Gastroenteritis Symptoms: Causes and Concerns - Gastroenterology and Hepatology

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Gastroenteritis symptoms issues?


Hello Dr.
Tsai: Based on my personal judgment, I believe that I contracted gastrointestinal symptoms after consuming contaminated seafood (specifically oysters) about 15 hours prior.
Initially, I experienced diarrhea, followed by a fever (37.5 degrees Celsius).
After seeking medical attention, I was diagnosed with gastroenteritis.
During this treatment, the fever has resolved, and the abdominal pain has diminished; however, the diarrhea has not shown significant improvement.
I have intentionally reduced my food intake over the past 2-3 days due to concerns about worsening diarrhea, resulting in very little actual consumption.
After eating, I still experience diarrhea, which has been dark and muddy in appearance.
In contrast, when not eating, the diarrhea appears yellow with bright red streaks resembling egg drop consistency, and it feels somewhat sticky upon wiping.
Could this indicate intestinal bleeding? I would like to consult with you, thank you!

Chen, 30~39 year old female. Ask Date: 2016/03/23

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Severe enteritis can potentially cause bleeding.
If the condition does not improve, it is advisable to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Cai Anshun.

Reply Date: 2016/03/23

More Info


Hello! It sounds like you've been through quite a challenging time with your gastrointestinal symptoms. Based on your description, it appears that you are experiencing a case of gastroenteritis, likely triggered by consuming contaminated seafood, specifically oysters. Gastroenteritis is an inflammation of the stomach and intestines, which can lead to symptoms such as diarrhea, abdominal pain, nausea, vomiting, and fever.

The timeline you provided—developing diarrhea approximately 15 hours after eating the oysters, followed by a fever—aligns with common presentations of foodborne illnesses. In many cases, the symptoms can be attributed to viral or bacterial infections, and in your case, it seems to have been caused by a bacterial pathogen associated with seafood.

You mentioned that while your fever has resolved and abdominal pain has decreased, you are still experiencing diarrhea. It's important to note that diarrhea can persist for several days even after the initial infection has resolved. This is due to the lingering effects of the infection on the intestinal lining, which can take time to heal.
Regarding the characteristics of your stool, the dark, muddy appearance after eating could indicate the presence of bile or undigested food particles, while the yellow and bright red stool could raise some concerns. Bright red in the stool can sometimes suggest the presence of blood, which could be due to irritation or inflammation in the intestines. However, it is also possible for certain foods or medications to cause changes in stool color.
Given your symptoms, it is crucial to monitor your condition closely. Here are some recommendations:
1. Hydration: Ensure you are drinking plenty of fluids to prevent dehydration, which is a common risk with diarrhea. Oral rehydration solutions can be particularly beneficial as they replace lost electrolytes.

2. Diet: While it’s understandable to be cautious about eating, it’s important to maintain some nutritional intake. Consider a bland diet consisting of easily digestible foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet). Avoid dairy, fatty foods, and high-fiber foods until your symptoms improve.

3. Stool Monitoring: Keep an eye on the characteristics of your stool. If you notice persistent blood, significant changes in color, or if your diarrhea worsens, it’s essential to seek medical attention promptly.

4. Follow-Up: Since your diarrhea has not improved significantly, it may be wise to follow up with your healthcare provider. They may recommend further testing, such as stool cultures, to rule out any lingering infections or other gastrointestinal issues.

5. Rest: Allow your body to recover by getting plenty of rest. Stress and fatigue can exacerbate gastrointestinal symptoms.

In summary, while it sounds like you are on the path to recovery, the persistence of diarrhea and the changes in stool color warrant careful observation. If symptoms do not improve or worsen, please consult your healthcare provider for further evaluation and management. Your health is important, and addressing these concerns early can help prevent complications. Thank you for reaching out, and I wish you a speedy recovery!

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