[25F] Experiencing gastrointestinal issues, headaches, and new onset of eye floaters

Patient Description

A 25-year-old female presents with a complex of symptoms including gastrointestinal disturbances characterized by diarrhea and constipation, which are exacerbated by dairy consumption. She has a lifelong history of constipation with recent changes to loose and watery stools. Accompanying symptoms include daily headaches of varying intensity, brain fog with difficulty focusing and visualizing, and a recent onset of eye floaters. She has a history of repeated upper respiratory infections since exposure to secondhand smoke from neighbors, with associated symptoms such as post-nasal drip and ear pain. The patient also reports increased heart rate and dizziness if bowel movements are delayed, easy bruising, back pain after eating certain foods, and a fungal toenail infection. No known allergies or current medications are reported. The patient's symptoms seem to have a temporal relationship with environmental exposure to secondhand smoke.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

  • Lactose Intolerance: This is a common condition where the body is unable to fully digest lactose, a sugar found in milk and dairy products. Symptoms often include diarrhea, stomach cramps, and bloating after consuming dairy.

    • Treatment typically involves avoiding lactose-containing foods and drinks.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea, and constipation.

    • Treatment usually focuses on relieving symptoms and may include changes in diet, lifestyle, and stress management.
  • Migraines: These are a type of headache characterized by intense pain and can be accompanied by nausea, vomiting, and sensitivity to light and sound.

    • Treatment typically involves pain-relieving and preventive medications.
  • Floaters: These are small spots or cobweb-like specks that float in your field of vision. They are usually harmless and often occur as people age. However, a sudden increase in floaters could indicate a more serious eye condition like a retinal detachment, and should be evaluated by an eye specialist.

    • Treatment is usually not necessary unless they are so dense and numerous that they affect your vision.
  • Upper Respiratory Infection: This is an infection that can affect the nose, throat, and sinuses, often causing symptoms like a runny nose, sore throat, and cough. Exposure to smoke can exacerbate these symptoms.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.

Please note that these are possible explanations and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Try avoiding dairy products to see if your diarrhea and stomach cramps improve.
  2. Keep a food diary to track what you eat and how it affects your symptoms. This could help identify any other potential food intolerances.
  3. Stay hydrated, especially when you have diarrhea.
  4. Try over-the-counter pain relievers for your headaches, but if they persist, consult a healthcare provider.
  5. Get regular eye check-ups and consult an eye specialist if you notice a sudden increase in floaters.
  6. Avoid exposure to smoke as much as possible.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your stool
  • Sudden, severe headache
  • Sudden loss of vision or a curtain coming down over your field of vision
  • Difficulty breathing or shortness of breath

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 accurate information.

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1 yr ago

People Also Ask


What are the common symptoms of lactose intolerance?

Common symptoms of lactose intolerance include diarrhea, stomach cramps, bloating, and gas after consuming dairy products. These symptoms occur because the body is unable to fully digest lactose, a sugar found in milk and dairy products.


How can I manage symptoms of Irritable Bowel Syndrome (IBS)?

Managing IBS often involves dietary changes such as increasing fiber intake, avoiding trigger foods, and eating smaller, more frequent meals. Stress management techniques and regular exercise can also help alleviate symptoms. In some cases, medications may be prescribed to manage specific symptoms.


What should I do if I notice a sudden increase in eye floaters?

If you notice a sudden increase in eye floaters, it is important to consult an eye specialist promptly. While floaters are usually harmless, a sudden increase could indicate a more serious condition like a retinal detachment, which requires immediate medical attention.


How can exposure to secondhand smoke affect respiratory health?

Exposure to secondhand smoke can irritate the respiratory system, leading to symptoms such as a runny nose, sore throat, cough, and increased susceptibility to infections. It can exacerbate existing respiratory conditions and should be avoided to maintain respiratory health.


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