[27F] With sudden onset abdominal cramping and gastrointestinal symptoms

Patient Description

A 27-year-old female presents with sudden onset of intense abdominal cramping, rated 7 to 8 out of 10, which began this morning. The cramping is also slightly affecting the lower back. The patient reports experiencing diarrhea twice today, with an initial episode followed by taking Pepto-Bismol, and a subsequent episode after returning home. Despite feeling the urge to have a bowel movement, she was only able to pass a very small amount and felt faint afterward. She describes waves of nausea and intermittent hot flashes throughout the day, though she has not had a fever. The patient has had difficulty eating, managing only crackers and a biscuit. She has not noticed any specific foods exacerbating her symptoms and has not traveled recently. The patient recently started taking peach gain gummies and biotin but has not observed any changes in her symptoms since starting these supplements. Her medical history includes irregular periods diagnosed at age 15 and genital herpes diagnosed earlier this year. She is allergic to Phenergan and IV contrast dye and 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:

  1. Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include diarrhea, nausea, vomiting, abdominal cramps, and sometimes fever. It often resolves on its own within a few days.

    • Treatment typically involves staying hydrated, resting, and eating bland foods. Over-the-counter medications like loperamide (Imodium) can help with diarrhea, but it's best to consult a healthcare provider before taking them, especially if you have a fever or blood in your stool.
  2. Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine, causing symptoms like cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Stress and certain foods can trigger symptoms.

    • Management includes dietary changes, stress management, and sometimes medications to relieve symptoms.
  3. Food Intolerance or Allergy: Sometimes, certain foods can cause digestive issues, including cramping and diarrhea. Since you mentioned trying new supplements, it's worth considering if they might be contributing to your symptoms.

    • Identifying and avoiding trigger foods is key. Keeping a food diary can help pinpoint any connections between your diet and symptoms.
  4. Menstrual Cycle-Related Symptoms: Given your history of irregular periods, it's possible that hormonal changes related to your menstrual cycle could be contributing to your symptoms, especially the cramping and nausea.

What you can do

  1. Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to prevent dehydration from diarrhea.

  2. Eat Bland Foods: Stick to bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.

  3. Rest: Give your body time to recover by getting plenty of rest.

  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and identify any potential triggers. This information can be helpful for your healthcare provider.

  5. Avoid New Supplements: Consider pausing the new supplements to see if your symptoms improve.

What you should look out for

  • Seek Medical Attention If:
    • You experience severe abdominal pain or cramping that doesn't improve.
    • You notice blood in your stool or vomit.
    • You develop a high fever or persistent vomiting.
    • You feel faint or dizzy, which could indicate dehydration.

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

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2 mo ago

People Also Ask


What are the common causes of sudden abdominal cramping and diarrhea?

Common causes of sudden abdominal cramping and diarrhea include gastroenteritis, food intolerances, stress, and irritable bowel syndrome (IBS). Infections, such as viral or bacterial, are also frequent culprits.


How can I differentiate between gastroenteritis and irritable bowel syndrome (IBS)?

Gastroenteritis typically presents with acute symptoms like diarrhea, nausea, and vomiting, often resolving within a few days. IBS, on the other hand, is a chronic condition with recurring symptoms like cramping, bloating, and changes in bowel habits, often triggered by stress or certain foods.


Can new supplements cause digestive issues like cramping and diarrhea?

Yes, new supplements can cause digestive issues if they contain ingredients that your body is sensitive to or if they interact with other substances in your diet. It's advisable to stop the supplements and see if symptoms improve.


What dietary changes can help alleviate symptoms of abdominal cramping and diarrhea?

Dietary changes that can help include following the BRAT diet (bananas, rice, applesauce, toast), avoiding dairy, caffeine, and spicy foods, and eating smaller, more frequent meals. Staying hydrated is also crucial.


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