[30F] Experiencing gastrointestinal symptoms with chills and sweating

Patient Description

A 30-year-old female presents with hyperactive bowel sounds, nausea, diarrhea, abdominal cramping and pain, and feeling extremely cold despite waking up in a pool of sweat. The abdominal pain and feeling very cold are the most bothersome symptoms. There is no indication of pregnancy. Further details about the onset, duration, and characteristics of the abdominal pain, as well as any related factors or additional symptoms, would be necessary to narrow down the potential causes and guide appropriate medical evaluation and management.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Gastroenteritis: Often referred to as the "stomach flu," gastroenteritis is inflammation of the stomach and intestines, usually due to a viral or bacterial infection. Symptoms can include diarrhea, nausea, abdominal cramping, and fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to help with symptoms. Antibiotics may be necessary if a bacterial infection is the cause.
  • Food poisoning: This occurs when you eat food contaminated with bacteria, viruses, parasites, or toxins. It can cause symptoms similar to those you're experiencing, including diarrhea, nausea, abdominal cramping, and fever.

    • Treatment often involves rest, hydration, and over-the-counter remedies. Severe cases may require medical attention.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, diarrhea, or constipation.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress. Medications and counseling might be recommended by a doctor.

What you can do

You should seek medical attention to get a proper diagnosis. In the meantime, here are some things you can do to help manage your symptoms:

  1. Stay hydrated: Drink plenty of fluids, especially water. Avoid alcohol, caffeine, and sugary drinks, which can make dehydration worse.
  2. Eat light: Try eating small amounts of bland foods like rice, bananas, or toast.
  3. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting enough sleep can help.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool
  • Persistent vomiting
  • Signs of dehydration, such as dry mouth, feeling very thirsty, or producing little to no urine.

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

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11 mo ago

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

People Also Ask


What are hyperactive bowel sounds and what do they indicate?

Hyperactive bowel sounds are louder and more frequent noises made by the intestines. They can indicate increased intestinal activity, often associated with conditions like gastroenteritis, food poisoning, or irritable bowel syndrome.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning have similar symptoms, but gastroenteritis is often caused by a viral infection, while food poisoning is due to consuming contaminated food. A healthcare provider can help differentiate between the two based on symptom history and possibly stool tests.


What are some effective home remedies for managing nausea and diarrhea?

To manage nausea and diarrhea at home, stay hydrated with clear fluids, eat bland foods like bananas, rice, applesauce, and toast (BRAT diet), and rest. Over-the-counter medications like loperamide for diarrhea or anti-nausea medications may also help, but consult a healthcare provider before use.


When should I seek medical attention for abdominal pain and related symptoms?

Seek medical attention if you experience severe abdominal pain, blood in your stool, persistent vomiting, or signs of dehydration such as dry mouth, extreme thirst, or little to no urine output. These could indicate a more serious condition requiring prompt treatment.


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