[72M] With sudden onset diarrhea and right lower quadrant abdominal pain

Patient Description

A 72-year-old male presents with sudden onset diarrhea accompanied by pain in the right lower quadrant of the abdomen. The pain is not radiating to the groin, and no lumps are palpable upon self-examination. The patient did not provide further details about the abdominal pain. No additional symptoms or medical history were disclosed.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically presents with pain in the right lower quadrant of the abdomen, which can be sharp and severe. Diarrhea can also occur in some cases.

    • Treatment typically involves surgical removal of the appendix (appendectomy).
  • Diverticulitis: This is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The signs and symptoms of diverticulitis include pain, which is usually in the lower left side of the abdomen, but it can occur on the right, especially in people of Asian descent, and in some cases, diarrhea.

    • Treatment includes antibiotics, pain relievers, and sometimes surgery.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and highly infectious. Symptoms include diarrhea, abdominal pain, vomiting, headache, fever and chills.

    • Treatment typically involves self-care measures such as staying hydrated and rest.

What you can do

Given your age and symptoms, it's important to seek medical attention promptly. While waiting for medical attention, try to stay as comfortable as possible. Rest and stay hydrated.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • The pain becomes severe or unbearable
  • You have a high fever
  • You start vomiting
  • You notice blood in your stool

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your condition.

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9 mo ago


People Also Ask


What are the common causes of sudden onset diarrhea in older adults?

Common causes of sudden onset diarrhea in older adults include infections (such as viral gastroenteritis), food poisoning, medication side effects, and conditions like irritable bowel syndrome or inflammatory bowel disease.


How can I differentiate between appendicitis and diverticulitis based on symptoms?

Appendicitis typically presents with sharp pain in the right lower quadrant of the abdomen, often accompanied by nausea and sometimes diarrhea. Diverticulitis usually causes pain in the lower left abdomen, but can occur on the right side, especially in certain populations. Both conditions can cause fever and changes in bowel habits, so medical evaluation is important for accurate diagnosis.


What are the potential complications of untreated appendicitis?

Untreated appendicitis can lead to serious complications such as a ruptured appendix, which can cause peritonitis (infection of the abdominal cavity) or an abscess. These conditions require urgent medical treatment and can be life-threatening.


What self-care measures can help manage symptoms of gastroenteritis?

To manage symptoms of gastroenteritis, it is important to stay hydrated by drinking plenty of fluids, such as water, clear broths, or oral rehydration solutions. Rest is also crucial. Eating bland foods like bananas, rice, applesauce, and toast (the BRAT diet) can help, and avoiding dairy, caffeine, and alcohol is recommended until symptoms improve.

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