[38F] Experiencing gastrointestinal and anxiety-related symptoms

Patient Description

A 38-year-old female presents with a 3-day history of consistent and painful stomach cramps, rated 6/10 in severity, which worsen with bending but are alleviated somewhat by deep breathing and peppermint tea. The patient also reports very liquid and frequent diarrhea, with seven bowel movements in one night, persisting for approximately 12 hours. Accompanying symptoms include anxiety, sweaty palms, and insomnia, which the patient attributes to her heightened anxiety over her health and job performance. The patient has a long-standing anxiety disorder, as well as diagnoses of irritable bowel syndrome, tachycardia, and autism. She has an allergy to Dicyclamine and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause diarrhea, stomach cramps, and nausea. Anxiety and stress can exacerbate these symptoms.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Irritable Bowel Syndrome (IBS) Flare-Up: Given your history of IBS, your current symptoms could indicate a flare-up. IBS can cause a range of symptoms, including stomach cramps, diarrhea, and nausea. Stress and anxiety are known triggers for IBS.

    • Treatment usually involves dietary changes, stress management, and sometimes medication to manage symptoms.
  • Anxiety: You mentioned that you have a history of anxiety, and it seems to be playing a significant role in your current symptoms. Anxiety can cause physical symptoms like stomach cramps, diarrhea, and sweaty palms. It can also cause insomnia.

    • Treatment often involves cognitive-behavioral therapy, medication, and lifestyle changes to manage stress.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Stay hydrated: Diarrhea can cause dehydration, so make sure to drink plenty of fluids.
  2. Eat a bland diet: Foods like rice, bananas, and toast can be easier on your stomach.
  3. Practice stress management: Techniques like deep breathing, meditation, and yoga can help manage anxiety and may improve your physical symptoms.
  4. Get plenty of rest: This can help your body recover if you have gastroenteritis, and it can also help manage anxiety and insomnia.

What you should look out for

Reasons to seek immediate medical attention:

  • If your symptoms worsen or persist for more than a few days.
  • If you notice blood in your stool.
  • If you develop a high fever (over 100.4°F).
  • If you become severely dehydrated (symptoms include extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness).

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are common triggers for an IBS flare-up?

Common triggers for an IBS flare-up include stress, certain foods (like dairy, caffeine, and fatty foods), hormonal changes, and infections. Managing these triggers can help reduce the frequency and severity of flare-ups.


How can anxiety affect gastrointestinal symptoms?

Anxiety can exacerbate gastrointestinal symptoms by increasing gut sensitivity and altering gut motility, leading to symptoms like stomach cramps, diarrhea, and nausea. Stress management techniques can help alleviate these symptoms.


What are the signs of dehydration to watch for during diarrhea?

Signs of dehydration include extreme thirst, dry mouth, little to no urination, dark-colored urine, severe weakness, dizziness, and lightheadedness. It's important to stay hydrated, especially during episodes of diarrhea.


What dietary changes can help manage IBS symptoms?

Dietary changes that can help manage IBS symptoms include eating smaller, more frequent meals, avoiding trigger foods, increasing fiber intake gradually, and staying hydrated. Keeping a food diary can help identify specific triggers.


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