[45F] Experiencing recurrent diarrhea and upper stomach cramping

Patient Description

A 45-year-old female has been experiencing recurrent, uncontrollable diarrhea characterized as watery with a bad odor, occurring 3-4 times daily in episodes lasting a couple of days. Accompanying symptoms include upper stomach cramping with a severity of 6/7, frequent burping with a carbonated sensation, and a decrease in appetite leading to less food intake than normal. The patient has lost a small amount of weight but described it as not drastic. The patient is currently taking birth control and ozempic for weight loss, with no known allergies or adverse reactions to medications, and no pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as stomach flu. Symptoms can include diarrhea, stomach cramps, and burping.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment focuses on long-term management of symptoms and can involve dietary changes, medication, and addressing stress and other lifestyle factors.
  • Side effect of medication: Ozempic, which you're taking for weight loss, can cause gastrointestinal side effects including nausea, vomiting, diarrhea, abdominal pain, and decreased appetite.

    • If you suspect your medication is causing these symptoms, you should consult with your doctor. They may adjust your dosage or suggest an alternative medication.

What you can do

While you should definitely consult with a healthcare professional about your symptoms, here are some things you can do in the meantime:

  1. Stay hydrated: Diarrhea can cause dehydration, so make sure you're drinking enough fluids. Water is best, but drinks with electrolytes can also be beneficial.
  2. Eat bland foods: When you feel ready to eat solid foods, start with bland, easy-to-digest foods like rice, bananas, and toast.
  3. Rest: Your body needs energy to fight off the virus or manage the symptoms, so don't push yourself too hard and make sure you're getting enough sleep.

What you should look out for

You should seek immediate medical attention if you experience:

  • Signs of dehydration, such as extreme thirst, dark-colored urine, or dizziness upon standing
  • Diarrhea that lasts more than a few days
  • Severe abdominal or rectal pain
  • Bloody or black stools
  • A high fever (above 101.5°F)

Please remember that while I strive to provide accurate and helpful health information, this advice is not a substitute for professional medical advice. Always consult with a healthcare provider for accurate information.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of recurrent diarrhea?

Recurrent diarrhea can be caused by infections such as gastroenteritis, chronic conditions like IBS, or as a side effect of medications. It's important to identify the underlying cause to manage it effectively.


Can medications like Ozempic cause gastrointestinal issues?

Yes, medications like Ozempic can cause gastrointestinal side effects, including diarrhea, nausea, and abdominal pain. If you suspect your medication is causing these symptoms, consult your doctor for advice.


What dietary changes can help manage symptoms of IBS?

For managing IBS symptoms, it is often recommended to follow a low-FODMAP diet, increase fiber intake gradually, and avoid trigger foods such as caffeine, alcohol, and fatty foods. Consulting with a dietitian can provide personalized guidance.


When should I seek medical attention for diarrhea?

You should seek medical attention if you experience signs of dehydration, diarrhea lasting more than a few days, severe abdominal pain, bloody stools, or a high fever. These could indicate a more serious condition requiring medical intervention.


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