Gastrointestinal Issues: Diarrhea and Abdominal Pain Explained

Gastrointestinal issues, diarrhea?

Hello doctor, I have had over 10 episodes of diarrhea in the past two days (all watery), along with abdominal pain.
I consulted a physician who told me it might be an enterovirus infection and prescribed medication for me to take at home.
However, after reading some medical articles today, my symptoms seem to align more with viral gastroenteritis or acute gastroenteritis, and these two conditions appear to be different from enterovirus infections.
I'm really unsure how to confirm my diagnosis.
Currently, my symptoms include a low-grade fever (38.4°C), frequent diarrhea, and abdominal pain.
Other than that, I feel normal, with no vomiting, no blisters on my hands or feet, and no throat issues.
Thank you.

BRUNO, 20~29 year old female. Ask Date: 2022/09/20

Dr. Lin Minghui reply Gastroenterology and Hepatology

A 25-year-old male presents with abdominal pain, low-grade fever, and multiple episodes of watery diarrhea.
There are no blisters on the skin or sore throat.
Acute gastroenteritis is suspected, possibly related to the consumption of contaminated food, and viral infections such as rotavirus, norovirus, or even COVID-19 are also potential causes.
Gastroenteritis is primarily managed through symptomatic treatment.
With frequent watery diarrhea, it is important to monitor hydration and electrolyte replacement to prevent dehydration and potential renal failure.
If there are underlying chronic conditions or severe dehydration, medical attention is necessary.
Wishing you good health!

Reply Date: 2022/09/20

More Info

It sounds like you are experiencing a challenging situation with your gastrointestinal health, and I appreciate your detailed description of your symptoms. Based on your account, it seems you are dealing with a significant case of diarrhea and abdominal pain, which can be quite distressing. Let's break down your symptoms and the potential underlying issues.

From your description, you have been experiencing frequent watery stools (more than ten times in a couple of days), abdominal pain, and a low-grade fever (38.4°C). These symptoms are indeed suggestive of an acute gastrointestinal infection, commonly referred to as gastroenteritis. This condition can be caused by various pathogens, including viruses, bacteria, or parasites.
You mentioned that your doctor suggested it might be a "腸病毒" (enterovirus), which is a type of virus that can cause gastrointestinal symptoms. However, you are correct in noting that viral gastroenteritis and enterovirus infections are not the same. Viral gastroenteritis is often caused by norovirus or rotavirus, which are more commonly associated with outbreaks of diarrhea and vomiting. Symptoms typically include watery diarrhea, abdominal cramps, nausea, and sometimes fever.
In your case, the absence of vomiting and throat issues might lean more towards a viral gastroenteritis rather than a more systemic enterovirus infection. The presence of a low-grade fever further supports the idea of an infectious process, as fevers are a common response to infection.

It is essential to consider the following points regarding your condition:
1. Hydration: With the frequency of diarrhea you are experiencing, it is crucial to stay hydrated. Diarrhea can lead to significant fluid loss, which can result in dehydration. Make sure to drink plenty of fluids, including oral rehydration solutions that can help replenish electrolytes.

2. Diet: While you are recovering, it may be beneficial to follow a bland diet. Foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet) can be easier on your stomach. Avoid dairy products, fatty foods, and high-fiber foods until your symptoms improve.

3. Monitoring Symptoms: Keep an eye on your symptoms. If you experience severe abdominal pain, blood in your stools, persistent high fever, or signs of dehydration (such as dizziness, dry mouth, or decreased urine output), you should seek medical attention immediately.

4. Diagnosis Confirmation: While your doctor has provided a diagnosis, if your symptoms do not improve or worsen, it may be worth discussing further diagnostic tests. Stool tests can help identify the specific pathogen causing your symptoms, which can guide treatment.
5. Rest: Your body needs time to recover from an infection. Ensure you are getting enough rest to help your immune system fight off the virus.

In conclusion, while your symptoms align with viral gastroenteritis, it is essential to monitor your condition closely and maintain hydration. If your symptoms persist or worsen, do not hesitate to follow up with your healthcare provider for further evaluation and management. Your health and well-being are paramount, and timely medical intervention can make a significant difference in your recovery.

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