[25F] Experiencing worsening abdominal pain and gastrointestinal symptoms

What might be happening

Based on the symptoms you've provided, the following conditions could be possible:

• Irritable Bowel Syndrome (IBS): As you have a history of IBS, your symptoms of abdominal pain and changes in bowel habits could be related to a flare-up of this condition. IBS can cause a wide range of symptoms, including changes in bowel habits (diarrhea, constipation, or both), bloating, and abdominal pain.

  • Treatment for IBS often involves dietary modifications, stress management, and sometimes medications to manage symptoms.

• Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is highly infectious. Symptoms can include diarrhea, abdominal pain, vomiting, headache, fever and chills.

  • Treatment usually involves rest, hydration and over-the-counter remedies. It's important to note that antibiotics are not effective against viruses.

• Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause abdominal pain, changes in bowel habits, and blood in the stool. However, these conditions often cause additional symptoms like weight loss and systemic symptoms.

  • Treatment typically involves medication to reduce inflammation and control symptoms.

• Gynecological conditions: Given your gender and age, conditions such as endometriosis or ovarian cysts could potentially cause lower abdominal pain. These conditions can sometimes cause changes in bowel habits and urinary symptoms.

  • Treatment for these conditions can range from hormonal therapies to surgery, depending on the severity and specific diagnosis.

What you can do

Given the severity and duration of your symptoms, it's important to consult with a healthcare provider for a proper diagnosis and treatment plan. They may want to conduct further tests such as blood tests, stool tests, or imaging studies to help determine the cause of your symptoms.

In the meantime, here are some general suggestions:

1. Keep a symptom diary: Note down when your symptoms occur, what you're eating, your stress levels, and any other factors that might be relevant. This can help identify any patterns or triggers to your symptoms.
2. Stay hydrated: Especially if you're experiencing diarrhea, it's important to drink plenty of fluids to avoid dehydration. Water, broth, or rehydration solutions are good choices.
3. Try a low FODMAP diet: This is a type of elimination diet that can help manage symptoms in some people with IBS. It involves avoiding certain types of carbohydrates that can trigger symptoms.
4. Practice good sleep hygiene: This includes maintaining a regular sleep schedule, making your sleeping environment comfortable, and avoiding caffeine and electronics before bed.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe abdominal pain
• High fever (over 100.4°F)
• Bloody or black stools
• Persistent vomiting
• Signs of dehydration (such as extreme thirst, dry mouth, little or no urination, severe weakness, dizziness, or lightheadedness)

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.