[24M] Experiencing gastrointestinal and respiratory symptoms

Patient Description

A 24-year-old male is presenting with a moderate, dry cough that worsens when lying down, persisting for a week, and acute gastrointestinal symptoms including diarrhea with 5-6 very liquid, foul-smelling stools per day, changing in color from orange to dark green, lasting for 2 days. The patient reports cramp-like abdominal pain on the right side under the rib cage, rated 4 out of 10 in severity, and chills without fever. There is no recent travel, vomiting, signs of dehydration, unintended weight loss, night sweats, or severe/sharp abdominal pain that suddenly worsens. The patient has a family history of ulcerative colitis but no personal history of gastrointestinal diseases. There is a history of high blood pressure and heart disease, with no current medications or known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the digestive tract, usually caused by a viral or bacterial infection, that can lead to diarrhea, stomach pain, and fatigue. The color change in your stool could be due to the rapid transit of food through your digestive system.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea, and fatigue.

    • Treatment typically involves long-term management of diet, lifestyle, and stress. More-severe symptoms can be treated with medication and counseling.
  • 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 gastrointestinal (GI) tract. Symptoms can include diarrhea, abdominal pain, fatigue, and weight loss. Given your family history of ulcerative colitis, this could be a possibility.

    • Treatment typically involves a combination of medication and lifestyle changes.
  • Gallbladder Disease: Your gallbladder is located on the right side of your abdomen beneath your liver. Problems with the gallbladder can cause pain in this area, along with other symptoms such as diarrhea and fatigue.

    • Treatment depends on the specific type of gallbladder disease and may include dietary changes, medication, or surgery.

Please remember that these are just possibilities and not a definitive diagnosis.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose a lot of fluid and electrolytes quickly, which can lead to dehydration. Make sure you're drinking plenty of fluids, preferably water or rehydration solutions available over the counter.

  2. Eat a bland diet: Foods like rice, bananas, and toast can help make your stool more solid and less frequent.

  3. Rest: Your body needs energy to fight off an infection. Getting enough sleep can help your body recover.

  4. Over-the-counter medication: Anti-diarrheal medications can help slow down your digestion and reduce the frequency of your bowel movements.

  5. Consult a healthcare professional: Given your symptoms and family history of ulcerative colitis, it would be a good idea to consult a healthcare professional for a proper diagnosis and treatment plan.

What you should look out for

  • If your symptoms persist for more than a week
  • If you notice blood or mucus in your stool
  • If you develop a fever
  • If you start to feel dizzy or lightheaded, as this could be a sign of dehydration
  • If your abdominal pain becomes severe or you notice jaundice (yellowing of the skin or eyes), as these could be signs of a serious condition such as gallbladder disease or liver disease

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago


People Also Ask


What could be causing my dry cough that worsens when lying down?

A dry cough that worsens when lying down could be due to postnasal drip, gastroesophageal reflux disease (GERD), or a viral infection. It's important to monitor the cough and consult a healthcare provider if it persists.


Why is my stool changing color from orange to dark green?

The change in stool color from orange to dark green can be due to rapid transit of food through the digestive system, which doesn't allow bile to be fully broken down. This can occur with diarrhea or certain dietary changes.


What are the potential causes of cramp-like abdominal pain on the right side under the rib cage?

Cramp-like abdominal pain on the right side under the rib cage could be related to gallbladder issues, such as gallstones or inflammation, or it could be due to gastrointestinal conditions like IBS or IBD. A healthcare provider can help determine the cause.


How can I manage diarrhea and prevent dehydration at home?

To manage diarrhea and prevent dehydration, drink plenty of fluids, such as water or oral rehydration solutions, and eat a bland diet including foods like rice, bananas, and toast. Over-the-counter anti-diarrheal medications may also help, but consult a healthcare provider if symptoms persist.


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