[41M] With diarrhea, abdominal pain, and history of substance use

Patient Description

A 41-year-old male presents with diarrhea for the past five days, characterized by very loose stools occurring 10-15 times a day, especially after eating. The diarrhea began suddenly following two days of forceful vomiting. The patient also reports excessive gas and an upset stomach, with some relief from Pepto-Bismol. The stool is described as grey and colorless. Prior to the onset of these symptoms, the patient experienced intermittent pain in the upper right abdomen, near the gallbladder, but this pain is not currently present. There is no recent travel, dietary changes, or contact with individuals with similar symptoms. The patient denies fever, jaundice, or any history of gallbladder, liver, or pancreatic conditions. There is no alcohol consumption or exposure to questionable food or water sources. The patient has no known allergies and takes ibuprofen as needed. Additionally, the patient reports smoking fentanyl. No prescription medications are currently being taken.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Gallbladder Issues: The pain you experienced in the area where your gallbladder is located, combined with your symptoms of diarrhea and grey, colorless stools, could suggest a gallbladder issue such as gallstones or inflammation (cholecystitis). These conditions can block the bile duct, leading to changes in stool color and digestive issues.

    • Typical treatment may involve dietary changes, medications to dissolve gallstones, or in some cases, surgery to remove the gallbladder.
  • Pancreatitis: This is an inflammation of the pancreas that can cause abdominal pain, vomiting, and changes in stool color. It can be triggered by various factors, including certain medications and substance use.

    • Treatment often involves hospitalization for pain management, IV fluids, and addressing the underlying cause.
  • Viral Gastroenteritis: Also known as a stomach virus, this can cause sudden onset of diarrhea and vomiting. It usually resolves on its own but can cause dehydration if severe.

    • Treatment focuses on staying hydrated and resting.
  • Substance Use Effects: Smoking fentanyl can have various effects on the digestive system and overall health, potentially contributing to your symptoms.

    • It's important to discuss substance use with a healthcare provider to understand its impact on your health and explore support options.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to prevent dehydration, especially since you're experiencing frequent diarrhea.
  2. Monitor Your Diet: Stick to bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
  3. Avoid Triggers: Refrain from consuming fatty, greasy, or spicy foods that might worsen your symptoms.
  4. Use MDandMe: Keep a journal of your symptoms, dietary intake, and any changes you notice. This can help you track your progress and provide valuable information to your healthcare provider.
  5. Seek Medical Advice: It's important to consult a healthcare professional to get a proper diagnosis and treatment plan. They can perform necessary tests to determine the cause of your symptoms.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or persistent abdominal pain
  • Signs of dehydration, such as dizziness, dry mouth, or decreased urination
  • Blood in your stool or vomit
  • Yellowing of the skin or eyes (jaundice)
  • Worsening symptoms or new symptoms

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

1 mo ago

People Also Ask


What could cause grey and colorless stools?

Grey and colorless stools can be caused by a lack of bile in the digestive system, which may occur due to a blockage in the bile duct, often related to gallbladder issues such as gallstones or inflammation.


How can smoking fentanyl affect digestive health?

Smoking fentanyl can affect digestive health by slowing down the digestive process, leading to symptoms like constipation or diarrhea. It can also cause nausea and vomiting, and its use can complicate other underlying health issues.


What are the symptoms and treatment options for gallbladder issues?

Symptoms of gallbladder issues include abdominal pain, especially in the upper right side, nausea, vomiting, and changes in stool color. Treatment may involve dietary changes, medications to dissolve gallstones, or surgery to remove the gallbladder if necessary.


How can I manage diarrhea and prevent dehydration?

To manage diarrhea and prevent dehydration, it's important to drink plenty of fluids, such as water or oral rehydration solutions. Eating bland foods like bananas, rice, applesauce, and toast (the BRAT diet) can help. Avoiding fatty, greasy, or spicy foods is also recommended.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback