[30F] With abdominal pain, bloating, and diarrhea
Patient Description
A 30-year-old female presents with abdominal pain and pressure, particularly in the lower abdomen, along with back pain, bloating, and diarrhea for about a week. The abdominal pressure is described as a heavy feeling, rated 7 out of 10 in severity, and has worsened over the last two days. Diarrhea occurs every few hours without changes in stool color or consistency. There have been no recent changes in diet, stress levels, or travel. The patient denies nausea, vomiting, blood in stool, fever, or chills. The menstrual cycle is late, but the patient is not sexually active. Current medications include a probiotic and Prilosec (40mg, not taken daily), along with basic vitamins. There are no known medication allergies or pre-existing conditions.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Irritable Bowel Syndrome (IBS): This condition can cause bloating, abdominal pain, and changes in bowel habits like diarrhea. Stress and diet can often trigger symptoms.
- Treatment typically involves dietary changes, stress management, and sometimes medication to manage symptoms.
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Gastroenteritis: Often caused by a viral or bacterial infection, it can lead to diarrhea, abdominal pain, and bloating.
- Treatment usually involves staying hydrated and resting. In some cases, medication may be needed.
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Gastroesophageal Reflux Disease (GERD): Since you take Prilosec, GERD could be a factor, causing bloating and discomfort.
- Treatment includes dietary changes, medications like Prilosec, and lifestyle modifications.
What you can do
- Dietary Adjustments: Try eating smaller, more frequent meals and avoid foods that trigger bloating or discomfort.
- Stay Hydrated: Drink plenty of fluids, especially if you have diarrhea.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
- Over-the-Counter Relief: Consider using over-the-counter medications for diarrhea if needed, but consult a healthcare provider if symptoms persist.
What you should look out for
- Seek Medical Attention: If you experience severe pain, blood in your stool, or a high fever, see a doctor promptly.
- Monitor Symptoms: If symptoms worsen or don't improve, consult a healthcare professional for further evaluation.
Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.
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2 mo ago