[29F] Experiencing persistent watery stools

Patient Description

A 29-year-old female has been experiencing persistent watery stools twice daily for 2-4 weeks. The consistency has been described as watery, and the frequency has remained consistent throughout this period. The patient has not identified any specific food triggers and has not traveled recently. There are no accompanying symptoms such as fever, chills, or blood or mucus in the stools. No other changes in health or new symptoms were reported.

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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 result in diarrhea and other symptoms like nausea, vomiting, and sometimes fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is suspected.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress. Certain medications may also help.
  • Food Intolerance: This occurs when your body can't properly digest certain foods, leading to digestive symptoms such as diarrhea.

    • Treatment involves identifying and avoiding foods that cause symptoms.

Please note that these are potential explanations for your symptoms, but other conditions could also be responsible. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help you manage your symptoms:

  1. Stay hydrated: Diarrhea can cause dehydration, so it's important to drink plenty of fluids. Water is best, but you can also drink fruit juice or broth to replace lost electrolytes.

  2. Eat a bland diet: Foods like rice, bananas, and toast can help firm up your stool.

  3. Avoid foods that can aggravate diarrhea: These include dairy products, fatty foods, high-fiber foods, and sweet foods.

  4. Over-the-counter medications: Anti-diarrheal medications can help reduce the frequency of your loose stools.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Bloody or black stools
  • Signs of dehydration, such as extreme thirst, dry mouth or skin, little to no urination, severe weakness, dizziness, or lightheadedness
  • Diarrhea that lasts more than a few days

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 persistent watery diarrhea?

Common causes of persistent watery diarrhea include infections (viral or bacterial), irritable bowel syndrome (IBS), and food intolerances. It's important to consult a healthcare provider for an accurate diagnosis.


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

Gastroenteritis often presents with sudden onset diarrhea, nausea, vomiting, and sometimes fever, usually following an infection. IBS is a chronic condition with symptoms like cramping, abdominal pain, and changes in bowel habits, often triggered by stress or certain foods. A healthcare provider can help differentiate between the two.


What dietary changes can help manage persistent diarrhea?

To manage persistent diarrhea, it's recommended to eat a bland diet including foods like rice, bananas, and toast. Avoid dairy, fatty foods, high-fiber foods, and sweets. Staying hydrated is also crucial.


When should I seek medical attention for diarrhea?

You should seek medical attention if you experience severe abdominal or rectal pain, bloody or black stools, signs of dehydration, or if diarrhea lasts more than a few days.


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