[25F] Experiencing gastrointestinal symptoms with yellow bile in stool

Patient Description

A 25-year-old female has been experiencing a constant stomach ache rated 6-7 out of 10, bloating in the lower abdomen, and pain under the right rib for 2 days. She reports a popping sensation during bowel movements, with soft, mushy stools that contain yellow bile. The symptoms have not responded to any interventions. She is currently taking Wellbutrin, Topamax, and Adipex and has no known drug allergies or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible conditions:

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the upper right abdomen and changes in bowel movements. The yellow bile in your stool could be related to this condition.

    • Treatment often involves surgery to remove the gallbladder, especially if the pain is severe or recurrent.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include stomach pain, bloating, and changes in bowel movements.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment focuses on long-term management of symptoms and can include changes in diet, lifestyle and stress management. Medications may also be helpful.

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

What you can do

  1. Maintain a food diary: This can help you identify any foods that may be triggering your symptoms.
  2. Stay hydrated: Drink plenty of fluids to help prevent dehydration, especially if you're having diarrhea.
  3. Rest: If you can, try to get plenty of rest. Your body needs energy to fight off an infection and recover.
  4. Over-the-counter remedies: Certain medications may help manage your symptoms. For example, antacids can help with stomach pain and bloating, while anti-diarrheal medications can help with diarrhea.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have persistent vomiting or cannot keep down fluids
  • You notice blood in your stool
  • You have a high fever (temperature over 100.4°F)

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment. This advice is intended to support, not replace, the relationship that exists between you and your healthcare provider.

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1 yr ago

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

People Also Ask


What are the common symptoms of gallstones and how are they treated?

Common symptoms of gallstones include pain in the upper right abdomen, nausea, vomiting, and changes in bowel movements such as yellow bile in the stool. Treatment often involves surgical removal of the gallbladder if the pain is severe or recurrent.


How can gastroenteritis be distinguished from other gastrointestinal issues?

Gastroenteritis typically presents with symptoms like stomach pain, bloating, diarrhea, and sometimes vomiting. It can be distinguished from other issues by the presence of a viral, bacterial, or parasitic infection, and is often accompanied by fever. Diagnosis may require stool tests or other investigations.


What lifestyle changes can help manage Irritable Bowel Syndrome (IBS)?

Lifestyle changes for managing IBS include maintaining a balanced diet, avoiding trigger foods, managing stress through techniques like yoga or meditation, and regular exercise. Keeping a food diary can also help identify specific triggers.


Are there any interactions between Wellbutrin, Topamax, Adipex, and gastrointestinal symptoms?

While Wellbutrin, Topamax, and Adipex are not directly known to cause gastrointestinal symptoms, they can have side effects that might affect the digestive system. It's important to discuss any new or worsening symptoms with a healthcare provider to rule out drug interactions or side effects.


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