[47F] Experiencing fatigue, nausea, diarrhea, body aches, and tingling

Patient Description

A 47-year-old female presents with a two-week history of fatigue, and as of today, nausea, watery diarrhea, and dull body aches rated 5/10 in severity affecting the stomach, back, fingers, and legs. No specific activities exacerbate the pain, and no relief measures have been identified. Additionally, the patient reports a tingling sensation in the fingers and toes, described as pins and needles or numbness, present approximately 80% of the time over the past week. The patient has a history of asthma diagnosed six years ago and is currently taking Singulair, Flixotide, Zyrtec, Azelastine, and Magnesium. She reports having adverse reactions to many medications, although specifics are not provided. No recent travel history or known allergies. No other medications or pre-existing conditions were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities:

  • Viral Gastroenteritis: Also known as the stomach flu, this condition can cause watery diarrhea, nausea, and body aches. It's usually caused by a viral infection and can lead to dehydration if not managed properly.

    • Treatment typically involves rest and rehydration. Over-the-counter medication can help manage symptoms.
  • Influenza: Commonly known as the flu, this viral infection can cause fatigue, body aches, and gastrointestinal symptoms such as nausea and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms. Antiviral medication may be prescribed in some cases.
  • Fibromyalgia: This is a chronic condition characterized by widespread pain and fatigue. It can also cause tingling and numbness in the hands and feet.

    • Treatment typically involves a combination of medication, exercise, stress management, and healthy lifestyle habits.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

Here are some general suggestions that might help:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids. This can help your body recover from an illness and prevent dehydration.

  2. Over-the-counter medication: Over-the-counter pain relievers can help manage body aches. Over-the-counter medication for diarrhea can also be helpful.

  3. Monitor your symptoms: Keep track of your symptoms and any changes. This can help your healthcare provider make a diagnosis.

  4. Consult with a healthcare provider: If your symptoms persist or worsen, make sure to consult with a healthcare provider. They can provide a diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool
  • High fever
  • Severe or worsening body aches
  • Signs of dehydration, such as extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

People Also Ask


What are the common symptoms of viral gastroenteritis?

Common symptoms of viral gastroenteritis include watery diarrhea, nausea, vomiting, stomach cramps, and sometimes fever. It is often referred to as the stomach flu and is usually caused by a viral infection.


How can I differentiate between the flu and a common cold?

The flu often comes on suddenly and is more severe than a common cold. It typically includes symptoms like high fever, body aches, fatigue, and sometimes gastrointestinal symptoms like nausea and diarrhea. A cold usually involves milder symptoms such as a runny nose, sore throat, and cough.


What are the typical symptoms of fibromyalgia?

Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and often cognitive difficulties. Some people also experience tingling or numbness in their hands and feet.


What should I do if I experience tingling and numbness in my fingers and toes?

If you experience tingling and numbness in your fingers and toes, it's important to monitor the symptoms and consult with a healthcare provider. These sensations can be caused by various conditions, including nerve compression, vitamin deficiencies, or chronic conditions like fibromyalgia.


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Anonymous#16110

8 mo ago

Update ? I’m having the same symptoms

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