Gastrointestinal Issues: Symptoms and When to Seek Help

Gastrointestinal issues

Due to my internship, I am currently in Malaysia and will return to Taiwan for medical treatment in early September, which is not very convenient.
Since yesterday morning, I have been experiencing stomach discomfort and diarrhea throughout the day.
Last night, I also started feeling a bit nauseous, had a headache, and felt weak all over.
Before bed, I took a combination cold medication (available at pharmacies) and an antidiarrheal medication (which was prescribed by an ENT doctor in Taiwan for emergencies).
Despite taking the antidiarrheal medication, I am still experiencing diarrhea.
This morning, I felt somewhat better, but after having breakfast (wheat toast and hot Milo), I felt worse again.
I took another dose of the combination cold medication and the antidiarrheal medication, and then I took a packet of Ohta's Gastrointestinal Powder.
Currently, my symptoms are: 1.
A bit nauseous (but unable to vomit), 2.
Diarrhea (there's not much left to pass, and the stool is light-colored with some mucus), 3.
Discomfort in the female pelvic area (not sure if it's the bladder), 4.
Some back pain, and previously, I had intermittent pain in my left lower rib area (not constant), 5.
Slight pain in my left flank.

Could these symptoms be indicative of ordinary gastroenteritis? Is it necessary to visit a large hospital for a check-up (as it is somewhat inconvenient being in Malaysia)? Are there any dietary precautions I should take? Could this be appendicitis?

Han, 20~29 year old female. Ask Date: 2016/07/23

Dr. Ke Fangxu reply Surgery

Based on your description, it doesn't seem like appendicitis; the likelihood of gastroenteritis is higher.
If drinking water does not induce vomiting, it is advisable to temporarily consume clear liquids.
However, if there is diarrhea accompanied by vomiting and you are unable to eat, you should seek medical attention immediately to prevent dehydration.
For emergency medical care abroad, you can submit the receipt and diagnosis report to the National Health Insurance Administration upon returning to the country to apply for medical reimbursement.

Reply Date: 2016/07/23

More Info

Understanding gastrointestinal issues can be quite complex, especially when multiple symptoms present themselves simultaneously. Based on the symptoms you've described, it appears that you are experiencing a combination of gastrointestinal distress, which may include diarrhea, nausea, abdominal discomfort, and possibly some referred pain in the back and lower abdomen.
Firstly, let's break down your symptoms:
1. Diarrhea: This can be caused by a variety of factors, including infections (viral, bacterial, or parasitic), food intolerances, or even stress. The fact that you have been experiencing diarrhea for an extended period suggests that it could be related to an infection or irritation in your gastrointestinal tract.

2. Nausea and Vomiting: The sensation of wanting to vomit without actually being able to do so can be indicative of several issues, including gastritis, food poisoning, or even a reaction to medications.
3. Abdominal Pain: The discomfort you feel in the lower abdomen, along with the pain radiating to your back, could suggest a few possibilities. While it could be related to gastrointestinal issues, it may also be indicative of other conditions, such as urinary tract infections or even appendicitis, especially if the pain is localized to the right lower quadrant.

4. Changes in Bowel Movements: The presence of mucus in your stool and the change in color can indicate inflammation in the intestines. This could be a sign of a more serious condition, such as inflammatory bowel disease (IBD) or an infection.

5. Back Pain: This can sometimes be referred pain from abdominal issues, but it can also indicate a separate issue, such as a kidney problem or musculoskeletal pain.

Given these symptoms, it is essential to consider the following:
- Hydration: Diarrhea can lead to dehydration, so it is crucial to maintain fluid intake. Oral rehydration solutions can help replenish lost electrolytes.

- Diet: While you are experiencing gastrointestinal distress, it is advisable to stick to a bland diet. Foods such as bananas, rice, applesauce, and toast (the BRAT diet) can be easier on your stomach. Avoid spicy, fatty, or dairy foods until your symptoms improve.

- Monitoring Symptoms: Keep track of your symptoms. If you notice any worsening of your condition, such as high fever, severe abdominal pain, or blood in your stool, it is vital to seek medical attention immediately.

- When to Seek Help: If your symptoms persist for more than a couple of days, or if you experience severe pain, high fever, or signs of dehydration (such as dizziness, dry mouth, or decreased urination), you should seek medical attention. Given that you are currently in Malaysia and may have limited access to healthcare, consider visiting a local clinic or hospital if your symptoms do not improve.

In conclusion, while your symptoms may suggest a case of gastroenteritis or another gastrointestinal issue, the combination of symptoms you are experiencing warrants careful monitoring. If you have any doubts about your condition or if your symptoms worsen, do not hesitate to seek medical help, even if it requires visiting a hospital. Your health is paramount, and timely intervention can prevent complications.

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