[24F] Experiencing diarrhea, middle back pain, and severe nausea

Patient Description

A 24-year-old female presents with a 3-day history of diarrhea, middle back pain, and severe nausea rated 7 out of 10, which is persistent and not alleviated by any specific measures. The patient reports a sensation of constant need to vomit and has been feeling a bit dehydrated. She has not experienced any blood in stool, severe abdominal pain, high fever, lightheadedness, or fainting. The patient's last menstrual period began on February 16th, and she has not yet taken a pregnancy test, with her period not due for another 6 days. She denies any use of recreational drugs, alcohol, or prescription medications and reports no known drug allergies or family history of gastrointestinal or renal conditions. The patient has no known pre-existing conditions or chronic illnesses and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information provided, there are several possible conditions that could be causing your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause diarrhea, nausea, and dehydration. It usually resolves on its own within a few days.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your back or side, nausea, and sometimes diarrhea.

    • Treatment can range from pain management and drinking lots of water to flush out the stone, to medical procedures to remove or break up larger stones.
  • Pregnancy: Early pregnancy can cause nausea (often called "morning sickness"), and changes in hormones can also cause digestive issues like diarrhea. Back pain is also common in pregnancy due to changes in your body.

    • If you suspect you might be pregnant, taking a home pregnancy test is the first step. If positive, you should make an appointment with a healthcare provider for prenatal care.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose fluids quickly, so it's important to drink plenty of water. If you're finding it hard to keep water down, try taking small sips at regular intervals.

  2. Rest: Your body needs energy to fight off an infection. Get plenty of sleep and take it easy.

  3. Over-the-counter medication: There are medications available that can help manage diarrhea and nausea. Be sure to follow the instructions on the package.

  4. Take a pregnancy test: If there's a chance you could be pregnant, taking a test will help you know for sure.

Remember, while these tips can help manage your symptoms, they are not a substitute for professional medical advice.

What you should look out for

If your symptoms continue for more than a few days, or if they get worse, you should seek medical attention. Also, if you experience any of the following, you should seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your stool
  • Signs of severe dehydration, such as not urinating, extreme thirst, very dry mouth and throat, feeling dizzy when you stand up.

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

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10 mo ago

People Also Ask


What are the common causes of diarrhea and nausea in young adults?

Common causes of diarrhea and nausea in young adults include viral or bacterial infections (such as gastroenteritis), food poisoning, stress, and sometimes early pregnancy. It's important to consider recent dietary changes or exposure to others who are ill.


How can I tell if my back pain is related to kidney stones?

Back pain related to kidney stones is often severe and may be accompanied by nausea, vomiting, and sometimes blood in the urine. The pain is typically located in the side or back, below the ribs, and may radiate to the lower abdomen and groin.


What are the early signs of pregnancy that might cause nausea and back pain?

Early signs of pregnancy that might cause nausea and back pain include morning sickness, which can occur at any time of the day, and hormonal changes that can lead to digestive issues and back discomfort. A missed period is also a key indicator.


When should I seek medical attention for diarrhea and nausea?

You should seek medical attention for diarrhea and nausea if symptoms persist for more than a few days, worsen, or if you experience severe abdominal pain, blood in your stool, or signs of severe dehydration such as not urinating, extreme thirst, or dizziness when standing.


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