[76M] Experiencing extreme nausea and diarrhea post-stroke

Patient Description

A 76-year-old male is suffering from extreme nausea and diarrhea, which started three days ago following a stroke. The nausea is severe, with a rating of 10 out of 10, characterized by dry heaving and an inability to eat. The condition does not improve with any interventions. The patient's diarrhea is constant, with 4 to 5 watery stools per day, and is not triggered by any specific foods. The patient has a medical history of kidney failure and has been on dialysis for approximately four years. Currently, the patient is taking Plavix and an unspecified medication for high blood pressure. No known allergies to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is highly infectious. It can cause sudden and severe vomiting and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Medication side effects: Both Plavix and Reglan can cause gastrointestinal side effects such as nausea and diarrhea.

    • If this is the cause, your doctor may be able to adjust your medication regimen to alleviate these symptoms.
  • Kidney failure: Advanced kidney disease can cause nausea and vomiting, especially if waste products are building up in your body due to inadequate dialysis.

    • Treatment would involve adjusting your dialysis regimen and potentially prescribing medications to control your symptoms.
  • Stroke: Although less common, a stroke can sometimes cause nausea and vomiting, especially if the stroke affected parts of the brain that control these functions.

    • Treatment would involve stroke rehabilitation and potentially medications to control your symptoms.

What you can do

Given the severity of your symptoms and your complex medical history, it is important that you seek medical attention as soon as possible. In the meantime, try to stay hydrated and rest as much as you can.

What you should look out for

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

  • Blood in your stool or vomit
  • Severe abdominal pain
  • Symptoms of dehydration such as dry mouth, decreased urination, or feeling faint
  • Any new or worsening neurological symptoms such as weakness, numbness, difficulty speaking, or changes in vision

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


Can a stroke cause nausea and diarrhea?

Yes, a stroke can sometimes cause nausea and vomiting, especially if it affects parts of the brain that control these functions. However, diarrhea is less commonly associated with strokes.


What are the common side effects of Plavix?

Common side effects of Plavix include bleeding, bruising, and gastrointestinal issues such as nausea and diarrhea. If you experience severe side effects, you should consult your doctor.


How does kidney failure contribute to nausea and diarrhea?

Kidney failure can lead to the buildup of waste products in the body, which can cause nausea and vomiting. Inadequate dialysis can exacerbate these symptoms, so adjustments to the dialysis regimen may be necessary.


What should I do if I experience severe dehydration symptoms?

If you experience severe dehydration symptoms such as dry mouth, decreased urination, or feeling faint, it is important to seek immediate medical attention. Staying hydrated and resting are crucial, but medical intervention may be necessary.


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