[28F] Experiencing diarrhea with blood and mucus

Patient Description

A 28-year-old female is experiencing watery diarrhea approximately twice a day for a couple of weeks. Recently, blood and mucus have been observed in the stool. The patient notes increased fatigue but no fever or chills. Diarrhea seems to be triggered by fats. There is no recent travel history. The patient has a medical history of asthma, hypothyroidism, and pre-diabetes, diagnosed in childhood. Current medications include Levothyroxine, Montelukast, Adderall, Zyrtec, Trazodone, and Venlafaxine. No known drug allergies.

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Arora's Assessment

What might be happening

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

  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause diarrhea, blood, and mucus in the stool. These conditions are chronic and can cause fatigue.

    • Treatment typically involves medication to reduce inflammation and control symptoms. In severe cases, surgery may be necessary.
  • 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 often referred to as stomach flu.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if bacteria are the cause.
  • Hemorrhoids: These are swollen veins in the lowest part of your rectum and anus. When the walls of these vessels are stretched, they may become irritated and bleed.

    • Treatment includes over-the-counter creams or ointments, or in more severe cases, surgery.
  • Colorectal Cancer: Although less likely at your age, this type of cancer can cause bloody stools. Other symptoms include changes in bowel habits, abdominal pain, and fatigue.

    • Treatment typically involves surgery, radiation therapy, and chemotherapy.

What you can do

You should seek immediate medical attention. Blood in the stool can be a sign of a serious condition. A healthcare provider can perform tests to determine the cause of your symptoms and the appropriate treatment.

In the meantime, make sure to stay hydrated. Diarrhea can cause dehydration, which can lead to other health problems. Drinking water or an oral rehydration solution can help.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (temperature over 101.5 F)
  • Signs of dehydration, such as dark-colored urine, dry skin, thirst, or dizziness

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of Inflammatory Bowel Disease (IBD)?

Common symptoms of IBD include persistent diarrhea, abdominal pain, blood and mucus in the stool, fatigue, and weight loss. These symptoms can vary in severity and may come and go over time.


How can I differentiate between gastroenteritis and more serious conditions like IBD or colorectal cancer?

Gastroenteritis typically presents with sudden onset of diarrhea, nausea, vomiting, and sometimes fever, often resolving within a few days. In contrast, IBD and colorectal cancer may cause chronic symptoms like persistent diarrhea, blood in the stool, and significant fatigue. A healthcare provider can perform tests to differentiate these conditions.


What lifestyle changes can help manage symptoms of hypothyroidism and pre-diabetes?

For managing hypothyroidism, it's important to take prescribed medications like Levothyroxine consistently and have regular thyroid function tests. For pre-diabetes, maintaining a healthy diet, regular exercise, and monitoring blood sugar levels can help manage symptoms and prevent progression to diabetes.


When should I seek medical attention for blood in my stool?

You should seek medical attention for blood in your stool if it is persistent, accompanied by severe pain, or if you experience other symptoms like black, tarry stools, high fever, or signs of dehydration. These could indicate a more serious underlying condition.


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