[44F] With prolonged diarrhea and dehydration symptoms

Patient Description

A 44-year-old female has been experiencing watery diarrhea for the past 10 days, occurring 8 to 12 times a day. The diarrhea started suddenly and is accompanied by a fever of 99.8°F, nausea, and abdominal pain that comes and goes. The patient reports blood in the stool and has been unable to stay hydrated, leading to decreased urination and dizziness upon standing. She has a history of kidney stones diagnosed in 2013 and is currently taking Zoloft (100 mg daily) and progesterone (10 mg daily). The patient recently started taking Hydracodon. No recent travel or unusual food intake has been reported. The patient has not yet sought medical attention for these symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential concerns that need immediate attention:

  1. Dehydration: Given the frequency of diarrhea and your decreased fluid intake, you are at risk of significant dehydration. This can lead to dizziness, decreased urination, and other serious complications.

  2. Gastrointestinal Infection: The sudden onset of watery diarrhea, fever, and blood in your stool could indicate a bacterial or viral infection in your gastrointestinal tract. Common causes include infections like Salmonella, E. coli, or norovirus.

  3. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause symptoms like diarrhea, abdominal pain, and blood in the stool.

  4. Medication Side Effects: The recent use of Hydracodon could potentially contribute to gastrointestinal symptoms, although it is less likely to cause diarrhea.

It is crucial to seek medical attention immediately to determine the exact cause and receive appropriate treatment. This may include rehydration therapy, medications to address the underlying cause, and possibly further diagnostic testing such as stool tests or imaging studies.

What you can do

  1. Seek Immediate Medical Care: Given the severity of your symptoms, especially the blood in your stool and signs of dehydration, you should seek medical attention as soon as possible. Visit an emergency room or urgent care center. If you feel too weak or dizzy to travel safely, consider calling 911 for assistance.

  2. Stay Hydrated: While waiting for medical care, try to sip on oral rehydration solutions (ORS) or clear fluids like water, broth, or an electrolyte drink to help prevent further dehydration. Avoid caffeine and alcohol.

  3. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased abdominal pain, worsening dizziness, or changes in the frequency of diarrhea. This information will be helpful for healthcare providers.

  4. Avoid Certain Foods: Until you receive medical advice, it may be helpful to avoid dairy products, fatty foods, and high-fiber foods, as these can sometimes worsen diarrhea.

Remember, while I can provide information and guidance, it is essential to consult with a healthcare professional for a formal diagnosis and treatment plan. Your health and safety are the top priority.

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12 d ago


People Also Ask


What are the potential causes of sudden watery diarrhea with blood in the stool?

Sudden watery diarrhea with blood in the stool can be caused by gastrointestinal infections (such as Salmonella or E. coli), inflammatory bowel diseases like Crohn's disease or ulcerative colitis, or less commonly, side effects from medications. It's important to seek medical evaluation to determine the exact cause.


How can dehydration from diarrhea be managed at home before seeing a doctor?

To manage dehydration at home, drink oral rehydration solutions or clear fluids like water, broth, or electrolyte drinks. Avoid caffeine and alcohol, as they can worsen dehydration. If symptoms persist or worsen, seek medical attention promptly.


Could my medications be causing my gastrointestinal symptoms?

While medications can cause gastrointestinal symptoms, Hydracodon is less likely to cause diarrhea. However, it's important to discuss all medications with a healthcare provider to rule out any potential side effects or interactions.


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

You should seek immediate medical attention if you experience severe symptoms such as blood in the stool, signs of dehydration (like dizziness or decreased urination), persistent high fever, or if you feel too weak to manage symptoms at home. These could indicate a serious condition requiring prompt treatment.

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