[40F] Experiencing stomach cramping, diarrhea, and bloating

Patient Description

A 40-year-old female has been experiencing severe stomach cramping, diarrhea, and bloating for a week. The cramping occurs in the middle of the abdomen, sometimes in waves, and is exacerbated by lying down and eating. The patient has constant bloating, particularly in the lower abdomen, which does not subside after bowel movements. Diarrhea occurs once or twice a day, with a light tan color and without blood. The patient adheres to a low FODMAP diet due to a history of swollen intestines diagnosed last May. There are no known allergies or adverse reactions to medications, and the patient is not currently on any medications. Additionally, the patient reports an uncomfortable feeling after eating, with increased stomach rumbling, gurgling, and burping, as well as occasional nausea and stabbing pain above the belly button.

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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): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea or constipation, or both. Your symptoms of stomach cramping, diarrhea, and bloating, as well as the fact that you've been on a low FODMAP diet for swollen intestines, suggest this could be a possibility.

    • Treatment for IBS often includes dietary modifications, such as the low FODMAP diet you've been following, as well as medications to manage symptoms.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as a stomach virus or stomach flu. Symptoms can include diarrhea, abdominal pain and cramping, nausea, and sometimes vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Food Intolerance: This occurs when your digestive system can't tolerate certain foods. While not life-threatening, food intolerance can make you feel miserable. Symptoms can include cramping, bloating, diarrhea, and nausea.

    • Treatment typically involves avoiding the foods that cause you problems. You may be able to eat small amounts without a reaction, and you may be able to reintroduce the food into your diet over time.

Please remember that these are potential explanations for your symptoms based on the information you've provided, and not a definitive diagnosis. You should consult with a healthcare professional for a formal diagnosis and treatment options.

What you can do

  1. Continue to follow a low FODMAP diet, as this can help manage symptoms of IBS and food intolerances.
  2. Stay hydrated, especially if you're experiencing diarrhea. This can help prevent dehydration.
  3. Over-the-counter medications may help manage your symptoms. For example, antidiarrheal medications can help with diarrhea, and gas relief medications can help with bloating and gas.
  4. Keep a food diary to track what you eat and how you feel afterwards. This can help identify any potential food triggers.
  5. Regular exercise can help reduce symptoms of IBS.

What you should look out for

You should seek immediate medical attention if you experience:

  • Severe pain or cramping
  • Blood in your stool or black, tarry stools
  • High fever (above 101.5°F)
  • Signs of dehydration, such as not urinating, extreme thirst, very dry mouth and throat, or feeling dizzy when you stand up
  • Diarrhea that lasts more than three days

Please remember to consult with a healthcare professional for a formal diagnosis and treatment options.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What is a low FODMAP diet and how does it help with IBS?

A low FODMAP diet involves reducing foods that are high in certain fermentable carbohydrates, which can cause symptoms like bloating, gas, and diarrhea in people with IBS. It helps by minimizing these symptoms and improving gut health.


What are the common symptoms of gastroenteritis and how is it treated?

Common symptoms of gastroenteritis include diarrhea, abdominal pain and cramping, nausea, and sometimes vomiting. Treatment usually involves rest, staying hydrated, and using over-the-counter remedies. If the cause is bacterial, antibiotics may be necessary.


How can I identify if I have a food intolerance?

To identify a food intolerance, keep a food diary to track what you eat and any symptoms that occur afterwards. This can help pinpoint specific foods that trigger symptoms. An elimination diet or consulting with a healthcare professional can also be helpful.


When should I seek medical attention for stomach cramping and diarrhea?

You should seek medical attention if you experience severe pain or cramping, blood in your stool, high fever, signs of dehydration, or if diarrhea lasts more than three days.


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