Diarrhea: When to Seek Medical Attention - Gastroenterology and Hepatology

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Diarrhea issues?


Hello Doctor, on the evening of August 27th (Tuesday), I had steak.
The next morning, August 28th, I felt like my stomach wasn't moving at all and I vomited once, but I haven't vomited again since then.
I have a slight decrease in appetite.
Starting on August 30th (Friday), I began experiencing diarrhea, which has been very watery.
As of today, September 2nd, I am still having watery diarrhea.
I am unsure if these symptoms are due to the food being spoiled.
Do you think it is necessary for me to see a doctor, or should I wait for my body to recover on its own?

Chen, 20~29 year old female. Ask Date: 2019/09/02

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is advisable to visit a family medicine or gastroenterology outpatient clinic, maintain a light diet, and temporarily avoid milk.

Reply Date: 2019/09/02

More Info


Diarrhea can be a common and often self-limiting condition, but it can also signal more serious underlying issues, especially if it persists or is accompanied by other concerning symptoms. Based on your description, it seems that you experienced a series of gastrointestinal symptoms following a meal, which may suggest foodborne illness or another gastrointestinal disturbance.


When to Seek Medical Attention
1. Duration of Symptoms: Since you have been experiencing diarrhea for several days (from August 30 to September 2), it is advisable to seek medical attention. Diarrhea that lasts more than two days warrants a consultation with a healthcare provider, especially if it is severe or accompanied by other symptoms.

2. Signs of Dehydration: One of the most significant risks associated with diarrhea is dehydration. Symptoms of dehydration include:
- Dry mouth and throat
- Decreased urine output or dark-colored urine
- Dizziness or lightheadedness
- Fatigue
If you notice any of these symptoms, you should seek medical care immediately.

3. Accompanying Symptoms: If you experience any of the following symptoms, it is crucial to see a doctor:
- High fever (over 101°F or 38.3°C)
- Severe abdominal pain or cramping
- Blood in your stool or black, tarry stools
- Persistent vomiting
- Symptoms of dehydration as mentioned above
4. Underlying Health Conditions: If you have any underlying health conditions, such as diabetes, kidney disease, or a weakened immune system, you should consult a healthcare provider sooner rather than later.


Possible Causes
Your symptoms may be due to several factors, including:
- Foodborne Illness: Consuming undercooked or contaminated food can lead to gastrointestinal infections. Symptoms can include nausea, vomiting, diarrhea, and abdominal cramps.

- Viral Infections: Viruses such as norovirus or rotavirus can cause gastroenteritis, leading to diarrhea and vomiting.

- Bacterial Infections: Bacteria like Salmonella, E. coli, or Campylobacter can also cause food poisoning, resulting in similar symptoms.

- Other Gastrointestinal Disorders: Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or lactose intolerance can also lead to diarrhea.


Management and Recovery
While waiting for your appointment or if you decide to manage your symptoms at home, consider the following:
- Hydration: Drink plenty of fluids to prevent dehydration. Oral rehydration solutions (ORS) can be particularly effective.

- Diet: Follow a bland diet (BRAT diet: bananas, rice, applesauce, toast) until your symptoms improve. Avoid dairy, fatty foods, and high-fiber foods initially.

- Rest: Ensure you get plenty of rest to help your body recover.


Conclusion
In summary, while mild diarrhea can often resolve on its own, the duration and severity of your symptoms suggest that it would be prudent to seek medical attention. A healthcare provider can evaluate your symptoms, possibly conduct tests to determine the cause, and provide appropriate treatment. Remember, it's always better to err on the side of caution when it comes to your health.

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