[25F] Experiencing bloating, stomach pains, body aches, fatigue, and chills

Patient Description

A 25-year-old female presents with a 2-day history of bloating described as inflamed and painful, accompanied by crampy abdominal pain rated as 5/10 in severity, which started today. The patient also reports body aches affecting the entire body, described as throbbing and rated as 6/10 in severity, which are exacerbated by standing or sitting. Additionally, the patient is experiencing fatigue and weakness, which is severe enough to impact daily activities, and lightheadedness upon standing, both of which started today. The patient has had multiple episodes of liquid bowel movements today, differing from her usual pattern. She also reports chills but no fever. No recent injuries, changes in diet, or alleviating factors for the bloating have been identified. No known drug allergies or other medications have been reported.

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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, often caused by a viral, bacterial, or parasitic infection. Symptoms can include diarrhea, abdominal pain, bloating, chills, body aches, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Irritable Bowel Syndrome (IBS): This is a chronic disorder affecting the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment often involves long-term management of diet, lifestyle changes, and managing stress. Medications may also be prescribed to manage symptoms.
  • Food Poisoning: This occurs when you eat or drink something contaminated with bacteria, viruses, parasites, or toxins. Symptoms can include bloating, diarrhea, abdominal pain, body aches, and chills.

    • Treatment usually involves rest, hydration, and symptom management. Most people recover within a few days without specific treatment.

Please note that these are potential explanations for your symptoms, but they are not definitive. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids, especially water. This will help replace any fluids lost through diarrhea.

  2. Rest: Your body needs energy to fight off the virus or bacteria. Getting extra sleep can help.

  3. Eat light: Try eating easily digestible foods such as rice, bananas, or chicken soup.

  4. Over-the-counter medication: Over-the-counter medication can help manage symptoms such as diarrhea and body aches.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.5 F)
  • Symptoms of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Symptoms that last longer than a few days

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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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 are the common causes of bloating and abdominal pain?

Common causes of bloating and abdominal pain include digestive disorders like gastroenteritis, irritable bowel syndrome (IBS), food intolerances, and infections. It's important to consider recent dietary changes, stress levels, and any other accompanying symptoms.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as diarrhea, abdominal pain, and body aches. However, food poisoning often occurs suddenly after consuming contaminated food or drink, while gastroenteritis can be viral and spread through contact with an infected person. A healthcare provider can help determine the cause based on symptoms and history.


What are the best ways to manage fatigue and weakness during an illness?

Managing fatigue and weakness during an illness involves getting plenty of rest, staying hydrated, and eating nutritious, easily digestible foods. It's also important to avoid strenuous activities and allow your body time to recover.


When should I seek medical attention for diarrhea and body aches?

You should seek medical attention if you experience severe abdominal or rectal pain, blood in your stool, high fever, signs of dehydration, or if symptoms persist for more than a few days. These could indicate a more serious condition that requires medical intervention.


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