[23M] Experiencing sharp and cramping stomach pain with associated symptoms

Patient Description

A 23-year-old male has been experiencing sharp and cramping stomach pain on the bottom left side of the abdomen for over a year. The pain is severe, rated 9 out of 10, and is relieved by vomiting and bowel movements. The patient also suffers from diarrhea, which is hard to pass and occurs alongside the cramps. The diarrhea is sometimes triggered by dairy and liquor but can also be spontaneous. Vomiting occurs approximately once a week and can continue until bile is expelled. The patient has been experiencing chills but no fever. The frequency, duration, and intensity of the abdominal pain have increased over time. The patient is currently taking Sertraline 200 mg and Bupropion HCL XL 150 mg, with no known drug allergies or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can cause stomach pain, vomiting, and diarrhea. It's often accompanied by a fever, but not always.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is the cause.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. IBS is a chronic condition that you'll need to manage long term.

    • Treatment typically involves changes in diet, lifestyle, and stress management. Some people with IBS find it helpful to work with a dietitian to identify healthy food choices that won't trigger symptoms. In some cases, medication or counseling is recommended.
  • Inflammatory Bowel Disease (IBD): This is a term for two conditions (Crohn's disease and ulcerative colitis) that are characterized by chronic inflammation of the digestive tract. Symptoms can include severe diarrhea, pain, fatigue, and weight loss. IBD can be debilitating and sometimes leads to life-threatening complications.

    • Treatment usually involves drug therapy or surgery.
  • Gastritis: This is an inflammation of the stomach lining. The inflammation can be caused by certain medications, drinking too much alcohol, long-term stress, or a bacterial infection. Symptoms can include a burning pain in your upper stomach, nausea, and vomiting.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, avoiding hot and spicy foods, and abstaining from alcohol and cigarettes.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis.

What you can do

While you should definitely seek medical attention to get a proper diagnosis and treatment, here are some things you can do in the meantime:

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose a lot of fluids and electrolytes, which can lead to dehydration. Make sure you're drinking enough fluids. Water is good, but adding broth or drinks with electrolytes can be beneficial.

  2. Eat a bland diet: Try eating bland, easy to digest foods like rice, bananas, and toast. Avoid foods that are high in fiber (like whole grains and most fruits and vegetables), as well as spicy foods, alcohol, and coffee.

  3. Rest: Your body needs energy to fight off the virus and recover. Make sure you're getting plenty of sleep and taking it easy.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Blood in your stool or vomit
  • Severe abdominal pain
  • Signs of dehydration, such as not peeing very often, having very dark yellow pee, feeling dizzy when you stand up, or feeling very thirsty
  • Diarrhea or vomiting that lasts more than a few days
  • Unexplained weight loss

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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1 yr ago

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

People Also Ask


What are the common triggers for Irritable Bowel Syndrome (IBS) and how can they be managed?

Common triggers for IBS include certain foods (like dairy, caffeine, and fatty foods), stress, and hormonal changes. Managing these triggers often involves dietary adjustments, stress management techniques, and sometimes medication. Working with a dietitian can help identify specific food triggers.


How can one differentiate between symptoms of IBS and Inflammatory Bowel Disease (IBD)?

IBS and IBD can have overlapping symptoms like abdominal pain and diarrhea, but IBD often includes more severe symptoms such as blood in the stool, weight loss, and fatigue. IBD is also associated with inflammation visible in diagnostic tests, whereas IBS does not cause inflammation.


What dietary changes can help alleviate symptoms of gastritis?

To alleviate symptoms of gastritis, it is recommended to eat smaller, more frequent meals, avoid spicy and acidic foods, limit alcohol and caffeine intake, and avoid smoking. Including foods that are easy on the stomach, like bananas, rice, and oatmeal, can also help.


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

Signs of dehydration include infrequent urination, dark yellow urine, dizziness, dry mouth, and feeling very thirsty. It's important to drink plenty of fluids, and in cases of severe dehydration, seek medical attention.


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