable bowel syndrome (IBS), and sometimes more serious conditions like peptic ulcers. It's important to consider recent dietary changes, stress, and any other symptoms you may be experiencing.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as diarrhea, vomiting, and abdominal pain. However, food poisoning symptoms often appear within hours of consuming contaminated food, while gastroenteritis symptoms can develop more gradually. A healthcare professional can help determine the cause based on your symptoms and history.


What are the signs of dehydration to watch out for when experiencing diarrhea and vomiting?

Signs of dehydration include dry mouth and throat, dizziness or lightheadedness, especially when standing up, decreased urine output, and dark-colored urine. It's important to stay hydrated by drinking fluids like water, clear broths, or rehydration drinks.


When should I seek medical attention for abdominal pain and digestive issues?

You should seek medical attention if you experience severe abdominal or rectal pain, blood in your stool or black, tarry stools, a high fever (above 101.3°F), or signs of severe dehydration. These symptoms could indicate a more serious condition that requires prompt medical evaluation.


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