[53M] Experiencing gastrointestinal and systemic symptoms

Patient Description

A 53-year-old male has been experiencing watery diarrhea exceeding 10 episodes daily, accompanied by a metallic taste in the throat, muscle aches primarily in the legs, a persistent headache, and light-headedness for the past 3 days. The patient has also reported chills, sweating, and a significant increase in thirst and dryness of the mouth. There has been no ingestion of food since the onset of symptoms. The patient recently traveled to Atlanta where the illness commenced. No known allergies or adverse reactions to medications have been reported. Current medications include Cymbalta, Simvastatin, and Metformin. There is no history of chronic illnesses or recent injuries.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. It can cause diarrhea, vomiting, and abdominal pain. The metallic taste in your mouth could be a result of dehydration or the infection itself.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Food poisoning: This occurs when you eat contaminated food. Symptoms can start within hours of eating the contaminated food and can include watery diarrhea, vomiting, and nausea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.
  • Side effects of medication: Metformin, one of the medications you are taking, can cause gastrointestinal side effects such as diarrhea and metallic taste in the mouth. Cymbalta can cause nausea and dry mouth.

    • If you suspect your symptoms might be related to your medication, do not stop taking them but do consult your doctor.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose fluids quickly, so it's important to drink plenty of water. If you're finding it hard to keep water down, try taking small sips at regular intervals.

  2. Rest: Your body needs energy to fight off the virus. Getting rest will help.

  3. Over-the-counter medication: Over-the-counter medication can help with symptoms such as diarrhea and muscle aches.

  4. Consult your doctor: If your symptoms persist or get worse, consult your doctor. They may want to do further tests or adjust your medication.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms become severe or you notice blood in your stool.
  • You become excessively thirsty and urinate less than usual.
  • You feel very weak or faint.
  • You have a high fever (over 101°F).

Remember, I'm an AI and this advice is based on the symptoms you've told me. 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 watery diarrhea and how can it be treated?

Watery diarrhea can be caused by infections such as gastroenteritis or food poisoning, and sometimes by medications. Treatment typically involves staying hydrated, resting, and using over-the-counter remedies. If a bacterial infection is suspected, antibiotics may be prescribed.


Can medications like Metformin and Cymbalta cause gastrointestinal symptoms?

Yes, Metformin can cause gastrointestinal side effects like diarrhea and a metallic taste in the mouth. Cymbalta can cause nausea and dry mouth. If you suspect your symptoms are related to medication, consult your doctor before making any changes.


What are the signs of dehydration and how can it be prevented?

Signs of dehydration include excessive thirst, dry mouth, decreased urination, and light-headedness. To prevent dehydration, drink plenty of fluids, especially water or oral rehydration solutions, and avoid caffeine and alcohol.


When should someone with diarrhea and other symptoms seek medical attention?

Seek medical attention if symptoms become severe, such as having blood in the stool, excessive thirst with reduced urination, feeling very weak or faint, or having a high fever over 101°F.


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