[30F] With diarrhea, chills, headache, low fever, and runny nose

Patient Description

A 30-year-old female presents with watery diarrhea occurring 3-4 times per day for the past week. The patient also reports experiencing chills, headache, low fever, and runny nose. The symptoms have gradually developed, and the patient notes that her entire family is also sick. There has been no recent travel, contact with sick individuals outside the family, or consumption of specific foods that exacerbate the symptoms. The patient has not noticed any blood or mucus in the stool and has been able to stay hydrated. No medications or treatments have been taken for the diarrhea.

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Arora's Assessment

What might be happening

Based on the symptoms you have described—diarrhea, chills, headache, low fever, and runny nose—here are some possible explanations:

  • Viral Gastroenteritis (Stomach Flu): This is a common condition caused by a viral infection that affects the stomach and intestines. Symptoms often include watery diarrhea, low-grade fever, chills, headache, and sometimes a runny nose. It is highly contagious and can spread through close contact, which might explain why your entire family is sick.

    • Treatment: Viral gastroenteritis usually resolves on its own within a few days to a week. Treatment focuses on staying hydrated and managing symptoms. Over-the-counter medications can help alleviate symptoms like fever and headache.
  • Common Cold with Gastrointestinal Symptoms: Sometimes, a common cold can present with gastrointestinal symptoms like diarrhea, especially in children and some adults. The runny nose and headache are typical cold symptoms.

    • Treatment: Rest, hydration, and over-the-counter medications to relieve symptoms are usually sufficient.
  • Foodborne Illness: Although you mentioned no specific food triggers, foodborne illnesses can cause similar symptoms and affect multiple family members if you all consumed the same contaminated food.

    • Treatment: Similar to viral gastroenteritis, focus on hydration and symptom management.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids like water, oral rehydration solutions, or clear broths to prevent dehydration. Avoid caffeinated or sugary drinks.
  2. Rest: Ensure you get plenty of rest to help your body fight off the infection.
  3. Eat Light: Stick to bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
  4. Over-the-Counter Medications: You can take medications like acetaminophen for fever and headache. Avoid anti-diarrheal medications unless advised by a healthcare provider.
  5. Hygiene: Practice good hygiene, such as frequent handwashing, to prevent the spread of infection within your household.

You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Dehydration: Signs include dry mouth, extreme thirst, little or no urination, dizziness, or lightheadedness.
  • High Fever: If your fever rises above 102°F (38.9°C) or persists for more than a few days.
  • Blood in Stool: If you notice blood or mucus in your stool.
  • Severe Abdominal Pain: If you experience intense or worsening abdominal pain.
  • Persistent Symptoms: If your symptoms do not improve after a week or worsen.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago


People Also Ask


What is viral gastroenteritis and how is it treated?

Viral gastroenteritis, often called the stomach flu, is an infection of the stomach and intestines caused by a virus. It typically results in symptoms like watery diarrhea, low-grade fever, chills, headache, and sometimes a runny nose. Treatment focuses on staying hydrated and managing symptoms, as it usually resolves on its own within a few days to a week.


Can a common cold cause diarrhea and other gastrointestinal symptoms?

Yes, a common cold can sometimes cause gastrointestinal symptoms like diarrhea, especially in children and some adults. This can occur alongside typical cold symptoms such as a runny nose and headache. Rest, hydration, and over-the-counter medications to relieve symptoms are usually sufficient.


How can I prevent dehydration when experiencing diarrhea?

To prevent dehydration when experiencing diarrhea, it's important to drink plenty of fluids. Water, oral rehydration solutions, or clear broths are recommended. Avoid caffeinated or sugary drinks, as they can worsen dehydration.


When should I seek medical attention for diarrhea and related symptoms?

You should seek medical attention if you experience severe dehydration (signs include dry mouth, extreme thirst, little or no urination, dizziness, or lightheadedness), a high fever above 102°F (38.9°C) that persists, blood in your stool, severe abdominal pain, or if your symptoms do not improve after a week or worsen.


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