[28M] Experiencing severe gastrointestinal symptoms and headaches

Patient Description

A 28-year-old male presents with a week-long history of severe diarrhea, characterized by 5 or more episodes of watery or mushy stools daily, abdominal pain located under the belly button and extending to the lower right back, nausea, extreme fatigue, mood changes, loss of appetite, and lethargy. The abdominal pain is described as cramps and sharp waves of intense pain, which are somewhat alleviated by heat and rest. The patient also reports periods of debilitating headaches that are sharp and throbbing, coinciding with the gastrointestinal issues, and are exacerbated by movement. The patient has a history of depression diagnosed in 2018 and is currently taking Zoloft, Lisinopril, and Adderall. He reports an adverse reaction to Trazodone. No allergies or other medications were reported.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the gastrointestinal tract, typically from a virus or bacterial infection. It can cause diarrhea, abdominal pain, nausea, and fatigue. It's usually self-limited and resolves within a few days to a week.

    • Treatment usually involves rest, hydration, and over-the-counter remedies for symptoms. If symptoms persist for more than a week, a healthcare provider should be consulted.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea, and constipation. IBS is a chronic condition that you will need to manage long term.

    • Treatment often involves long-term changes in diet, lifestyle, and stress management. Some people with IBS find it helpful to work with a dietitian to identify healthy food choices that won't trigger symptoms.
  • Inflammatory Bowel Disease (IBD): This is a term for two conditions (Crohn's disease and ulcerative colitis) that are characterized by chronic inflammation of the gastrointestinal tract. Symptoms can include diarrhea, abdominal pain, fatigue, and weight loss.

    • Treatment usually involves medication to reduce inflammation and prevent flare-ups. In severe cases, surgery may be necessary.
  • Migraines: Migraines are a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head, often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment is aimed at stopping symptoms and preventing future attacks. This could involve taking a combination of drugs to treat an attack when it happens, and taking drugs regularly to prevent attacks.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol and caffeine, as they can worsen dehydration.

  2. Eat a bland diet: Foods like rice, bananas, and toast can help bind your stool and make your diarrhea less severe.

  3. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting plenty of sleep can help.

  4. Over-the-counter medication: There are several over-the-counter medications that can help with diarrhea and abdominal cramping. However, these should not be used for more than two days without consulting a healthcare provider.

  5. Consult a healthcare provider: If your symptoms persist for more than a week, or if they get worse, you should consult a healthcare provider. They can perform tests to determine the cause of your symptoms and recommend appropriate treatment.

What you should look out for

Seek immediate medical attention if you:

  • Have severe abdominal or rectal pain
  • Have bloody or black stools
  • Have a high fever (above 101.4 F)
  • Are showing signs of dehydration, such as excessive thirst, dry mouth, little or no urination, severe weakness, dizziness, or lightheadedness
  • Have had diarrhea for more than a week

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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

People Also Ask


What are the common causes of severe diarrhea lasting more than a week?

Common causes of severe diarrhea lasting more than a week include infections (bacterial, viral, or parasitic), chronic conditions like irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD), and certain medications. It's important to consult a healthcare provider if diarrhea persists for more than a week.


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

Gastroenteritis is typically acute and caused by an infection, leading to symptoms like diarrhea, nausea, and abdominal pain that resolve within a few days to a week. IBS is a chronic condition with symptoms like cramping, abdominal pain, and changes in bowel habits that persist over time and require long-term management.


What are the potential side effects of taking Zoloft, Lisinopril, and Adderall together?

Taking Zoloft, Lisinopril, and Adderall together can potentially lead to side effects such as increased blood pressure, anxiety, insomnia, and gastrointestinal issues. It's important to monitor for any adverse reactions and consult with a healthcare provider for personalized advice.


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

You should seek medical attention if you experience severe abdominal or rectal pain, bloody or black stools, a high fever, signs of dehydration, or if diarrhea persists for more than a week. These symptoms could indicate a more serious underlying condition that requires medical evaluation.


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