[23M] Experiencing acute gastrointestinal symptoms with fever

Patient Description

A 23-year-old male presents with acute gastrointestinal symptoms including stomach cramps, frequent diarrhea, and vomiting. The patient reports experiencing waves of diarrhea up to 15 times a day, accompanied by vomiting episodes that occurred every hour for approximately 6 hours last night. The patient also mentions a slight fever and chills. There is no recent travel history or specific food identified as a trigger for these symptoms. No blood or mucus has been observed in the stools, and no changes in the color or consistency of the stools were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, the most likely diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and vomiting and is often called the "stomach flu."

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial cause is identified.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms, which include diarrhea, nausea, vomiting, and fever, typically begin within a few hours of eating the contaminated food.

    • Treatment usually involves rest and hydration. In some cases, antibiotics may be needed.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose a lot of fluids and lead to dehydration. Make sure to drink plenty of fluids. Water is good, but adding broth or drinks with electrolytes can help replace lost salts and sugars.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can give your body the rest it needs.

  3. Avoid certain foods: Dairy, fatty foods, high-fiber foods, or highly seasoned foods can make symptoms worse.

What you should look out for

You should seek immediate medical attention if you:

  • Have severe abdominal or rectal pain
  • Have bloody or black stools
  • Have a high fever (above 101.5 F)
  • Are showing signs of dehydration such as dry mouth, decreased urination, severe weakness, dizziness, or lightheadedness

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of gastroenteritis?

Gastroenteritis is commonly caused by viruses (such as norovirus or rotavirus), bacteria (like E. coli or Salmonella), or parasites. It can also result from consuming contaminated food or water.


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

Food poisoning symptoms typically start within a few hours to a day after consuming contaminated food and include nausea, vomiting, diarrhea, and sometimes fever. If symptoms align with recent food consumption, food poisoning is a likely cause.


What are the signs of dehydration to watch out for?

Signs of dehydration include dry mouth, decreased urination, dark-colored urine, severe weakness, dizziness, or lightheadedness. It's important to stay hydrated, especially when experiencing diarrhea and vomiting.


When should I seek medical attention for gastrointestinal symptoms?

You should seek medical attention if you experience severe abdominal or rectal pain, bloody or black stools, a high fever (above 101.5 F), or signs of severe dehydration such as dry mouth, decreased urination, or dizziness.

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