[37F] With severe abdominal pain and diarrhea

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms typically include diarrhea, nausea, vomiting, and abdominal pain. The antibiotics you were given might not be effective if the cause is viral.

  • Treatment: Gastroenteritis usually resolves on its own. Staying hydrated is crucial. Over-the-counter medications can help manage symptoms, but it's important to consult a healthcare provider for proper guidance.

• Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine, causing symptoms like cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

  • Treatment: Management includes dietary changes, stress management, and medications to relieve symptoms. A healthcare provider can help tailor a treatment plan for you.

• Inflammatory Bowel Disease (IBD): This includes conditions like Crohn's disease and ulcerative colitis, which cause chronic inflammation of the gastrointestinal tract. Symptoms can include severe abdominal pain, diarrhea, and weight loss.

  • Treatment: IBD requires medical management, including medications to reduce inflammation and, in some cases, surgery. A healthcare provider can perform tests to diagnose and manage this condition.

• Peptic Ulcer Disease: Ulcers in the stomach or upper part of the small intestine can cause sharp, burning pain. They can be caused by infections (like H. pylori) or long-term use of NSAIDs.

  • Treatment: Treatment typically involves medications to reduce stomach acid and antibiotics if an infection is present. A healthcare provider can confirm this diagnosis through tests.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to prevent dehydration from diarrhea.
2. Apply Heat: Continue using a heating pad to help alleviate abdominal pain.
3. Rest: Ensure you get plenty of rest to help your body recover.
4. Avoid Irritants: Avoid foods and drinks that can irritate your stomach, such as spicy foods, caffeine, and alcohol.
5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your healthcare provider. This can help in identifying patterns and triggers.
6. Follow Up: Since your symptoms are severe and persistent, follow up with a healthcare provider for further evaluation and management.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe or Worsening Pain: If your abdominal pain becomes unbearable or changes in nature.
• Signs of Dehydration: Such as dry mouth, decreased urine output, dizziness, or lightheadedness.
• High Fever: A temperature over 100.4°F, especially if it persists.
• Blood in Stool: Any sign of blood in your stool should be evaluated by a healthcare provider.
• Persistent Symptoms: If your symptoms do not improve or worsen despite taking measures to manage them.

Remember, while I can provide information and suggestions, I am not a substitute for a healthcare provider. Please consult a medical professional for a formal diagnosis and appropriate treatment.