[42F] Experiencing gastrointestinal and flu-like symptoms

Patient Description

A 42-year-old female presents with acute onset of nausea and diarrhea, described as soft and liquid, without the presence of blood. Accompanying symptoms include chills, particularly after using the bathroom, and a low-grade, intermittent fever that started this afternoon. The patient reports a lack of energy and has not found relief for her upset stomach. There is no known chronic illness, medication use, or allergies. A Covid test conducted this afternoon returned negative. No other symptoms or health concerns were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions are possible:

  • Gastroenteritis: Often referred to as the "stomach flu," gastroenteritis is inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms typically include diarrhea, nausea, and sometimes fever and chills.
    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. Most people recover within a few days without specific treatment.
  • Food Poisoning: This occurs when you eat contaminated food. Symptoms, which include diarrhea, nausea, and fever, usually begin within a few hours to a few days after eating the contaminated food.
    • Treatment is similar to that of gastroenteritis, focusing on hydration and symptom management.

Please note that while these are possible causes, only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Stay Hydrated: Diarrhea and fever can lead to dehydration. Make sure to drink plenty of fluids. Water is good, but adding broth or drinks with electrolytes can be beneficial.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting extra sleep can help.

  3. Over-the-counter medication: Over-the-counter medication can help manage your symptoms. For example, bismuth subsalicylate can help with diarrhea and nausea.

What you should look out for

If your symptoms persist for more than a few days, or if they get worse, you should seek medical attention. Other reasons to see a doctor include:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (temperature over 102°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a definitive diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of nausea and diarrhea without blood?

Common causes of nausea and diarrhea without blood include viral infections like gastroenteritis, bacterial infections from contaminated food (food poisoning), and sometimes stress or anxiety. It's important to monitor symptoms and consult a healthcare professional if they persist.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as nausea, diarrhea, and fever. However, food poisoning symptoms often start within hours to a few days after consuming contaminated food, while gastroenteritis can be caused by viruses and may spread from person to person. A healthcare professional can help determine the cause based on your symptoms and history.


What are the best ways to stay hydrated when experiencing diarrhea and fever?

To stay hydrated during diarrhea and fever, drink plenty of fluids like water, clear broths, or oral rehydration solutions. Drinks with electrolytes, such as sports drinks, can also be beneficial. Avoid caffeine and alcohol, as they can lead to further dehydration.


When should I seek medical attention for symptoms like nausea and diarrhea?

You should seek medical attention if your symptoms persist for more than a few days, worsen, or if you experience severe abdominal pain, blood in your stool, a high fever over 102°F, or signs of dehydration like excessive thirst, dry mouth, or dizziness.


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