[60F] Experiencing gastrointestinal and urinary symptoms

Patient Description

A 60-year-old female presents with a range of symptoms including frequent urination, constipation, acne, greasy stool, vomiting, and high creatine levels. The patient reports that the constipation started 4 days ago following dietary changes to reduce fat intake and increase fiber consumption, transitioning from an urgent need to defecate to experiencing small hard stools once a day. Prior to this, the patient experienced greasy, urgent stools accompanied by vomiting. The frequent urination has been occurring for 6 months, with hourly episodes during the night. The patient also notes recent weight changes, with weight loss following an initial weight gain, and occasional chills. The onset of acne with several pimples appeared in the past week, which is unusual for the patient. Vomiting occurs in the morning and is forceful, often with an empty stomach, and has been happening for 1 week. The vomiting episodes ceased after cutting out fat from the diet. No new sexual partners or unprotected sex was reported, and the patient has been using psyllium powder to manage constipation.

Arora's Assessment

What might be happening

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

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. IBS is a chronic condition that you'll need to manage long term. Your recent dietary changes may have triggered these symptoms.
- Treatment often includes dietary adjustments, lifestyle changes, and managing stress.
Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, vomiting, and abdominal pain.
- Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if bacteria are the cause.
Urinary Tract Infection (UTI): This can cause frequent urination and occasional chills. UTIs are more common in women and can occur at any age.
- Treatment typically involves antibiotics.
Hormonal changes: Changes in hormone levels, particularly in women around menopause, can lead to skin changes like acne and other symptoms.
- Treatment can include hormone replacement therapy or other medications.

Please note that these are possible explanations, not definitive diagnoses. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Keep a symptom diary: Note down when your symptoms occur, what you're eating, how you're feeling, and any other factors that seem relevant. This can help identify patterns or triggers.
Stay hydrated: This is particularly important if you're experiencing vomiting or diarrhea.
Try gentle exercise: Regular, gentle exercise can help stimulate digestion and relieve constipation.
Over-the-counter remedies: There are many over-the-counter products available that can help manage symptoms of constipation and diarrhea. Always follow the instructions on the packaging and consult a pharmacist if you're unsure.
Consult a healthcare professional: Given your symptoms and their duration, it would be advisable to seek medical attention. They can provide a definitive diagnosis and appropriate treatment.

What you should look out for

If your symptoms significantly worsen or you develop new symptoms
If you notice blood in your stool or urine
If you develop a high fever or severe abdominal pain
If you are unable to keep down fluids due to vomiting
If your symptoms continue for more than a week without improvement

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. 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