[25F] Experiencing abdominal pain and blood in stool

Patient Description

A 25-year-old female has been experiencing cramping abdominal pain on the middle left side for two weeks. The pain, rated as a 4 out of 10 in severity, appears to be related to food intake, specifically after consuming meat. The patient reports having diarrhea two days ago with the presence of blood in the stool. No relief measures have been identified. There are no accompanying symptoms such as fever, chills, or significant weight loss. The patient denies any family history of gastrointestinal diseases, has no known drug allergies, and is not on any medications.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and can also cause other symptoms such as abdominal pain.

    • Treatment: Rest and rehydration are usually enough to treat gastroenteritis. In some cases, over-the-counter medicines may help relieve your symptoms.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment: While it's not curable, treatment of IBS focuses on relieving symptoms so that you can live as normally as possible. Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle.
  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. Symptoms include abdominal pain (usually on the left side), fever, and changes in bowel movements.

    • Treatment: Treatment for diverticulitis depends on the severity of your symptoms. Some people may need hospitalization, but most people can be treated at home.
  • Colitis: This is an inflammation of the inner lining of the colon that can cause abdominal pain and blood in the stool.

    • Treatment: Treatment for colitis depends on the cause of the condition. It can range from dietary changes and medication to surgery.

Please note that the presence of blood in your stool is a concerning symptom that should be evaluated by a healthcare provider as soon as possible.

What you can do

You should seek medical attention as soon as possible due to the presence of blood in your stool. In the meantime, here are some things you can do:

  1. Keep a symptom diary: Write down what you eat, when you have bowel movements, and when you experience pain. This can help your doctor determine a diagnosis.
  2. Stay hydrated: Drink plenty of fluids, especially water, to help prevent dehydration.
  3. Eat a balanced diet: Try to eat a variety of fruits, vegetables, and whole grains. Avoid foods that seem to trigger your symptoms.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • High fever
  • Persistent vomiting
  • Signs of dehydration, such as dry mouth, decreased urination, or dizziness
  • Blood in your stool

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.

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11 mo ago

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

People Also Ask


What could cause blood in the stool?

Blood in the stool can be caused by various conditions, including hemorrhoids, diverticulitis, colitis, or more serious conditions like colorectal cancer. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between IBS and other gastrointestinal conditions?

IBS is characterized by a combination of symptoms such as cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Unlike other conditions, IBS does not cause inflammation or changes in bowel tissue. A healthcare provider can help differentiate IBS from other conditions through a detailed medical history and tests.


What dietary changes can help manage symptoms of gastrointestinal issues?

Dietary changes that may help manage gastrointestinal symptoms include increasing fiber intake, avoiding trigger foods (such as fatty foods, dairy, or caffeine), eating smaller meals, and staying hydrated. It's best to work with a healthcare provider or dietitian to tailor dietary changes to your specific needs.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe, persistent, or accompanied by symptoms such as high fever, persistent vomiting, signs of dehydration, or blood in the stool. These could indicate a more serious condition that requires prompt evaluation.


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