[25M] Experiencing mild abdominal discomfort and frequent urination

Patient Description

A 25-year-old male is experiencing mild abdominal pain on the lower right side near the belly button, with a pain severity of 2-3/10, which is somewhat relieved by passing gas. The patient has had a change in bowel habits, noting stools that are more watery but without the presence of mucus or blood. There is also an increased need to urinate, particularly when inactive or lying down, but no urinary burning. The patient has a history of an infected cyst in the stomach area from 2016 and is allergic to morphine, which causes hives. No other medications are being taken.

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Arora's Assessment

What might be happening

Based on the information you provided, possible conditions include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

    • Treatment typically focuses on relieving symptoms so that you can live as normally as possible. Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle.
  • Gastroenteritis: This is an inflammation of the digestive tract, including the stomach and intestines. It can be caused by a bacterial or viral infection, or it can be triggered by food poisoning. Symptoms include diarrhea, abdominal pain, vomiting, headache, fever and chills.

    • Most cases of gastroenteritis resolve within a few days without any specific treatment. Rest and rehydration are the cornerstones of treatment for gastroenteritis.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most infections involve the lower urinary tract — the bladder and the urethra. Increased frequency and urgency of urination are common symptoms of a UTI.

    • Antibiotics are the typical treatment for a UTI.

What you can do

  1. Try to identify any foods that might be triggering your symptoms. Common culprits include alcohol, chocolate, caffeinated beverages, dairy products, and foods high in sugar.
  2. Drink plenty of fluids to stay hydrated. This is especially important if you've been experiencing diarrhea.
  3. Over-the-counter remedies like loperamide (Imodium) can help with diarrhea.

What you should look out for

You should seek immediate medical attention if you:

  • Have severe abdominal pain
  • Have bloody stools
  • Have a fever above 100.4 F (38 C)
  • Are unable to keep fluids down for 24 hours
  • Have been vomiting for more than two days
  • Are severely dehydrated — signs of dehydration include excessive thirst, dry mouth, deep yellow urine or little or no urine, and severe weakness, dizziness or lightheadedness

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Symptoms can vary in intensity and may be triggered by certain foods or stress.


How can I differentiate between gastroenteritis and a urinary tract infection (UTI)?

Gastroenteritis typically presents with diarrhea, abdominal pain, vomiting, and sometimes fever, while a UTI often involves increased frequency and urgency of urination, sometimes accompanied by pain or burning. A healthcare provider can help differentiate between the two through symptoms and tests.


What dietary changes can help manage symptoms of IBS?

To manage IBS symptoms, it is often recommended to avoid foods that trigger symptoms, such as alcohol, chocolate, caffeinated beverages, dairy products, and foods high in sugar. Increasing fiber intake and staying hydrated can also help.


When should I seek medical attention for abdominal pain and changes in bowel habits?

You should seek medical attention if you experience severe abdominal pain, bloody stools, a fever above 100.4 F (38 C), inability to keep fluids down for 24 hours, vomiting for more than two days, or signs of severe dehydration such as excessive thirst, dry mouth, or little to no urine output.


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