[29M] Experiencing chronic diarrhea and recent flu-like symptoms

Patient Description

A 29-year-old male reports chronic diarrhea occurring once daily for the past two weeks, with an episode of severe illness including fever and chills one week prior. The patient tested negative for COVID-19 at that time. He has experienced a decrease in appetite since last Saturday, night sweats on two separate occasions, and ongoing symptoms of sneezing and congestion. There is no reported severe abdominal pain, persistent vomiting, bloating, gas, or blood in the stool. The patient has managed a mild fever with Children's Motrin and Advil. He has no known allergies, pre-existing conditions, chronic illnesses, or current medications.

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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 digestive tract, often caused by a virus or bacteria. It can lead to diarrhea, stomach upset, and fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Food poisoning: This can occur if you've consumed contaminated food or drink. Symptoms can include diarrhea, fever, and stomach upset.

    • Treatment usually involves rest and hydration. In severe cases, medical attention may be required.
  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment typically involves long-term management of diet, lifestyle, and stress. Medications and counseling may also be beneficial.

Please note that these are potential diagnoses based on the symptoms you've described. It's important to consult a healthcare professional for an accurate diagnosis and treatment.

What you can do

Here are some general recommendations that may help manage your symptoms:

  1. Stay hydrated: Diarrhea can lead to dehydration, so it's important to drink plenty of fluids. Water, broth, or oral rehydration solutions are good choices.

  2. Eat a bland diet: Foods like rice, bananas, and toast can be easier on your stomach.

  3. Rest: Your body needs energy to fight off an infection. Getting plenty of sleep can help.

  4. Over-the-counter remedies: These can help manage symptoms of diarrhea and fever. Always follow the package instructions.

What you should look out for

Contact a healthcare professional if:

  • Your symptoms persist for more than a few days
  • You have severe abdominal or rectal pain
  • Your diarrhea is bloody or black
  • You become dehydrated — signs of dehydration include excessive thirst, dry mouth, deep yellow urine or little or no urine, and severe weakness, dizziness or lightheadedness

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult a healthcare professional for medical advice.

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10 mo ago

People Also Ask


What are the common causes of chronic diarrhea?

Chronic diarrhea can be caused by infections (viral, bacterial, or parasitic), food intolerances, digestive disorders like IBS, medications, or chronic diseases such as celiac disease or Crohn's disease.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms like diarrhea and fever. However, food poisoning often occurs suddenly after eating contaminated food and may affect others who consumed the same food. Gastroenteritis can be viral and spread from person to person.


What dietary changes can help manage symptoms of diarrhea?

A bland diet can help manage diarrhea. Foods like bananas, rice, applesauce, and toast (the BRAT diet) are recommended. Avoid dairy, fatty foods, and high-fiber foods until symptoms improve.


When should I seek medical attention for diarrhea?

Seek medical attention if diarrhea persists for more than a few days, if you experience severe abdominal pain, bloody stools, signs of dehydration, or if you have a high fever that doesn't improve with over-the-counter medications.


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