[23M] Experiencing sudden onset of fatigue, diarrhea, sulfur burps, and headache

Patient Description

A 23-year-old male reports sudden onset of severe fatigue, watery diarrhea, sulfur burps, and a mild headache that started approximately 15 hours ago. The fatigue is significant, making it a chore to stand up and is exacerbated by work, but somewhat alleviated by sleep. The patient has also been experiencing chills but no fever. The headache is constant, located at the base of the neck, and is a new symptom for the patient. The sulfur burps are frequent, occurring every 10 minutes and have an unpleasant taste. The patient has a history of mononucleosis and COVID-19, which presented with similar symptoms. Currently, the patient is taking Escitalopram 20mg and has no known drug allergies. There is no recent history of severe abdominal pain, persistent vomiting, dizziness, lightheadedness, or signs of dehydration.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines that can cause symptoms like diarrhea, nausea, and abdominal cramps. It's often caused by a viral or bacterial infection. The sulfur burps could be due to the presence of certain bacteria in your stomach.

    • Treatment usually involves rest, hydration, and eating bland foods when you're able to tolerate them. Antibiotics may be necessary if the cause is bacterial.
  • Food poisoning: This occurs when you eat food that's contaminated with bacteria, viruses, or parasites. Symptoms can start within a few hours of eating the contaminated food and can include diarrhea, nausea, and fatigue.

    • Treatment is similar to gastroenteritis: rest, hydration, and bland foods.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like cramping, abdominal pain, bloating, gas, diarrhea, and constipation. Stress and certain foods can trigger symptoms.

    • Treatment involves long-term management of the condition, which can include dietary changes, medication, and stress management.
  • 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 diarrhea, fatigue, and abdominal pain.

    • Treatment involves long-term management of the condition, which can include medication, dietary changes, and sometimes surgery.

Please note that these are potential causes based on your symptoms, but you should see a healthcare professional for a formal diagnosis and treatment.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Stay hydrated: Diarrhea can cause you to lose fluids and electrolytes, which can lead to dehydration. Make sure to drink plenty of fluids, especially water and broths. Avoid alcohol and caffeine, as they can worsen dehydration.

  2. Rest: Fatigue can be your body's way of telling you to slow down and rest. Make sure to get plenty of sleep and take it easy.

  3. Eat a bland diet: When you're able to tolerate food, start with bland foods like rice, bananas, and toast. Avoid spicy, fatty, or high-fiber foods until your symptoms improve.

  4. Over-the-counter medication: Over-the-counter medication like loperamide (Imodium) can help manage diarrhea. However, you should consult with a healthcare professional before starting any new medication.

What you should look out for

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

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (over 102°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Diarrhea that lasts more than three days

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are sulfur burps and what causes them?

Sulfur burps are burps that have a foul smell similar to rotten eggs, caused by hydrogen sulfide gas. They can be due to certain foods, infections, or digestive disorders.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning have similar symptoms like diarrhea and nausea. Gastroenteritis is often viral, while food poisoning is due to contaminated food. The onset of symptoms in food poisoning is usually quicker, within hours of eating.


What are the signs of dehydration I should watch out for?

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


When should I seek medical attention for diarrhea?

You should seek medical attention for diarrhea if you experience severe abdominal pain, blood in your stool, high fever, signs of dehydration, or if diarrhea lasts more than three days.


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