[24F] Experiencing hyper acidity and watery diarrhea

Patient Description

A 24-year-old female has been experiencing hyper acidity, severe abdominal pain, and watery diarrhea approximately six times per day since yesterday. She rates her heartburn as moderate (5/10) and reports bloating. Additionally, she feels dizzy but has not noticed any blood in her stool, fever, or chills. She has not recently traveled, consumed alcohol, used recreational drugs, or started new medications. The patient has no known drug allergies, no pre-existing conditions, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can lead to diarrhea, stomach pain, and vomiting. Dehydration from frequent diarrhea can cause dizziness.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if the cause is bacterial.
  • Gastritis: This is an inflammation of the stomach lining, which can cause pain, nausea, and vomiting. It can be caused by various factors, including long-term use of certain pain relievers, infection with the bacterium H. pylori, and excessive alcohol consumption.

    • Treatment often involves medications to decrease stomach acid, which can help speed recovery.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment often involves long-term management of diet, lifestyle changes, and stress management.

Please note that these are possible diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  • Stay hydrated: Diarrhea can lead to dehydration, which may be causing your dizziness. Drink plenty of fluids, preferably water or rehydration solutions available at pharmacies.
  • Eat bland foods: When you can eat, choose bland foods like rice, bananas, and toast.
  • Avoid triggers: If certain foods make your symptoms worse, try to avoid them.
  • Over-the-counter remedies: Antacids can help with heartburn and medications like loperamide can help with diarrhea. Always follow the package instructions.
  • Rest: Your body needs energy to fight off an infection. Getting rest will help.

What you should look out for

  • If your symptoms persist for more than a few days or get worse
  • If you notice blood in your stool
  • If you become unable to keep down fluids
  • If your dizziness persists or you faint

Remember, you should seek care from a healthcare provider to receive a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of gastroenteritis?

Gastroenteritis is commonly caused by viral or bacterial infections. Viruses like norovirus and rotavirus are frequent culprits, while bacteria such as E. coli and Salmonella can also cause the condition. Contaminated food or water and close contact with an infected person are typical transmission routes.


How can I differentiate between gastritis and gastroenteritis?

Gastritis is primarily an inflammation of the stomach lining, often causing pain, nausea, and vomiting, while gastroenteritis involves inflammation of the entire digestive tract, leading to diarrhea and vomiting. Gastritis is often linked to factors like H. pylori infection or NSAID use, whereas gastroenteritis is usually due to infections.


What dietary changes can help manage symptoms of IBS?

For managing IBS, it is often recommended to follow a low-FODMAP diet, which involves reducing intake of certain carbohydrates that can cause bloating and gas. Increasing fiber intake, staying hydrated, and avoiding trigger foods like caffeine and fatty foods can also help manage symptoms.


When should I seek medical attention for diarrhea and abdominal pain?

You should seek medical attention if your symptoms persist for more than a few days, if you notice blood in your stool, if you are unable to keep down fluids, or if your dizziness persists or you faint. These could be signs of a more serious condition requiring medical intervention.


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