[53M] With acute gastrointestinal and systemic symptoms

Patient Description

A 53-year-old male presents with a sudden onset of sharp pain on the left side under the stomach, accompanied by nausea. The patient reports diarrhea but denies any vomiting, constipation, or blood in the stool. He recently consumed potentially undercooked steak. The patient has no history of gastrointestinal issues or surgeries. He uses methamphetamine daily. Recently, he has experienced a loss of appetite and some weight loss. Additional symptoms include fever, chills, abdominal cramping, dizziness, sweating, and confusion. The patient is not currently taking any medications and has no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Gastroenteritis:

    • Rationale: Gastroenteritis, often caused by infections (viral, bacterial, or parasitic), can lead to symptoms like sharp abdominal pain, nausea, diarrhea, fever, chills, and abdominal cramping. Consuming undercooked food, such as steak, can increase the risk of bacterial infections like E. coli or Salmonella.
    • Typical Treatments/Testing: Treatment usually involves staying hydrated, rest, and sometimes antibiotics if a bacterial infection is confirmed. Stool tests can help identify the specific cause.
  2. Substance Use-Related Complications:

    • Rationale: Daily methamphetamine use can lead to a range of gastrointestinal symptoms, including abdominal pain, nausea, and changes in bowel movements. It can also cause systemic symptoms like fever, chills, dizziness, sweating, and confusion.
    • Typical Treatments/Testing: Addressing substance use is crucial. Medical professionals may recommend detoxification programs, supportive care, and counseling. Blood tests and imaging studies might be needed to assess the extent of any damage.

What you can do

Gastroenteritis:

  • Stay Hydrated: Drink plenty of fluids like water, oral rehydration solutions, or clear broths to prevent dehydration.
  • Rest: Ensure you get plenty of rest to help your body fight off the infection.
  • Diet: Eat bland foods like bananas, rice, applesauce, and toast (the BRAT diet) until your symptoms improve.
  • Seek Medical Attention: If symptoms persist or worsen, consult a healthcare provider. They may recommend stool tests or other diagnostic measures.

Substance Use-Related Complications:

  • Seek Professional Help: Consider reaching out to a healthcare provider or addiction specialist for support in managing methamphetamine use. They can provide resources for detoxification and rehabilitation.
  • Monitor Symptoms: Keep track of your symptoms, especially if they worsen or new symptoms develop. This information can be valuable for your healthcare provider.
  • Healthy Lifestyle: Try to maintain a balanced diet and get regular exercise to support your overall health.

General Tips:

  • Avoid Triggers: Stay away from undercooked or potentially contaminated foods to prevent further gastrointestinal issues.
  • Symptom Journal: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Persistent or worsening abdominal pain
  • Severe dehydration (e.g., dry mouth, decreased urination, dizziness)
  • High fever or persistent chills
  • Confusion or significant changes in mental status
  • Blood in your stool or vomit

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask


What are the common symptoms of gastroenteritis and how is it treated?

Common symptoms of gastroenteritis include abdominal pain, nausea, diarrhea, fever, and chills. Treatment typically involves staying hydrated, resting, and eating bland foods. In some cases, antibiotics may be prescribed if a bacterial infection is confirmed.


How can methamphetamine use affect gastrointestinal health?

Methamphetamine use can lead to gastrointestinal issues such as abdominal pain, nausea, and changes in bowel movements. It can also cause systemic symptoms like fever, chills, dizziness, and confusion. Long-term use can damage the digestive system and other organs.


What dietary changes can help alleviate symptoms of gastroenteritis?

To alleviate symptoms of gastroenteritis, it's recommended to follow the BRAT diet, which includes bananas, rice, applesauce, and toast. These foods are gentle on the stomach and can help reduce diarrhea.


When should someone with these symptoms seek medical attention?

Medical attention should be sought if symptoms persist or worsen, especially if there is severe abdominal pain, dehydration, high fever, confusion, or blood in the stool. These could indicate more serious conditions requiring prompt treatment.


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