[44M] With severe abdominal pain, fever, and diarrhea

Patient Description

A 44-year-old male presents with severe, sharp, and constant abdominal pain rated 8/10, located below the belly button, starting around early morning. Accompanying symptoms include diarrhea characterized by liquid, mucous stools occurring 8 times today, and a fever of 101°F with chills. The patient has not traveled recently, has not identified any food triggers, and reports no relief from the abdominal pain. The patient has a known allergy to Morphine and is currently taking Wellbutrin. No other medications or known chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause diarrhea, abdominal pain, fever, and chills. It's often referred to as the "stomach flu."

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is the cause.
  • Appendicitis: This is an inflammation of the appendix, a small pouch attached to the large intestine. It can cause severe abdominal pain, usually on the right side, but sometimes the pain can be more generalized. Fever and diarrhea can also occur.

    • Treatment typically involves surgery to remove the appendix.
  • Diverticulitis: This is an inflammation or infection of small pouches that can form in your intestines (diverticula). Symptoms can include abdominal pain (usually on the left side), fever, and changes in bowel habits, including diarrhea.

    • Treatment usually involves antibiotics, pain relievers, and a change in diet.

Please note that these are possibilities based on the information you provided, and not a definitive diagnosis.

What you can do

  1. Stay hydrated: Diarrhea and fever can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol, caffeine, and sugary drinks, as they can make dehydration worse.

  2. Rest: Your body needs energy to fight off the infection. Getting enough sleep can help.

  3. Over-the-counter medication: Over-the-counter medication can help with symptoms. For example, acetaminophen can help with fever and pain.

  4. Seek medical attention: Given the severity of your symptoms, it's important to seek medical attention as soon as possible. If you have appendicitis, it's a medical emergency that typically requires surgery.

What you should look out for

  • If your pain becomes more severe or localized to one area
  • If your fever gets higher or doesn't improve with medication
  • If you have bloody or black stools
  • If you have symptoms of dehydration, such as extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

Remember, I'm an AI and this advice is based on the information you provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of severe abdominal pain with diarrhea and fever?

Common causes of severe abdominal pain with diarrhea and fever include gastroenteritis, appendicitis, and diverticulitis. These conditions can result from infections, inflammation, or other gastrointestinal issues.


How can I differentiate between gastroenteritis and appendicitis based on symptoms?

Gastroenteritis often involves widespread abdominal pain, diarrhea, and fever, while appendicitis typically starts with pain around the belly button that moves to the lower right abdomen, often accompanied by nausea and vomiting. Appendicitis pain is usually more severe and localized.


What are the risks of not treating appendicitis promptly?

If appendicitis is not treated promptly, the appendix can burst, leading to a serious infection called peritonitis, which can be life-threatening and requires immediate medical attention.


What should I do if over-the-counter medications do not relieve my symptoms?

If over-the-counter medications do not relieve your symptoms, it is important to seek medical attention. Persistent or worsening symptoms could indicate a more serious condition that requires professional evaluation and treatment.


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