[29F] With nausea, diarrhea, and itchy skin

Patient Description

A 29-year-old female is experiencing nausea, diarrhea, and itchy skin. The nausea has been present since late December and worsens with eating. She finds some relief with Zofran and ginger chews. The diarrhea began suddenly and occurs almost daily, with 3 to 4 episodes per day. The stool is yellowish-green in color. The itchy skin started about three days ago and is present all over the body, with no visible rash or changes in skin appearance. The patient recently received a bag of clothes, which might be a potential trigger for the itching. Additionally, she experienced severe chest pain for one day, rated as a 10 out of 10 in intensity. She smokes weed daily and noticed changes in symptoms when consuming alcohol, particularly after a day of heavy drinking. There are no recent changes in medications or skincare products, and no fever or abdominal pain accompanies the diarrhea. The patient denies any recent travel or contact with others experiencing similar symptoms.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possibilities:

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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!

Show More

1
 Hugs
0
 Comments

Save

21 d ago

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

People Also Ask


What could be causing my nausea and diarrhea?

Nausea and diarrhea can be caused by several factors, including gastroenteritis, food intolerances, or gallbladder issues. It's important to monitor your symptoms and consult a healthcare provider for a proper diagnosis.


Why is my skin itchy without a visible rash?

Itchy skin without a visible rash could be due to an allergic reaction or contact dermatitis, possibly from new clothes or other irritants. Using gentle moisturizers and antihistamines may help alleviate the itching.


Should I be concerned about the yellowish-green color of my stool?

Yellowish-green stool can indicate rapid transit through the intestines, often seen in conditions like gastroenteritis. It can also be related to bile issues, so it's advisable to discuss this with your doctor.


What should I do if I experience severe chest pain again?

Severe chest pain should not be ignored, as it could indicate a serious condition. If it occurs again, seek immediate medical attention to rule out cardiac or other serious causes.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback