[34F] Experiencing chronic abdominal pain and acute diarrhea

Patient Description

A 34-year-old female presents with a 3-year history of chronic abdominal pain described as a dull ache across the abdomen with sharp pain at the site of a left hernia, particularly during bowel movements. The pain severity fluctuates between 6 to 9 out of 10. Recently, the patient has been experiencing watery diarrhea every 20 minutes, accompanied by chills and cold sweats. The patient has a history of kidney failure, hypertension, anxiety, chronic pain, nausea, bloating, and difficulty breathing. No relief from abdominal pain has been reported, and no specific dietary triggers for the diarrhea have been identified. The patient's symptoms are significantly impacting their quality of life.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Irritable Bowel Syndrome (IBS): A common disorder that affects the large intestine and can cause abdominal pain, bloating, gas, diarrhea, and cramping. It's often related to stress, hormonal changes, or certain foods.

    • Treatment typically involves lifestyle modifications, such as changes in diet and stress management techniques. Medications may also be used to manage symptoms.
  • Inflammatory Bowel Disease (IBD): This includes conditions like Crohn's disease and ulcerative colitis, which are characterized by chronic inflammation of the digestive tract. Symptoms can include diarrhea, abdominal pain, and weight loss.

    • Treatment often involves medications to reduce inflammation and manage symptoms, as well as dietary changes.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, abdominal pain, vomiting, headache, fever, and chills.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if bacteria or parasites are the cause.
  • Hernia complications: If you have a known hernia, complications such as incarceration or strangulation could cause severe pain and changes in bowel habits. This would be a medical emergency.

    • Treatment would involve urgent surgical intervention.

What you can do

  1. Try to identify any triggers for your symptoms. This could be certain foods, stress, or other factors. Avoiding these triggers may help to reduce your symptoms.
  2. Stay hydrated, especially if you're experiencing frequent diarrhea. This can help to prevent dehydration.
  3. Over-the-counter medications may help to manage your symptoms. For example, loperamide can help to reduce diarrhea, and pain relievers can help to manage abdominal pain.
  4. Try to eat small, frequent meals instead of large meals. This can help to reduce symptoms of bloating and gas.
  5. Seek medical attention. Given the severity and duration of your symptoms, it's important to speak with a healthcare provider for a formal diagnosis and treatment plan.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Persistent vomiting
  • Signs of dehydration, such as dark urine, dry mouth, or feeling faint

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare provider for a formal diagnosis and treatment plan.

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10 mo ago

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include abdominal pain, bloating, gas, diarrhea, and cramping. These symptoms can be triggered by stress, hormonal changes, or certain foods.


How can Inflammatory Bowel Disease (IBD) be managed?

IBD management typically involves medications to reduce inflammation and manage symptoms, as well as dietary changes. It's important to work with a healthcare provider to develop a personalized treatment plan.


What should I do if I suspect a hernia complication?

If you suspect a hernia complication, such as incarceration or strangulation, seek immediate medical attention as this could be a medical emergency requiring urgent surgical intervention.


How can I prevent dehydration during frequent diarrhea episodes?

To prevent dehydration during frequent diarrhea episodes, it's important to stay hydrated by drinking plenty of fluids, such as water or oral rehydration solutions. Avoid caffeine and alcohol, as they can worsen dehydration.


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