[43F] Experiencing severe stomach ache, nausea, and diarrhea

Patient Description

A 43-year-old female presents with severe stomach ache located in the upper part of the abdomen, nausea, and watery, loose diarrhea since last night. The stomach pain is described as a constant sharp pain and dull ache that persists throughout the day with no relief. The patient also reports experiencing chills. There is no recent travel history. The patient has allergies to sulpha and erythromycin but is not currently on any medications. No pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, stomach pain, nausea, and chills. It's often referred to as the "stomach flu".

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if it's caused by bacteria.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms can start within hours of eating the contaminated food and include diarrhea, nausea, and stomach pain.

    • Treatment usually involves rest and hydration. In severe cases, medical treatment may be required.
  • Gallstones: These are hard deposits in your gallbladder that can cause sharp pain in the upper right abdomen. Other symptoms can include nausea and chills.

    • Treatment can range from lifestyle changes to surgery, depending on the severity.
  • Peptic ulcer: This is a sore on the lining of your stomach, upper small intestine, or esophagus. Symptoms can include a burning stomach pain, feeling of fullness, and nausea.

    • Treatment typically involves medication to decrease stomach acid.

What you can do

While waiting for your appointment with your healthcare provider, here are some things you can do:

  1. Stay hydrated: Diarrhea can cause dehydration, so make sure to drink plenty of fluids. Water, broth, or an oral rehydration solution are good choices.
  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.
  3. Avoid certain foods: Dairy products, fatty foods, high-fiber foods, or highly seasoned foods can make symptoms worse.
  4. Use over-the-counter remedies: These can help with symptoms. For example, bismuth subsalicylate can help with diarrhea and upset stomach, and acetaminophen can help with pain.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Dehydration symptoms, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Diarrhea for more than three days

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of severe stomach pain and diarrhea?

Common causes of severe stomach pain and diarrhea include gastroenteritis, food poisoning, gallstones, and peptic ulcers. These conditions can be caused by infections, contaminated food, or digestive system issues.


How can I differentiate between gastroenteritis and food poisoning?

Gastroenteritis and food poisoning can have similar symptoms, such as diarrhea, nausea, and stomach pain. However, food poisoning symptoms often start within hours of eating contaminated food, while gastroenteritis can develop more gradually. A healthcare provider can help determine the exact cause.


What are the signs that indicate I should seek immediate medical attention for stomach pain?

You should seek immediate medical attention if you experience severe abdominal pain, blood in your stool or vomit, signs of dehydration (such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness), or if diarrhea persists for more than three days.


What dietary changes can help alleviate symptoms of stomach pain and diarrhea?

To alleviate symptoms, avoid dairy products, fatty foods, high-fiber foods, and highly seasoned foods. Instead, focus on staying hydrated with water, broth, or oral rehydration solutions, and eat bland foods like rice, bananas, and toast.


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