[42F] With watery diarrhea, nausea, and body aches

Patient Description

A 42-year-old female has been experiencing very watery diarrhea with a horrible smell since last Saturday, occurring about twice a day. Eating anything seems to exacerbate the diarrhea. She also reports nausea and body aches, particularly in her legs, which felt like pulled muscles and were severe (rated 8 out of 10) but have since improved. There is no fever or blood in the stool, and the stool is light brown. The patient also mentioned having a dry mouth, which could be a sign of dehydration. She has taken over-the-counter anti-diarrhea medication, which seems to have reduced the frequency of her diarrhea. There has been no recent travel or contact with anyone with similar symptoms. Regarding her medical history, she has high blood pressure diagnosed four months ago and is currently taking Lisinopril, Suboxone, Allegra, and occasionally Motrin. She also uses Flonase nasal spray. She does not have any known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms typically include diarrhea, nausea, vomiting, abdominal cramps, and body aches. The fact that your symptoms started suddenly and include watery diarrhea and nausea supports this possibility.

    • Treatment: Gastroenteritis usually resolves on its own within a few days. Treatment focuses on staying hydrated and managing symptoms. In some cases, antibiotics may be needed if a bacterial infection is confirmed.

  • Food Poisoning: This occurs when you consume contaminated food or water. Symptoms can include diarrhea, nausea, vomiting, and abdominal pain. The sudden onset of your symptoms and their severity suggest this could be a possibility.

    • Treatment: Similar to gastroenteritis, treatment involves staying hydrated and resting. Over-the-counter medications can help manage symptoms, but it's important to avoid anti-diarrheal medications if you suspect a bacterial cause, as they can prolong the infection.

  • Irritable Bowel Syndrome (IBS): While less likely given the acute nature of your symptoms, IBS can cause chronic diarrhea, abdominal pain, and bloating. Stress and certain foods can trigger symptoms.

    • Treatment: Managing IBS typically involves dietary changes, stress management, and sometimes medications to control symptoms.

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 to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to prevent dehydration. Avoid caffeinated, alcoholic, or sugary drinks.
  2. Rest: Give your body time to recover by getting plenty of rest.
  3. Eat Bland Foods: When you feel ready to eat, start with bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet).
  4. Avoid Certain Foods: Stay away from dairy, fatty, spicy, or fried foods, as they can worsen diarrhea.
  5. Monitor Your Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Dehydration: Signs include excessive thirst, dry mouth, little or no urination, dizziness, or lightheadedness.
  • Persistent Symptoms: If your symptoms do not improve within a few days or worsen.
  • High Fever: A temperature over 100.4°F (38°C).
  • Blood in Stool: This can indicate a more serious condition that requires medical attention.
  • Severe Abdominal Pain: Especially if it is localized to one area or is accompanied by other concerning symptoms.

Remember, while this advice can help manage your symptoms, it is not a substitute for professional medical care. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask

What are the common causes of watery diarrhea and how can it be treated?

Common causes of watery diarrhea include viral or bacterial infections (gastroenteritis), food poisoning, and sometimes conditions like IBS. Treatment generally involves staying hydrated, resting, and eating bland foods. Over-the-counter medications can help, but it's important to consult a doctor if symptoms persist.

How can I tell if my symptoms are due to food poisoning or gastroenteritis?

Food poisoning and gastroenteritis can have similar symptoms like diarrhea, nausea, and abdominal pain. Food poisoning often follows the consumption of contaminated food and may occur more suddenly. Gastroenteritis can be viral or bacterial and may spread through contact. A healthcare provider can help determine the cause.

What are the signs of dehydration and how can I prevent it?

Signs of dehydration include excessive thirst, dry mouth, little or no urination, dizziness, and lightheadedness. To prevent dehydration, drink plenty of fluids such as water, clear broths, or oral rehydration solutions, and avoid caffeinated, alcoholic, or sugary drinks.

When should I seek medical attention for diarrhea and related symptoms?

Seek medical attention if you experience severe dehydration, persistent symptoms that do not improve, a high fever over 100.4°F (38°C), blood in your stool, or severe abdominal pain. These could indicate a more serious condition that requires professional care.

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