[29F] With nausea, diarrhea, and itchy skin
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possibilities:
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Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can lead to symptoms like diarrhea, nausea, and stomach pain. The yellowish-green color of your stool might indicate a rapid transit through the intestines, which is common in gastroenteritis.
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Allergic Reaction or Contact Dermatitis: The itchy skin could be a reaction to something you've come into contact with, such as the new clothes you mentioned. Sometimes, even if there are no visible rashes, the skin can still be irritated.
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Gallbladder Issues: Problems with the gallbladder, such as gallstones or inflammation, can cause nausea, diarrhea, and stomach pain, especially after eating fatty foods. The yellowish-green stool color might also be related to bile issues.
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Liver Concerns: Liver problems can sometimes cause symptoms like nausea, diarrhea, and itchy skin. The color of your stool might also be a sign of liver or bile duct issues.
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Food Intolerance or Sensitivity: Sometimes, certain foods can trigger symptoms like diarrhea and stomach pain. Since you mentioned stomach pain after drinking wine, it might be worth considering if there's a sensitivity to certain ingredients.
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Stress or Anxiety: Stress and anxiety can sometimes manifest as physical symptoms, including nausea, diarrhea, and even skin changes like itching.
The chest pain you experienced, especially at a high intensity, is concerning and should not be ignored. While it might be related to gastrointestinal issues, it's important to rule out any cardiac causes, especially since it was severe.
What you can do
Diarrhea and Nausea:
- Stay hydrated by drinking plenty of fluids, such as water or oral rehydration solutions, to prevent dehydration.
- Eat bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet) to help settle your stomach.
- Avoid alcohol, caffeine, and fatty or spicy foods that might worsen your symptoms.
- Continue using Zofran and ginger chews as they seem to help with your nausea.
Itchy Skin:
- Use a gentle, fragrance-free moisturizer to soothe your skin and reduce itching.
- Consider using over-the-counter antihistamines to help with the itching if it's bothersome.
- Wash any new clothes before wearing them to remove potential irritants.
Chest Pain:
- Since the chest pain was severe, it's important to seek medical attention to rule out any serious conditions, especially if it recurs.
General Health:
- Keep a journal of your symptoms using MDandMe to track any changes and share this information with your healthcare provider.
- Consider reducing or eliminating alcohol consumption, especially if it seems to trigger symptoms.
What you should look out for
Seek medical attention if you experience any of the following:
- Persistent or worsening chest pain, especially if it radiates to your arm, neck, or jaw.
- Signs of dehydration, such as dizziness, dry mouth, or decreased urination.
- Severe abdominal pain or a significant change in the color of your stool.
- Any new or worsening symptoms that concern you.
Remember, it's important to consult with a healthcare professional for a proper diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to ask!
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21 d ago