[27F] With diarrhea, vomiting, and constipation

Patient Description

A 27-year-old female reports experiencing watery diarrhea for the past 4-5 days, occurring 3-4 times daily. The symptoms began suddenly. She also reports vomiting occurring only at night for the past 2 days, with two episodes that come up easily. Additionally, she is experiencing constipation for the first time. There are no associated symptoms of fever, abdominal pain, or signs of dehydration. The patient has not started any new medications, consumed alcohol, or substances recently. She has no known allergies, pre-existing conditions, or history of adverse reactions to medications. No over-the-counter medications or supplements are being taken.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can lead to diarrhea and vomiting. It usually resolves on its own within a few days.

    • Treatment typically involves staying hydrated and resting. Over-the-counter medications may help with symptoms.
  • Food Poisoning: Consuming contaminated food can cause sudden diarrhea and vomiting. Symptoms often appear quickly after eating the contaminated food.

    • Treatment involves hydration and rest. Symptoms usually improve within a few days.
  • Irritable Bowel Syndrome (IBS): While less likely given the sudden onset, IBS can cause alternating diarrhea and constipation.

    • Management includes dietary changes and stress management.

What you can do

  1. Stay Hydrated: Drink plenty of fluids like water, clear broths, or oral rehydration solutions to prevent dehydration.
  2. Rest: Give your body time to recover by getting plenty of rest.
  3. Eat Light: Stick to bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
  4. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Signs of dehydration, such as dizziness, dry mouth, or decreased urination
  • Blood in your stool or vomit
  • Persistent or severe abdominal pain
  • High fever or worsening symptoms

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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3 mo 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 sudden diarrhea and vomiting?

Common causes of sudden diarrhea and vomiting include viral or bacterial infections (such as gastroenteritis), food poisoning from contaminated food, and sometimes stress or anxiety. It's important to consider recent dietary changes or exposure to potentially contaminated food.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, but food poisoning often occurs shortly after consuming contaminated food and may affect others who ate the same food. Gastroenteritis can be viral and spread from person to person. Both conditions usually resolve within a few days with rest and hydration.


What dietary changes can help manage symptoms of diarrhea and vomiting?

To manage symptoms, it's recommended to follow the BRAT diet, which includes bananas, rice, applesauce, and toast. These foods are gentle on the stomach. Avoid dairy, caffeine, alcohol, and fatty or spicy foods until symptoms improve.


When should I seek medical attention for diarrhea and vomiting?

You should seek medical attention if you experience signs of dehydration (such as dizziness or decreased urination), blood in your stool or vomit, persistent or severe abdominal pain, or a high fever. If symptoms worsen or do not improve within a few days, consult a healthcare professional.


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