[33M] Experiencing diarrhea with chills and body aches

Patient Description

A 33-year-old male reports having watery diarrhea for the past 2 days, occurring approximately three times daily. The patient also experiences uncomfortable chills, constant dull body aches in the shoulders and legs rated at a severity of 5 out of 10, and an elevated heart rate. The patient has recently traveled to a foreign country and is unsure about the presence of a fever but has not taken his temperature. Additionally, the patient indicates signs of dehydration, such as a very dry mouth, intense thirst, and reduced urination. There is no reported blood or mucus in the stools, no severe abdominal pain, persistent vomiting, or recent injuries that could explain the body aches.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions may be causing your symptoms:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. It's commonly known as the stomach flu. Symptoms can include diarrhea, body aches, and chills.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms. If symptoms persist or worsen, medical attention is required.
  • Food poisoning: This occurs when you consume contaminated food or water. Symptoms can start within hours of eating the contaminated food and can include diarrhea, body aches, and chills.

    • Treatment usually involves rest and hydration. If symptoms persist or worsen, medical attention is required.
  • Traveler's diarrhea: This is a digestive tract disorder that commonly occurs in travelers. It's usually caused by consuming food or water that's been contaminated with bacteria, viruses, or parasites.

    • Treatment usually involves hydration and over-the-counter medications to manage symptoms. If symptoms persist or worsen, medical attention is required.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose a lot of fluids and electrolytes, which can lead to dehydration. Drink plenty of fluids like water, broth, or oral rehydration solutions. Avoid drinks that are high in sugar or caffeine as they can worsen diarrhea.

  2. Rest: Your body needs energy to fight off the infection. Getting plenty of sleep can help your body recover.

  3. Eat a bland diet: Foods like rice, bananas, and toast can help firm up your stools.

  4. Over-the-counter medications: Medications like loperamide (Imodium) can help reduce the frequency of your stools. However, these should not be used if you have a fever or bloody stools.

What you should look out for

Please seek immediate medical attention if you:

  • Have severe abdominal or rectal pain
  • Have bloody or black stools
  • Have a high fever (above 102°F)
  • Are unable to keep liquids down for 24 hours
  • Show signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness.

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

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People Also Ask


What are the common causes of watery diarrhea when traveling?

Common causes of watery diarrhea when traveling include gastroenteritis, food poisoning, and traveler's diarrhea, often due to consuming contaminated food or water.


How can I tell if I am dehydrated and what should I do about it?

Signs of dehydration include a very dry mouth, intense thirst, reduced urination, dizziness, and weakness. To address dehydration, drink plenty of fluids like water, broth, or oral rehydration solutions.


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

Seek medical attention if you experience severe abdominal pain, bloody or black stools, a high fever, inability to keep liquids down, or severe signs of dehydration.


What dietary changes can help manage diarrhea symptoms?

To manage diarrhea symptoms, eat a bland diet consisting of foods like rice, bananas, and toast, which can help firm up stools. Avoid high-sugar or caffeine drinks as they can worsen diarrhea.


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