[31F] Experiencing one-day episode of green diarrhea with abdominal discomfort

Patient Description

A 31-year-old female presented with a one-day history of green diarrhea, occurring once without any identified food triggers or recent travel. The patient rates the severity as mild and denies experiencing fever, chills, or additional symptoms. She has a medical history significant for an immune disorder and nerve pain diagnosed three years ago. The patient reports allergies to Reglan, Organes, Zofran, Tizanidine, and Dextromethorphan. Current medications include Lyrica, Skelaxin, Tegretol, Gabapentin, Citalopram, and Wellbutrin. There is no abdominal pain or blood in the stool, and no new medications or dietary changes were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the most common cause and is often referred to as a "stomach flu". Symptoms can include diarrhea, abdominal pain, and sometimes fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics are not typically used unless a bacterial or parasitic cause is identified.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms, which include diarrhea, nausea, vomiting, and abdominal cramping, usually begin within a few hours after eating the contaminated food, but they can also occur several days later.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics are not typically used unless a bacterial cause is identified.
  • Side effects of medication: Some of the medications you are taking, such as Lyrica and Tegretol, can cause gastrointestinal side effects including diarrhea.

    • If you suspect your symptoms may be due to your medication, do not stop taking them but do consult your doctor as soon as possible.

What you can do

While waiting for your doctor's appointment, you can:

  1. Stay hydrated: Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol and caffeine, as these can worsen dehydration.
  2. Eat a bland diet: Foods like rice, bananas, and toast can help make your stools more solid and less frequent.
  3. Over-the-counter medication: Over-the-counter anti-diarrheal medication can help reduce the frequency of your diarrhea. However, these should not be used for more than two days without a doctor's advice.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Bloody or black stools
  • High fever (above 102°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider 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 could cause green diarrhea without recent travel or dietary changes?

Green diarrhea can be caused by a variety of factors including viral gastroenteritis, food poisoning, or as a side effect of certain medications. It's important to consider recent dietary intake, medications, and any other symptoms.


Can medications like Lyrica and Tegretol cause diarrhea?

Yes, medications such as Lyrica and Tegretol can cause gastrointestinal side effects, including diarrhea. If you suspect your medication is causing diarrhea, consult your doctor before making any changes.


What are the signs that diarrhea might require immediate medical attention?

Immediate medical attention is needed if you experience severe abdominal or rectal pain, bloody or black stools, a high fever above 102°F, or signs of dehydration such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness.


How can I manage mild diarrhea at home?

To manage mild diarrhea at home, stay hydrated by drinking plenty of water, eat a bland diet with foods like rice, bananas, and toast, and consider using over-the-counter anti-diarrheal medication for short-term relief, but consult a doctor if symptoms persist.


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