[33F] Experiencing persistent diarrhea with blood post-stomach flu

Patient Description

A 33-year-old female has been experiencing persistent diarrhea with bowel movements occurring every 30 minutes for the past 4 to 5 days following an episode of stomach flu. The patient reports the presence of blood in the stool, which appears as a mixture with the stool, though the exact color is unclear. Additionally, she experiences severe abdominal pain located above and around the belly button, fluctuating from side to side. There has been no recent travel, changes in diet, or new medications, antibiotics, or supplements. The patient has no known family history of gastrointestinal issues. Her medical history includes an appendectomy in 2010. She has allergies to certain antibiotics, including Levaquin and Vancomycin. No other medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possible explanations for what you might be experiencing:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can lead to symptoms like diarrhea, abdominal pain, and sometimes blood in the stool. Since you mentioned having a stomach flu, this could be a continuation or complication of that illness.

    • Treatment typically involves staying hydrated, resting, and sometimes taking medications to manage symptoms. If a bacterial infection is suspected, antibiotics may be prescribed by a healthcare provider.
  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause chronic diarrhea, abdominal pain, and blood in the stool. These are autoimmune conditions that require medical evaluation and management.

    • Treatment often involves medications to reduce inflammation and manage symptoms, and in some cases, surgery may be necessary.
  • Hemorrhoids or Anal Fissures: These are common causes of blood in the stool and can occur due to straining during bowel movements or frequent diarrhea. They can cause pain and bleeding.

    • Treatment includes increasing fiber intake, using topical treatments, and sometimes medical procedures to address the issue.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to prevent dehydration from frequent diarrhea.
  2. Monitor Your Diet: Try to eat bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet) to help settle your stomach.
  3. Rest: Give your body time to recover by getting plenty of rest.
  4. Track Your Symptoms: Use the MDandMe app to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention promptly if you experience any of the following:

  • Increased Severity of Symptoms: If your symptoms worsen or do not improve with home care.
  • Signs of Dehydration: Such as dizziness, dry mouth, or decreased urination.
  • High Fever: A temperature over 100.4°F that does not resolve.
  • Severe Abdominal Pain: Especially if it becomes localized or more intense.
  • Persistent or Worsening Blood in Stool: This should be evaluated by a healthcare professional.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare provider for a thorough evaluation and appropriate treatment.

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1 mo ago

People Also Ask


What are the common causes of blood in the stool?

Common causes of blood in the stool include hemorrhoids, anal fissures, gastrointestinal infections, and inflammatory bowel diseases like Crohn's disease and ulcerative colitis. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between gastroenteritis and inflammatory bowel disease?

Gastroenteritis is typically acute and often follows a viral or bacterial infection, presenting with symptoms like diarrhea and abdominal pain. Inflammatory bowel disease is chronic, with symptoms persisting over a longer period and often includes blood in the stool, weight loss, and fatigue. A healthcare provider can perform tests to differentiate between the two.


What dietary changes can help manage persistent diarrhea?

To manage persistent diarrhea, consider following the BRAT diet, which includes bananas, rice, applesauce, and toast. These foods are bland and easy to digest. Additionally, staying hydrated and avoiding dairy, caffeine, and fatty foods can help.


When should I seek medical attention for diarrhea and abdominal pain?

Seek medical attention if your symptoms worsen, if you experience signs of dehydration (such as dizziness or decreased urination), if you have a high fever, if the abdominal pain becomes severe or localized, or if there is persistent or worsening blood in the stool.


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