[33F] Experiencing gastrointestinal symptoms with tenderness and sweating

Patient Description

A 33-year-old female presents with a 24-hour history of upset stomach, diarrhea, nausea, tender stomach, sweating, and bloating. The tenderness is described as an ache located above the belly button but below the sternum, with a severity of 5/10. The patient reports the stomach feels very firm to the touch and the pain worsens when standing or not leaning against something. The diarrhea is watery and brown, occurring 2-3 times a day. The patient also experienced a significant sweating episode that lasted 24 hours and was severe enough to soak through clothes. The patient's medical history includes PCOS, diagnosed in 2006, and a recent diagnosis of Vitamin D deficiency within the last 30 days. The patient has allergies but has not specified the allergens or the medications currently being taken. The patient denies any recent travel, blood in stool or vomit, vomiting, rapid heart rate, but reports lightheadedness. The onset of symptoms began after consuming a leftover chicken wing.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, typically resulting from bacterial toxins or viral infection. It can cause symptoms such as diarrhea, nausea, and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if the cause is bacterial.
  • Food Poisoning: Consuming contaminated food can cause food poisoning. Symptoms can start within hours of eating the contaminated food and include nausea, vomiting, diarrhea, and stomach cramps.

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

    • Treatment usually involves long-term management of diet, lifestyle changes, and stress.
  • Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Symptoms include nausea, vomiting, a feeling of fullness in your upper abdomen after eating, and abdominal pain or discomfort.

    • Treatment usually involves antacids and other medications to decrease stomach acid.

What you can do

  1. Stay hydrated: Drink plenty of fluids like water, broth, or an oral rehydration solution. Avoid caffeine and alcohol as they can dehydrate you.
  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.
  3. Eat light: If you can eat without vomiting, eat small amounts of bland foods like rice, applesauce, or crackers.
  4. Avoid anti-diarrheal medications: These drugs slow your digestive system down, preventing your body from getting rid of the virus. If symptoms persist for more than a couple of days, consult your doctor.

What you should look out for

  • If your symptoms persist for more than a few days or get worse
  • If you have a high fever (over 101.5°F)
  • If you see blood in your vomit or stool
  • If you become dehydrated — signs of dehydration include excessive thirst, dry mouth, deep yellow urine or little or no urine, and severe weakness, dizziness or lightheadedness

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.

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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 the common causes of gastroenteritis and how can it be treated?

Gastroenteritis is commonly caused by viral infections (like norovirus or rotavirus), bacterial infections (such as E. coli or Salmonella), or parasites. Treatment typically involves staying hydrated, resting, and using over-the-counter medications to relieve symptoms. In bacterial cases, antibiotics may be necessary.


How can you differentiate between food poisoning and a stomach virus?

Food poisoning often occurs after consuming contaminated food and symptoms can appear within hours, including nausea, vomiting, diarrhea, and stomach cramps. A stomach virus, or viral gastroenteritis, is usually spread through contact with an infected person or contaminated surfaces and may have similar symptoms but can last longer. A healthcare provider can help differentiate based on symptoms and timing.


What dietary changes can help manage symptoms of Irritable Bowel Syndrome (IBS)?

For managing IBS, it is recommended to eat a high-fiber diet, avoid trigger foods (such as caffeine, alcohol, and fatty foods), eat smaller meals, and stay hydrated. Keeping a food diary can help identify specific triggers. Stress management and regular exercise can also be beneficial.


What are the signs that indicate you should seek medical attention for stomach issues?

You should seek medical attention if your symptoms persist for more than a few days, if you have a high fever, if you notice blood in your vomit or stool, or if you show signs of dehydration such as excessive thirst, dry mouth, or severe weakness. These could indicate a more serious condition that requires medical evaluation.


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