[29F] Experiencing severe diarrhea and dehydration

Patient Description

A 29-year-old female has been experiencing severe, watery, and foul-smelling diarrhea at least 8 times daily for the past 72 hours, accompanied by nausea, chills, and signs of dehydration, including lightheadedness. The patient also reports intermittent burping less than 10 times a day and fatigue. There is mucus present in the stools, but no blood. The patient has a history of endometriosis diagnosed in 2019 and lymphoma diagnosed in May 2023. No medications are currently being taken, and no recent travel or new foods were reported. No specific triggers or relief measures for the burping have been identified.

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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 lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as stomach flu. Symptoms can include diarrhea, nausea, and chills.

    • Treatment typically involves rest, rehydration, and eating light, bland foods. Antibiotics may be necessary if the cause is bacterial.
  • 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.

    • Treatment of IBS typically involves long-term management of diet, lifestyle and stress. More-serious symptoms can be managed with medication and counseling.
  • Inflammatory Bowel Disease (IBD): This is an umbrella term used to describe disorders that involve chronic inflammation of your digestive tract, such as Crohn's disease and ulcerative colitis. Symptoms include diarrhea, fatigue, and abdominal pain.

    • Treatment typically involves drug therapy or surgery.

Please note that your symptoms could also be a side effect of your lymphoma or its treatment.

What you can do

While waiting for your doctor's appointment, here are some things you can do:

  1. Stay hydrated: Drink plenty of fluids such as water, broth or over-the-counter rehydration solutions.
  2. Eat light: Try bland, easy-to-digest foods such as rice, bananas and applesauce.
  3. Avoid dairy, caffeine, and alcohol: These can worsen symptoms.
  4. Rest: Your body needs energy to fight off the virus and recover.

What you should look out for

Please seek immediate medical attention if:

  • Your diarrhea and vomiting continue for more than a few days.
  • You notice blood in your stool.
  • You become overly dizzy or lightheaded.
  • Your symptoms significantly worsen or you develop new symptoms.

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

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11 mo ago

People Also Ask


What are the common causes of severe, watery diarrhea?

Severe, watery diarrhea can be caused by infections such as viral gastroenteritis, bacterial infections, or parasites. It can also be a symptom of conditions like IBS or IBD, or a side effect of medications or treatments.


How can I manage dehydration at home?

To manage dehydration at home, drink plenty of fluids like water, oral rehydration solutions, or clear broths. Avoid caffeine and alcohol, and consider eating foods with high water content like fruits and vegetables.


Could my symptoms be related to my history of lymphoma?

Yes, your symptoms could potentially be related to your lymphoma or its treatment. Lymphoma and its treatments can affect the digestive system, leading to symptoms like diarrhea and nausea.


What dietary changes can help alleviate diarrhea symptoms?

To alleviate diarrhea symptoms, try eating bland, easy-to-digest foods such as bananas, rice, applesauce, and toast. Avoid dairy, spicy foods, and high-fat foods, which can worsen symptoms.


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