[25F] With gastrointestinal and sinus symptoms post-travel

Patient Description

A 25-year-old female presents with gastrointestinal symptoms characterized by stomach cramps, diarrhea, and nausea. The diarrhea is described as sudden and occurring in waves, approximately 4-6 times per day, and has been ongoing for 2 days. There is no blood or mucus in the stool. The patient also reports a slight fever. These symptoms started after traveling from LA to the provincial Philippines, where the patient consumed non-bottled water. Additionally, the patient is experiencing nasal congestion with a runny nose and excessive mucus production without coughing, which has been persisting for several days. The nasal congestion temporarily clears upon blowing the nose but returns within 5-10 minutes. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Traveler's Diarrhea: This is a common condition that can occur when you consume food or water contaminated with bacteria, viruses, or parasites. Traveler's diarrhea is especially common in developing countries such as the Philippines. Symptoms can include sudden, urgent diarrhea, stomach cramps, and sometimes nausea or fever.

    • Treatment typically involves staying hydrated and may include antibiotics if symptoms are severe or prolonged.
  • Acute Sinusitis: This is an inflammation of the sinuses that can cause a runny nose, green phlegm, and nasal congestion. It can be caused by a viral or bacterial infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to alleviate symptoms. If symptoms persist for more than a week or are severe, antibiotics may be prescribed.

What you can do

  1. Stay hydrated: Make sure to drink plenty of fluids to replace those lost through diarrhea. Water, broth, or oral rehydration solutions are good options.
  2. Rest: Your body needs energy to fight off the infection. Getting enough sleep can help your body recover.
  3. Over-the-counter remedies: Over-the-counter medication can help manage your symptoms. For diarrhea, loperamide (Imodium) can help. For nasal congestion, a saline nasal spray or a decongestant can be beneficial.
  4. Avoid triggers: If you notice that certain foods or activities worsen your symptoms, try to avoid them.

What you should look out for

If your symptoms persist or worsen, or if you notice any of the following, seek medical attention:

  • Blood in your stool
  • High fever (over 102°F)
  • Severe abdominal pain
  • Signs of dehydration, such as dry mouth, not urinating much, or feeling very thirsty, dizzy, or lightheaded
  • Symptoms persisting for more than a week

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is traveler's diarrhea and how can it be prevented?

Traveler's diarrhea is a digestive tract disorder that commonly causes loose stools and abdominal cramps. It's often caused by consuming contaminated food or water. To prevent it, drink bottled or boiled water, avoid raw foods, and eat at reputable establishments.


What are the common symptoms of acute sinusitis?

Common symptoms of acute sinusitis include nasal congestion, runny nose, facial pain or pressure, headache, and sometimes a reduced sense of smell. It can be caused by a viral or bacterial infection.


How can I manage diarrhea while traveling?

To manage diarrhea while traveling, stay hydrated by drinking plenty of fluids, consider using oral rehydration solutions, and avoid foods that may worsen symptoms. Over-the-counter medications like loperamide can help reduce diarrhea.


When should I see a doctor for nasal congestion?

You should see a doctor for nasal congestion if it persists for more than a week, is accompanied by a high fever, or if you experience severe facial pain or swelling. Persistent or severe symptoms may require medical evaluation and treatment.


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