[27M] With burning diarrhea, dizziness, and high fever

Patient Description

A 27-year-old male presents with burning diarrhea for the past three days, occurring five or more times a day. The diarrhea is bright and mildly red, and the patient is unsure if there is blood in the stool. There have been no specific foods making it worse, no recent travel, and no changes to diet or medications. The patient also reports mild lightheadedness, especially when standing, walking, or sitting, and has had a high fever for the past four days, managed with decongestants and sleep. Additionally, the patient experiences dull abdominal pain in several locations and has noticed a weird smell in the urine. The patient has not experienced any nausea, vomiting, or recent weight loss and is able to stay hydrated. The patient consumes about two bottles of wine daily and is currently taking Sertraline 100 mg once a day. There are no known allergies to medications or other pre-existing conditions.

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Arora's Assessment

What might be happening

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

Gastrointestinal Infection

  • Burning diarrhea and fever could be indicative of a gastrointestinal infection, such as a bacterial or viral gastroenteritis. These infections can cause inflammation in the digestive tract, leading to diarrhea, abdominal pain, and fever.
  • Typical treatments: Staying hydrated is crucial. Over-the-counter medications like loperamide (Imodium) can help manage diarrhea, but it's important to consult a healthcare provider before taking any medication. In some cases, antibiotics may be necessary if a bacterial infection is confirmed.

Alcohol-Related Gastrointestinal Issues

  • Chronic alcohol consumption can irritate the gastrointestinal tract, leading to symptoms like burning diarrhea and abdominal pain. Alcohol can also affect the liver and pancreas, potentially leading to more severe conditions.
  • Typical treatments: Reducing or eliminating alcohol intake is essential. A healthcare provider may recommend medications to protect the stomach lining and manage symptoms.

Dehydration and Electrolyte Imbalance

  • Dizziness and lightheadedness can be symptoms of dehydration, especially if you are experiencing frequent diarrhea. Dehydration can also lead to an electrolyte imbalance, which can cause similar symptoms.
  • Typical treatments: Oral rehydration solutions (ORS) can help replenish lost fluids and electrolytes. Drinking plenty of water and consuming electrolyte-rich foods or drinks can also be beneficial.

Possible Blood in Stool

  • The redness in your stool could indicate the presence of blood, which might be due to gastrointestinal bleeding. This can be caused by various conditions, including hemorrhoids, gastrointestinal infections, or more serious issues like ulcers or inflammatory bowel disease (IBD).
  • Typical treatments: It's important to consult a healthcare provider for a proper diagnosis. They may recommend tests like a stool sample analysis or a colonoscopy to determine the cause of the bleeding.

What you can do

Burning Diarrhea and Fever

  • Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions.
  • Avoid Irritants: Avoid alcohol, caffeine, and spicy foods, as they can irritate your digestive tract.
  • Consult a Doctor: Given the severity and duration of your symptoms, it's important to see a healthcare provider for a proper diagnosis and treatment plan.

Dizziness and Lightheadedness

  • Sit or Lie Down: If you feel dizzy, sit or lie down immediately to prevent falls.
  • Stay Hydrated: Ensure you are drinking enough fluids to prevent dehydration.
  • Monitor Symptoms: Keep track of your symptoms and any triggers using the MDandMe journal. This can help your healthcare provider make a more accurate diagnosis.

Abdominal Pain

  • Avoid Heavy Meals: Eat smaller, more frequent meals to avoid overloading your digestive system.
  • Consult a Doctor: Persistent abdominal pain should be evaluated by a healthcare provider to rule out any serious conditions.

Alcohol Consumption

  • Reduce Intake: Try to reduce or eliminate alcohol consumption to see if your symptoms improve.
  • Seek Support: If you find it difficult to cut down on alcohol, consider seeking support from a healthcare provider or a support group.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Severe abdominal pain
  • Persistent high fever
  • Signs of dehydration: such as dry mouth, decreased urine output, or extreme thirst
  • Blood in stool: If you notice bright red blood or black, tarry stools
  • Severe dizziness or fainting

Remember, while I can provide information and suggestions, it's important to consult a healthcare provider 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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3 mo ago


People Also Ask


What could cause burning diarrhea and fever in a young adult?

Burning diarrhea and fever in a young adult could be caused by a gastrointestinal infection, such as viral or bacterial gastroenteritis. These infections lead to inflammation in the digestive tract, resulting in symptoms like diarrhea, abdominal pain, and fever.


How does alcohol consumption affect gastrointestinal health?

Chronic alcohol consumption can irritate the gastrointestinal tract, leading to symptoms like burning diarrhea and abdominal pain. It can also affect the liver and pancreas, potentially causing more severe conditions. Reducing or eliminating alcohol intake is crucial for managing these symptoms.


What are the signs of dehydration and how can it be managed?

Signs of dehydration include dizziness, lightheadedness, dry mouth, decreased urine output, and extreme thirst. It can be managed by drinking plenty of fluids, such as water or oral rehydration solutions, and consuming electrolyte-rich foods or drinks.


What should I do if I suspect there is blood in my stool?

If you suspect there is blood in your stool, it's important to consult a healthcare provider for a proper diagnosis. They may recommend tests like a stool sample analysis or a colonoscopy to determine the cause of the bleeding. Immediate medical attention is necessary if you notice bright red blood or black, tarry stools.


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