[26M] With persistent stomach rumbling and night sweats

Patient Description

A 26-year-old male reports experiencing persistent stomach rumbling for the past one to two weeks, which occurs all the time and is not alleviated by any measures. The patient also reports night sweats primarily affecting the legs, which have been present for a couple of weeks. Additionally, the patient experiences occasional diarrhea and incomplete bowel movements. The patient had two episodes of nosebleeds about a month ago, which have since resolved. There is no abdominal pain, bloating, nausea, vomiting, or blood in the stool. The patient smokes THC occasionally and has no recent changes in diet or exposure to new foods or drinks. The patient has a family history of skin cancer in a great aunt and had a bacterial infection a few months ago, which was treated successfully. The patient is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Stomach Rumbling and Diarrhea

  • Gastrointestinal Infection: Given your recent history of a bacterial infection, it's possible that your stomach rumbling and occasional diarrhea could be related to a lingering or new gastrointestinal infection. These infections can cause symptoms like stomach rumbling, diarrhea, and changes in bowel habits.
  • Irritable Bowel Syndrome (IBS): IBS is a common condition that affects the digestive system and can cause symptoms like stomach rumbling, diarrhea, and changes in bowel habits. Stress and diet can often trigger these symptoms.

Night Sweats

  • Infection: Night sweats can sometimes be a sign of an underlying infection. Since you mentioned a recent bacterial infection, it's possible that your body is still recovering, or you might have a new infection.
  • Hormonal Imbalance: Though less common in men, hormonal imbalances can cause night sweats. This could be related to thyroid issues or other endocrine disorders.

Swollen Uvula

  • Infection or Irritation: A swollen uvula can be caused by infections (viral or bacterial), allergies, or irritation from smoking. Since you mentioned occasional THC use, this could be a contributing factor.

Random Nosebleeds

  • Dry Air or Irritation: Occasional nosebleeds can be caused by dry air, irritation from sparring, or minor trauma. Since you mentioned sparring, this could be a factor even if you didn't directly injure your nose.

What you can do

Stomach Rumbling and Diarrhea

  • Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you experience diarrhea.
  • Dietary Adjustments: Avoid foods that can irritate your stomach, such as spicy foods, caffeine, and alcohol. Consider eating smaller, more frequent meals.
  • Probiotics: Consider taking probiotics to help restore the natural balance of bacteria in your gut.
  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.

Night Sweats

  • Keep Cool: Use lightweight bedding and keep your bedroom cool at night.
  • Stay Hydrated: Drink water throughout the day to stay hydrated.
  • Monitor Symptoms: If night sweats persist, consult a healthcare provider to rule out any underlying conditions.

Swollen Uvula

  • Avoid Irritants: Avoid smoking and other irritants that can cause swelling.
  • Stay Hydrated: Drink plenty of water to keep your throat moist.
  • Gargle Salt Water: Gargling with warm salt water can help reduce swelling and irritation.

Random Nosebleeds

  • Humidify Your Environment: Use a humidifier to add moisture to the air, especially if you live in a dry climate.
  • Nasal Saline Spray: Use a saline nasal spray to keep your nasal passages moist.
  • Avoid Nose Picking: Be gentle with your nose to avoid irritation and trauma.

What you should look out for

Given the range of your symptoms, it's important to monitor for any changes or worsening of your condition. Seek medical care if you experience:

  • Persistent or severe abdominal pain
  • Blood in your stool
  • Persistent or worsening night sweats
  • Difficulty breathing or swallowing
  • Frequent or severe nosebleeds

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.

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6 mo ago

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People Also Ask


What could be causing persistent stomach rumbling and occasional diarrhea?

Persistent stomach rumbling and occasional diarrhea could be caused by a gastrointestinal infection or conditions like Irritable Bowel Syndrome (IBS). These can result from lingering infections or dietary and stress-related triggers.


Why might someone experience night sweats, especially in the legs?

Night sweats, particularly in the legs, can be caused by infections, hormonal imbalances, or other underlying health conditions. It's important to monitor the symptoms and consult a healthcare provider if they persist.


What are some common causes of a swollen uvula?

A swollen uvula can be caused by infections (viral or bacterial), allergies, or irritation from smoking or other environmental factors. Avoiding irritants and staying hydrated can help alleviate the swelling.


What should I do if I experience random nosebleeds?

Random nosebleeds can be caused by dry air, irritation, or minor trauma. Using a humidifier, nasal saline spray, and avoiding nose picking can help prevent them. If nosebleeds are frequent or severe, consult a healthcare provider.


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