[42F] With gastrointestinal symptoms and history of gallstones

Patient Description

A 42-year-old female presents with sudden onset of stomach gurgling, explosive light-colored diarrhea, bitter vomiting, abdominal pain rated 6/10, sweats, and chills for the past 2 hours. The patient reports that going to the bathroom provides some relief. There is no recent travel, dietary changes, or contact with ill individuals. The patient denies fever and jaundice but reports signs of dehydration and nausea. She has a history of gallstones but no surgeries or other gallbladder-related conditions. The patient was diagnosed with Rocky Mountain Spotted Fever a couple of months ago. No current medications or known allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possible explanations:

  • Gallbladder Issues (such as Biliary Colic or Acute Cholecystitis): Given your history of gallstones, it's possible that a gallstone is temporarily blocking the bile duct, leading to the symptoms you're experiencing. This can cause abdominal pain, nausea, vomiting, and changes in stool color.

    • Treatment typically involves pain management, dietary changes, and in some cases, surgical intervention to remove the gallbladder.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms include diarrhea, vomiting, abdominal pain, and chills.

    • Treatment usually involves staying hydrated, resting, and in some cases, taking medications to manage symptoms.
  • Pancreatitis: This is an inflammation of the pancreas that can cause abdominal pain, nausea, vomiting, and changes in stool color. It can be associated with gallstones.

    • Treatment often requires hospitalization, fasting to rest the pancreas, and pain management.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Stay Hydrated: Drink plenty of fluids to prevent dehydration, especially if you're experiencing diarrhea and vomiting. Oral rehydration solutions can be helpful.
  2. Rest: Give your body time to recover by getting plenty of rest.
  3. Monitor Your Diet: Avoid fatty or greasy foods that can exacerbate gallbladder issues. Stick to bland, easy-to-digest foods like rice, bananas, and toast.
  4. Use MDandMe: Keep track of your symptoms, dietary intake, and any changes in your condition using the MDandMe journal. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention promptly if you experience any of the following:

  • Severe abdominal pain that doesn't improve
  • Yellowing of the skin or eyes (jaundice)
  • High fever or persistent chills
  • Signs of severe dehydration, such as dizziness or confusion

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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1 mo ago

People Also Ask


What are the common symptoms of gallbladder issues like biliary colic or acute cholecystitis?

Common symptoms of gallbladder issues include abdominal pain, especially in the upper right quadrant, nausea, vomiting, and changes in stool color. Pain may occur after eating fatty foods and can be accompanied by fever or chills.


How can gastroenteritis be distinguished from other gastrointestinal conditions?

Gastroenteritis typically presents with diarrhea, vomiting, abdominal pain, and sometimes fever or chills. It is often caused by a viral or bacterial infection and can be distinguished by the presence of these symptoms following exposure to contaminated food or water.


What are the signs that pancreatitis might be the cause of my symptoms?

Signs of pancreatitis include severe abdominal pain that may radiate to the back, nausea, vomiting, and changes in stool color. It can be associated with gallstones and may require medical evaluation to confirm.


What steps can I take at home to manage symptoms of dehydration?

To manage symptoms of dehydration, drink plenty of fluids, such as water or oral rehydration solutions. Avoid caffeine and alcohol, as they can worsen dehydration. Eating foods with high water content, like fruits and vegetables, can also help.


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