[23M] Experiencing acute gastrointestinal and flu-like symptoms

Patient Description

A 23-year-old male presents with acute onset of vomiting and watery diarrhea, both starting approximately 16 hours ago. The patient has vomited around 4 times in the past 24 hours, describing the vomit as a combination of watery and bile-like. There is no apparent trigger from specific foods. Additionally, the patient reports a dull, achy headache, sweating, and earlier episodes of chills, along with a slight fever. The patient denies any recent travel, blood in the vomit, or any other significant medical history provided during the encounter.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastroenteritis: Often referred to as the "stomach flu," gastroenteritis is inflammation of the stomach and intestines, usually due to a viral or bacterial infection. Symptoms often include vomiting, diarrhea, fever, and abdominal pain.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to alleviate symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms, which include vomiting, diarrhea, abdominal cramps, nausea, fever, and dehydration, usually begin within a few hours to a few days after eating the contaminated food.

    • Treatment usually involves rest and rehydration. Severe cases may require hospitalization.

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. Drink plenty of fluids such as water, broth, or oral rehydration solutions available at your local pharmacy. Avoid drinks that are high in sugar or caffeine.

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

  3. Eat light: If you can keep food down, stick to light, bland foods like rice, crackers, or bananas until your symptoms improve.

What you should look out for

Please seek immediate medical attention if you:

  • Have severe abdominal or rectal pain
  • Notice blood in your stool or vomit
  • Have symptoms of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Have a fever over 102°F (39°C)

Remember, I'm an AI 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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9 mo ago


People Also Ask


What are the common causes of gastroenteritis?

Gastroenteritis is commonly caused by viral infections such as norovirus or rotavirus, bacterial infections like Salmonella or E. coli, and sometimes by parasites. It can also be triggered by certain medications or food intolerances.


How can I tell if my symptoms are due to food poisoning?

Food poisoning symptoms often include nausea, vomiting, diarrhea, abdominal cramps, and sometimes fever. These symptoms typically appear within a few hours to a few days after consuming contaminated food. If you suspect food poisoning, consider recent meals and whether others who ate the same food are also ill.


What are the signs of dehydration I should watch for?

Signs of dehydration include excessive thirst, dry mouth, little to no urination, dark-colored urine, severe weakness, dizziness, or lightheadedness. It's important to stay hydrated, especially if experiencing vomiting and diarrhea.


When should I seek medical attention for vomiting and diarrhea?

You should seek medical attention if you experience severe abdominal or rectal pain, blood in your stool or vomit, symptoms of dehydration, or a fever over 102°F (39°C). These could indicate a more serious condition requiring medical intervention.

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