[25F] With recent weakness, fatigue, and gastrointestinal symptoms

Patient Description

A 25-year-old female reports experiencing a weird, chalky, and slightly dry feeling in her mouth since last night, which persists despite drinking water and other fluids. Two days ago, she had three bowel movements in one night, which is unusual for her, and has had slightly loose stools but not diarrhea. Last night, she experienced slight stomach pain that was not severe. For the past two days, she felt shaky, weak, and fatigued even after eating, with the weakness rated as 6 out of 10 in severity, affecting her daily activities. However, she feels normal today. She also experienced a little bit of nausea on the first day of weakness. There have been no recent changes in diet, travel, new medications, or substance use. She does not have any chronic medical conditions or a history of gastrointestinal issues. She occasionally takes Excedrin for migraines but has no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Viral Gastroenteritis (Stomach Flu): This is a common condition that can cause symptoms like weakness, fatigue, nausea, loose stools, and abdominal pain. It is usually caused by a viral infection and often resolves on its own within a few days.

    • Treatment: Rest, hydration, and over-the-counter medications to manage symptoms. In some cases, anti-nausea medications may be prescribed.
  • Dehydration: Feeling weak and having a dry mouth can be signs of dehydration, especially if you had multiple bowel movements in a short period. Dehydration can also cause fatigue and slight abdominal discomfort.

    • Treatment: Increase fluid intake, especially water and electrolyte solutions. Avoid caffeine and alcohol as they can worsen dehydration.
  • Mild Food Poisoning: Consuming contaminated food can lead to symptoms like nausea, loose stools, abdominal pain, and weakness. Symptoms usually appear within hours to a few days after eating the contaminated food.

    • Treatment: Rest, hydration, and avoiding solid foods until symptoms improve. Gradually reintroduce bland foods like toast, rice, and bananas.
  • Excessive Caffeine Intake: If you have been consuming more caffeine than usual (e.g., through Excedrin, which contains caffeine), it can cause symptoms like shakiness, weakness, and a dry mouth.

    • Treatment: Reduce caffeine intake and stay hydrated.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of water and consider oral rehydration solutions to maintain electrolyte balance.
  2. Rest: Give your body time to recover by getting plenty of rest.
  3. Eat Light: Stick to bland, easy-to-digest foods like toast, rice, bananas, and applesauce until your symptoms improve.
  4. Avoid Irritants: Stay away from caffeine, alcohol, and spicy or fatty foods that can worsen your symptoms.
  5. Monitor Symptoms: Use MDandMe to journal your symptoms, track your progress, and get insights. This information can be helpful for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Persistent Symptoms: If your symptoms worsen or do not improve within a few days.
  • Dehydration Signs: Such as dark urine, dizziness, or a rapid heartbeat.
  • Severe Abdominal Pain: If the pain becomes severe or is accompanied by vomiting.
  • Blood in Stool: If you notice blood in your stool or vomit.
  • High Fever: If you develop a fever over 100.4°F or experience chills.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What are the common symptoms of viral gastroenteritis?

Common symptoms of viral gastroenteritis include nausea, vomiting, diarrhea, abdominal pain, fever, and fatigue. These symptoms usually resolve on their own within a few days.


How can I tell if I am dehydrated?

Signs of dehydration include dry mouth, thirst, dark yellow urine, dizziness, fatigue, and a rapid heartbeat. It's important to increase fluid intake if you notice these symptoms.


What should I do if I suspect mild food poisoning?

If you suspect mild food poisoning, rest and stay hydrated. Avoid solid foods until symptoms improve, then gradually reintroduce bland foods like toast, rice, and bananas. Seek medical attention if symptoms worsen or persist.


Can excessive caffeine intake cause shakiness and weakness?

Yes, excessive caffeine intake can cause symptoms like shakiness, weakness, increased heart rate, and a dry mouth. Reducing caffeine consumption and staying hydrated can help alleviate these symptoms.


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