[31F] Experiencing stomach pain, nausea, and diarrhea

Patient Description

A 31-year-old female presents with a dull ache above the belly button, severe nausea rated 7/10, and diarrhea described as watery and yellowish. These symptoms have been persistent for about a month, with nausea occurring after meals and persisting throughout the day, unaffected by any intake of food. The patient reports a significant level of fatigue and expresses that the nausea is so intense that it discourages eating. No fever or chills have been reported. The patient's condition does not seem to improve with any specific interventions and is significantly impacting her quality of life.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gastritis: This is an inflammation of the stomach lining, which can cause upper abdominal pain, nausea, and vomiting. It can be caused by various factors, such as certain medications, excessive alcohol consumption, and infections.

    • Treatment typically involves medications to reduce stomach acid and, if applicable, antibiotics to treat an infection.
  • Peptic Ulcer Disease: This condition is characterized by sores that develop on the lining of your stomach, upper small intestine or esophagus. The most common symptom is stomach pain.

    • Treatment usually involves medications to reduce stomach acid, which allows the ulcer to heal. In some cases, antibiotics may be needed to treat an infection.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right abdomen, nausea, and vomiting. The pain is usually severe and sudden.

    • Treatment can range from watchful waiting to surgery, depending on the severity of symptoms and whether complications develop.
  • Gastroenteritis: This is an inflammation of the digestive tract, usually caused by a viral, bacterial, or parasitic infection. Symptoms can include diarrhea, stomach pain, nausea, and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is the cause.

Please remember, these are potential diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Try to stay hydrated. Dehydration can make nausea and fatigue worse. Aim for clear, non-alcoholic, caffeine-free liquids like water, herbal tea, or clear broths.
  2. Eat smaller, more frequent meals instead of three large meals a day.
  3. Avoid foods that are high in fat, spicy, or have strong odors, as these can exacerbate nausea.
  4. Over-the-counter antacids may help with the stomach pain and nausea, but you should consult with a healthcare provider before starting any new medication.

What you should look out for

Please seek immediate medical attention if you:

  • Notice blood in your stool or vomit
  • Experience severe abdominal pain
  • Have a high fever (temperature over 100.4°F)
  • Become so nauseous that you can't keep liquids down
  • Notice your skin or eyes becoming yellow (a sign of jaundice)
  • Experience persistent vomiting or diarrhea
  • Feel lightheaded or faint when standing up

These could be signs of a more serious condition that needs immediate treatment.

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11 mo ago

People Also Ask


What are the common causes of gastritis and how is it treated?

Gastritis is commonly caused by factors such as certain medications (like NSAIDs), excessive alcohol consumption, and infections (such as H. pylori). Treatment typically involves medications to reduce stomach acid and, if applicable, antibiotics to treat an infection.


How can I differentiate between peptic ulcer disease and other stomach issues?

Peptic ulcer disease is characterized by sores on the lining of the stomach, upper small intestine, or esophagus, with stomach pain being the most common symptom. It can be differentiated from other issues by the presence of this pain, especially if it occurs on an empty stomach and is relieved by eating or taking antacids. Diagnosis often requires endoscopy or imaging tests.


What are the symptoms of gallstones and when should I seek treatment?

Gallstones can cause symptoms like severe and sudden pain in the upper right abdomen, nausea, and vomiting. You should seek treatment if you experience severe pain, jaundice, or signs of infection such as fever and chills, as these may indicate complications.


What steps can I take to manage gastroenteritis at home?

To manage gastroenteritis at home, stay hydrated with clear fluids, rest, and consider over-the-counter remedies for symptom relief. Avoid solid foods until vomiting and diarrhea subside, then gradually reintroduce bland foods. Seek medical attention if symptoms are severe or persistent.


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