[38M] Experiencing anxiety and gastrointestinal symptoms

Patient Description

A 38-year-old male reports experiencing anxiety, an upset stomach, and diarrhea for the past two weeks. The anxiety, which is new for the patient, is severe enough to prevent him from working and started suddenly. He finds some relief through breathing exercises and relaxation techniques. The patient also mentions mild headaches. The gastrointestinal symptoms include soft stools and intermittent diarrhea, which also started two weeks ago. There are no identified triggers for the anxiety or specific foods that exacerbate the gastrointestinal symptoms.

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Arora's Assessment

What might be happening

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

  • Anxiety Disorder: Anxiety can cause a variety of physical symptoms, including headaches, upset stomach, and diarrhea. It's also possible that your anxiety is exacerbating these symptoms.

    • Treatment typically involves a combination of therapy and medication. Cognitive-behavioral therapy (CBT) is particularly effective for treating anxiety disorders. Medications, such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines, can also be helpful.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Anxiety can trigger symptoms of IBS.

    • Treatment of IBS focuses on relieving symptoms so that you can live as normally as possible. Mild signs and symptoms can often be controlled by managing stress and by making changes in your diet and lifestyle.
  • Gastroenteritis: Also known as stomach flu, this condition can cause watery diarrhea, abdominal cramps, nausea or vomiting, and sometimes muscle aches or headache.

    • Treatment is usually home care. Rest, hydration, and over-the-counter medicines can help manage your symptoms and promote recovery.

Please note that low lymphocyte count can be caused by various conditions, including viral infections, malnutrition, and certain autoimmune disorders. It's important to discuss this with your doctor.

What you can do

  1. Seek professional help: If your anxiety is causing significant distress or interfering with your life, consider seeking help from a mental health professional. Therapy, medication, and other strategies can help.
  2. Practice stress management: Regular physical activity, adequate sleep, and good nutrition can help your body better cope with stress. Mindfulness and relaxation exercises can also help.
  3. Keep a symptom diary: This can help you identify triggers for your symptoms. Note what you eat, stressors, and where and when symptoms occur.

What you should look out for

Reasons to seek immediate medical attention:

  • If you have severe abdominal pain or discomfort that doesn't improve after passing stool or gas
  • If you have symptoms of dehydration, such as extreme thirst, dry mouth or skin, little or no urination, severe weakness, dizziness or lightheadedness, or dark-colored urine
  • If your anxiety becomes overwhelming or you have thoughts of harming yourself or others

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


Can anxiety cause physical symptoms like upset stomach and diarrhea?

Yes, anxiety can cause a variety of physical symptoms, including upset stomach and diarrhea. Stress and anxiety can affect the digestive system, leading to symptoms like these.


What are some effective treatments for anxiety disorders?

Effective treatments for anxiety disorders often include a combination of therapy and medication. Cognitive-behavioral therapy (CBT) is particularly effective, and medications such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines can also be helpful.


How can I differentiate between IBS and gastroenteritis?

IBS is a chronic condition characterized by symptoms like cramping, abdominal pain, bloating, and changes in bowel habits, often triggered by stress or certain foods. Gastroenteritis, on the other hand, is usually acute, caused by an infection, and includes symptoms like watery diarrhea, nausea, and vomiting. A healthcare provider can help differentiate between the two based on symptoms and duration.


What lifestyle changes can help manage IBS symptoms?

Lifestyle changes that can help manage IBS symptoms include managing stress, maintaining a balanced diet, staying hydrated, and regular physical activity. Keeping a symptom diary to identify and avoid triggers can also be beneficial.


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