[26M] Experiencing diarrhea, neck stiffness, and vomiting

Patient Description

A 26-year-old male reports suffering from watery diarrhea, which started after consuming vitamin C powder water and has persisted for 2 days. The patient also experienced neck stiffness and chills after lying in a bathtub for an extended period due to repeated vomiting episodes. The vomiting was initially of an orange and white watery substance, later turning brown-black with a taste of blood. The patient indicates dehydration symptoms, including dry mouth, and has been feeling fatigue and abdominal pain, which is currently mild and alleviated by rest. The patient has a history of lactose intolerance and sensitivity to certain spices, bananas, and eggs, identified between ages 19 and 21. No known drug allergies and no other medications besides adult vitamins are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. The symptoms are often similar to those of a stomach virus or the stomach flu.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if bacteria are the cause.
  • Food poisoning: This occurs when you eat contaminated food. Given your recent consumption of Chinese food and subsequent vomiting and diarrhea, this could be a possibility.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.
  • 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 of IBS typically involves long-term strategies to manage symptoms.
  • Lactose intolerance: This is a common condition that can cause diarrhea, abdominal cramping, bloating, and gas after consuming lactose-containing products. You mentioned that you're lactose intolerant, so this could be contributing to your symptoms.

    • Treatment involves avoiding lactose-containing products or taking lactase supplements.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose fluids and electrolytes, which can lead to dehydration. Make sure to drink plenty of fluids. Water is good, but adding broth, juice or sports drinks can also help replace lost electrolytes.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.

  3. Eat light: If you can eat without vomiting, eat small amounts of bland foods like rice, applesauce, or bananas.

  4. Over-the-counter treatments: There are over-the-counter medications that can help with symptoms of diarrhea and vomiting.

What you should look out for

Seek immediate medical attention if you:

  • Have severe abdominal or rectal pain
  • Have bloody or black stools
  • Have a high fever (above 101.5 F)
  • Are showing signs of dehydration such as dry mouth, decreased urination, severe weakness, dizziness, or lightheadedness
  • Have symptoms that persist for more than a few days

Remember, I'm an AI and this advice is not a substitute for professional medical advice.

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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 causes of watery diarrhea and how can it be treated?

Watery diarrhea can be caused by infections (viral, bacterial, or parasitic), food intolerances, or certain medications. Treatment typically involves staying hydrated, resting, and using over-the-counter medications to manage symptoms. If symptoms persist, it's important to consult a healthcare provider.


How can I differentiate between food poisoning and gastroenteritis?

Food poisoning typically occurs after consuming contaminated food and symptoms appear quickly, often within hours. Gastroenteritis can be caused by viruses, bacteria, or parasites and symptoms may develop more gradually. Both conditions can cause similar symptoms like vomiting and diarrhea, but a healthcare provider can help determine the exact cause.


What are the signs of dehydration and how can I prevent it?

Signs of dehydration include dry mouth, decreased urination, dizziness, and fatigue. To prevent dehydration, it's important to drink plenty of fluids, especially if experiencing vomiting or diarrhea. Oral rehydration solutions or sports drinks can help replace lost electrolytes.


How does lactose intolerance contribute to digestive symptoms like diarrhea?

Lactose intolerance occurs when the body lacks the enzyme lactase, which is needed to digest lactose found in dairy products. This can lead to symptoms like diarrhea, bloating, and abdominal pain after consuming lactose-containing foods. Managing symptoms involves avoiding these foods or using lactase supplements.


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