[28F] Experiencing nausea, abdominal uneasiness, and diarrhea

Patient Description

A 28-year-old female reports sudden onset of nausea, abdominal uneasiness, and diarrhea starting this morning. The nausea is severe, rated at times as a 10 out of 10, occurring in waves, and is temporarily relieved by rest, staying out of the sun, and with time. The patient is currently on a cruise and has not experienced fever or chills. The diarrhea is described as both watery and loose, occurring three to four times today, with no intake of food since breakfast and minimal fluid intake. The patient describes an unsettling churning sensation in the stomach, which is severe during waves but currently mild. The last bowel movement was 10 minutes ago, described as loose and watery. No specific food triggers have been identified. There is no recent history of similar symptoms, and the patient has not traveled outside of her usual routine until the current cruise.

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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 stomach and intestines, often caused by a viral or bacterial infection. It can cause symptoms like nausea, diarrhea, and abdominal cramping. It's common in people who have recently traveled or eaten contaminated food.

    • Treatment typically involves rest, hydration, and over-the-counter medications to help manage symptoms. Antibiotics may be needed if a bacterial infection is suspected.
  • Food poisoning: This is an illness caused by eating contaminated food. Symptoms can start within hours of eating the contaminated food and include nausea, diarrhea, and abdominal cramping.

    • Treatment usually involves rest and hydration. In severe cases, medical attention may be needed.
  • Motion sickness: This is a common condition in people traveling on a boat, car, plane, or amusement park rides. It can cause symptoms like nausea, dizziness, and sometimes diarrhea.

    • Treatment typically involves over-the-counter medications, rest, and avoiding triggers.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose a lot of fluids and electrolytes. Drink plenty of water, and consider drinks with electrolytes like sports drinks or rehydration solutions.
  2. Rest: Your body needs energy to fight off the infection. Get plenty of sleep and take it easy.
  3. Eat light: If you can tolerate food, stick to bland foods like rice, bananas, and toast.
  4. Over-the-counter medication: There are medications available that can help manage your symptoms. Speak with a pharmacist for advice.
  5. Seek medical attention: If your symptoms persist for more than a few days, or if they get worse, seek medical attention.

What you should look out for

  • Signs of dehydration: These include extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness.
  • Blood in your stool or vomit: This could be a sign of a more serious condition.
  • High fever: A high fever can be a sign of a more serious infection.
  • Severe abdominal pain: This could be a sign of a more serious condition.

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of sudden onset nausea and diarrhea while traveling?

Common causes of sudden onset nausea and diarrhea while traveling include gastroenteritis, food poisoning, and motion sickness. These conditions can be triggered by consuming contaminated food or water, exposure to new environments, or the motion of travel itself.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as nausea, diarrhea, and abdominal cramping. However, food poisoning symptoms often start within hours of eating contaminated food, while gastroenteritis can develop more gradually. A healthcare professional can help determine the cause based on symptoms and history.


What are the best ways to stay hydrated if experiencing diarrhea?

To stay hydrated during diarrhea, drink plenty of water and consider oral rehydration solutions or sports drinks that contain electrolytes. Avoid caffeine and alcohol, as they can worsen dehydration.


When should I seek medical attention for symptoms like nausea and diarrhea?

Seek medical attention if symptoms persist for more than a few days, worsen, or if you experience signs of dehydration, blood in stool or vomit, high fever, or severe abdominal pain. These could indicate a more serious condition requiring professional care.


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