[29F] Experiencing acute diarrhea with associated symptoms

Patient Description

A 29-year-old female presents with acute diarrhea, characterized by all liquid stools, occurring approximately 6 times a day for the past 18 hours. The patient reports that the diarrhea is triggered by ingestion of grease, pork, dairy, and coffee. Accompanying symptoms include fever, chills, stomach pain, and nausea. There is no recent travel history. The patient denies the presence of mucus or blood in the stools. There was no mention of signs of dehydration such as dizziness, lightheadedness, or a decrease in urination frequency.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely cause of your diarrhea is:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. The symptoms include diarrhea, stomach pain, nausea, and sometimes fever. The symptoms can be severe for a few days and then gradually better.
    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics are not typically used unless it's suspected that bacteria are the cause.

Other possible causes include:

  • Food Poisoning: This occurs when you eat contaminated food. Symptoms, which include diarrhea, nausea, and stomach pain, begin within a few hours of eating the contaminated food and can last from a few hours to several days.

    • Treatment is similar to that for gastroenteritis.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

    • Treatment of IBS typically involves long-term strategies, such as changes in diet and lifestyle, and focusing on stress management and other therapies.

What you can do

  1. Stay hydrated: Diarrhea can cause dehydration, which can be dangerous if not treated. Drink plenty of fluids like water, broth or sports drinks infused with electrolytes.
  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.
  3. Avoid certain foods: Dairy products, fatty foods, high-fiber foods or highly seasoned foods can worsen symptoms.
  4. Over-the-counter medicines: Drugs such as loperamide (Imodium) can help relieve cramps but they might also prolong the diarrhea associated with certain infections.

What you should look out for

You should seek immediate medical attention if:

  • Your diarrhea persists beyond a few days
  • You become dehydrated — as evidenced by excessive thirst, dry mouth or skin, little or no urination, severe weakness, dizziness or lightheadedness, or dark-colored urine
  • You have severe abdominal or rectal pain
  • You have bloody or black stools
  • You have a fever of 102 F (39 C) or higher

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.

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10 mo ago

People Also Ask


What are the common causes of acute diarrhea?

Common causes of acute diarrhea include viral infections (such as gastroenteritis), bacterial infections (often from contaminated food or water), and food intolerances or allergies. Stress and certain medications can also trigger diarrhea.


How can I tell if my diarrhea is caused by food poisoning or gastroenteritis?

Food poisoning typically occurs after consuming contaminated food and symptoms appear within a few hours, including nausea, vomiting, and diarrhea. Gastroenteritis can be viral or bacterial and symptoms may develop more gradually, often including fever and stomach pain.


What are the signs of dehydration I should watch out for?

Signs of dehydration include excessive thirst, dry mouth, little or no urination, dark-colored urine, severe weakness, dizziness, and lightheadedness. It's important to stay hydrated, especially when experiencing diarrhea.


When should I seek medical attention for diarrhea?

You should seek medical attention if your diarrhea persists beyond a few days, if you show signs of dehydration, if you experience severe abdominal or rectal pain, if you have bloody or black stools, or if you have a high fever (102 F or higher).


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