[43F] With stomach upset, hot flashes, and diarrhea

Patient Description

A 43-year-old female presents with a sudden onset of stomach upset, characterized by burning and cramping pain above the belly button, lasting for a few days. The pain is rated at a 4 out of 10 in severity. The patient also reports experiencing watery diarrhea 3 to 4 times a day for the past 3 days, and episodes of sudden warmth (hot flashes) without any specific triggers. The patient has a history of diabetes diagnosed in 1995 and is currently on insulin, Synthroid 200 mcg once daily, Crestor 10 mg once daily, and Xanax as needed. The patient has allergies to codeine, morphine, Claritin, and Bactrim. No recent travel, no specific food triggers, no fever, no vomiting, and no signs of dehydration. Menstrual periods are regular with no recent changes.

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Arora's Assessment

What might be happening

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

Stomach Upset and Diarrhea

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms typically include stomach cramps, diarrhea, and sometimes nausea or vomiting. Treatment usually involves staying hydrated and resting.
  • Medication Side Effects: Some medications, including those for diabetes and thyroid issues, can cause gastrointestinal symptoms. It's worth discussing this with your healthcare provider.

Hot Flashes

  • Menopause or Perimenopause: Given your age, it's possible that hormonal changes related to menopause could be causing hot flashes. These are sudden feelings of warmth, often accompanied by sweating.
  • Thyroid Issues: Since you are on Synthroid for thyroid management, fluctuations in thyroid hormone levels can sometimes cause symptoms like hot flashes.

What you can do

Stomach Upset and Diarrhea

  • Stay Hydrated: Drink plenty of fluids like water, clear broths, or oral rehydration solutions to prevent dehydration.
  • Diet: Stick to bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
  • Medication: Continue taking Zofran as prescribed to help with nausea. Avoid over-the-counter anti-diarrheal medications unless advised by your doctor.
  • Consult Your Doctor: Given your diabetes and other chronic conditions, it's important to consult your healthcare provider to rule out any serious underlying issues.

Hot Flashes

  • Cool Environment: Keep your living space cool and wear light, breathable clothing.
  • Hydration: Drink plenty of water to help regulate your body temperature.
  • Consult Your Doctor: Discuss your symptoms with your healthcare provider to rule out any hormonal imbalances or other underlying conditions.

What you should look out for

  • Signs of Dehydration: Such as dry mouth, excessive thirst, or dizziness. Seek medical attention if these occur.
  • Severe Symptoms: If you experience severe abdominal pain, high fever, or blood in your stool, seek medical attention immediately.
  • Persistent Symptoms: If your symptoms persist for more than a few days or worsen, consult your healthcare provider.

Remember, while I can provide some guidance, it's crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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5 mo ago

People Also Ask


What are common causes of sudden stomach upset and diarrhea?

Common causes of sudden stomach upset and diarrhea include viral or bacterial infections, food intolerances, and stress. It's important to stay hydrated and consult a healthcare provider if symptoms persist.


Can medications for diabetes and thyroid issues cause gastrointestinal symptoms?

Yes, medications for diabetes and thyroid issues can sometimes cause gastrointestinal symptoms like stomach upset and diarrhea. It's important to discuss any new or worsening symptoms with your healthcare provider.


What are the possible reasons for experiencing hot flashes at the age of 43?

At the age of 43, hot flashes can be caused by hormonal changes related to perimenopause or menopause. Thyroid hormone fluctuations can also contribute to these symptoms.


How can I manage symptoms of stomach upset and diarrhea at home?

To manage symptoms of stomach upset and diarrhea at home, stay hydrated with fluids like water and clear broths, follow a bland diet such as the BRAT diet (bananas, rice, applesauce, toast), and rest. Consult a healthcare provider if symptoms persist or worsen.


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