[27M] Experiencing severe stomach pain and persistent diarrhea

Patient Description

A 27-year-old male has been experiencing crampy stomach pain rated 8 out of 10, bloating, and continuous burping with a strong odor for two days. The patient also reports persistent diarrhea for over a week, with five episodes of loose, light brown, bubbly, and liquid stools today, including the presence of blood. Additionally, the patient has noticed recent weight loss, decreased appetite, and lightheadedness. No fever, chills, or travel to areas with poor sanitation were reported. The patient's medication regimen includes Mounjarno, Glargine, and Lyspro. There is no known history of allergies, adverse reactions to medications, or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is highly infectious. Symptoms can include diarrhea, stomach pain, and vomiting.

    • Treatment: Most cases of gastroenteritis resolve within a few days without specific treatment. Rest and rehydration are usually sufficient.
  • Gastritis: This is an inflammation of the stomach lining. It can be caused by various factors, including long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), infection with the bacterium H. pylori, and certain autoimmune disorders. Symptoms can include stomach pain, nausea, vomiting, and belching.

    • Treatment: The treatment for gastritis depends on the cause. It may involve addressing the underlying cause, such as discontinuing NSAIDs or treating H. pylori infection. Medications to reduce stomach acid may also be helpful.
  • Peptic Ulcer Disease: This is a condition where painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine (the duodenum). It can be caused by long-term use of NSAIDs or infection with H. pylori. Symptoms can include stomach pain, bloating, nausea, and vomiting.

    • Treatment: The treatment for peptic ulcer disease depends on the cause. It may involve discontinuing NSAIDs, treating H. pylori infection, or taking medications to reduce stomach acid and protect the stomach lining.

What you can do

It's important to see a healthcare provider for a formal diagnosis and treatment. In the meantime, you can:

  1. Stay hydrated: Diarrhea can lead to dehydration, so it's important to drink plenty of fluids. Water is a good choice, and so are broths and sports drinks, which can help replace lost electrolytes.

  2. Eat a bland diet: Foods that are easy on the stomach can help. Consider the BRAT diet (bananas, rice, applesauce, and toast) or other bland foods like chicken or potatoes.

  3. Avoid foods that irritate your stomach: These can include spicy foods, alcohol, and caffeine.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or don't improve within a few days.
  • You have severe abdominal pain.
  • You notice blood or black, tarry stools.
  • You have symptoms of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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10 mo ago

People Also Ask


What are the common causes of blood in stool?

Blood in stool can be caused by various conditions, including hemorrhoids, anal fissures, infections, inflammatory bowel disease, and more serious conditions like colorectal cancer. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often involves diarrhea, vomiting, and stomach cramps, usually due to an infection. Gastritis, on the other hand, typically involves stomach pain, nausea, and bloating, often related to inflammation of the stomach lining. A healthcare provider can help differentiate between the two based on a full assessment.


What dietary changes can help alleviate symptoms of stomach pain and diarrhea?

To help alleviate symptoms, consider following a bland diet such as the BRAT diet (bananas, rice, applesauce, and toast). Avoid spicy foods, alcohol, and caffeine, which can irritate the stomach. Staying hydrated is also crucial.


When should I seek medical attention for stomach pain and diarrhea?

Seek medical attention if your symptoms worsen or don't improve within a few days, if you experience severe abdominal pain, notice blood or black, tarry stools, or have symptoms of dehydration like dry mouth, excessive thirst, or dizziness.


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