Is It Gastroenteritis? Abdominal Pain and Symptoms

Is there a problem with the gastrointestinal tract?

Two days ago, while I was running, I suddenly felt pain on the right side of my abdomen.
After feeling the pain, I stopped running and walked slowly; any movement would cause pain.
Later that evening, when I got home, I started to feel like I was coming down with a cold, and my back was a bit sore.
I also had one episode of diarrhea.
The next day, I began to feel more symptomatic of a cold, and today, the cold symptoms seem to have worsened compared to two days ago.
I asked others and did some research, and they all suggested it might be gastroenteritis.
However, I haven't experienced vomiting or diarrhea except for that one time.
I would like to know if this could indeed be gastroenteritis, as going to the hospital can be quite expensive, so I wanted to ask first.
Thank you.

Beng Dai, 10~19 year old female. Ask Date: 2006/09/27

Dr. Xiao Jingqin reply Internal Medicine

1.
Gastroenteritis is the inflammation of the gastric and intestinal mucosa, commonly caused by food poisoning.
Symptoms include severe vomiting and diarrhea, often accompanied by abdominal cramping and colicky pain, fever, and sweating.
Prolonged and significant fluid loss can lead to dehydration and even shock.
There may be small amounts of blood in the vomit and stool.
Symptoms such as vomiting and diarrhea typically resolve within two to four days, but may persist for a longer duration.
Bacterial infections, such as those caused by Salmonella, can last for months or even years, during which the patient may be asymptomatic but still a carrier, capable of transmitting the infection to others.
2.
Mild gastroenteritis can resolve on its own without treatment.
While gastroenteritis is generally toxic, in most cases, the toxicity is mild.
However, botulism and poisoning from certain plants or chemicals can be fatal if not treated promptly.
If accompanied by abdominal pain, bloody stools, or other unexpected symptoms; if symptoms are severe or last longer than expected; or if there has been ingestion of toxic plants or chemicals, immediate medical attention is necessary.
Symptoms such as high fever, double vision, seizures, or paralysis warrant urgent medical care.
3.
Most cases of gastroenteritis gradually improve within three days; after the resolution of vomiting and diarrhea, patients can begin to eat a more varied diet, but should still avoid irritating foods.

Reply Date: 2006/09/27

More Info

Based on your description, it sounds like you are experiencing abdominal pain that began suddenly while running, accompanied by some symptoms of a cold and mild gastrointestinal distress. While it is understandable to be concerned about your symptoms, particularly in relation to gastroenteritis, it is important to clarify a few points regarding this condition and other possible causes of your abdominal pain.

Gastroenteritis, commonly referred to as "stomach flu," is an inflammation of the stomach and intestines that can be caused by viral or bacterial infections. Typical symptoms include diarrhea, vomiting, abdominal cramps, and sometimes fever. However, you mentioned that you have only experienced one episode of diarrhea and no vomiting, which makes a classic case of gastroenteritis less likely. Additionally, the onset of your symptoms during physical activity, particularly the sharp pain on the right side of your abdomen, may suggest other underlying issues.

The right-sided abdominal pain you experienced while running could be related to several factors. One possibility is a muscle strain or cramp, especially if you were exerting yourself physically. Another consideration is the possibility of a gastrointestinal issue, such as appendicitis, particularly if the pain is localized to the right lower quadrant and is persistent or worsening. Appendicitis often presents with abdominal pain that starts near the belly button and then moves to the right side, along with nausea and sometimes fever.

Additionally, since you mentioned feeling cold-like symptoms and back pain, it is worth considering that these could be related to a viral infection that is affecting your overall health, rather than being directly linked to your abdominal pain. Infections can sometimes cause referred pain, where discomfort is felt in one area of the body due to issues in another area.

Given that your symptoms have persisted and worsened, it is advisable to seek medical attention, even if costs are a concern. A healthcare professional can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the exact cause of your symptoms. They can also rule out more serious conditions that may require prompt treatment.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Hydration: Ensure you are drinking plenty of fluids, especially if you have had any gastrointestinal upset. Staying hydrated is crucial for recovery.

2. Rest: Allow your body to recover by getting adequate rest. Avoid strenuous activities until you feel better.

3. Diet: If you are experiencing any gastrointestinal discomfort, consider sticking to bland foods that are easy to digest, such as toast, rice, bananas, and applesauce.

4. Pain Management: Over-the-counter pain relievers may help alleviate discomfort, but be cautious and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, the presence of fever, or any new symptoms that arise.

In conclusion, while your symptoms may not fit the classic presentation of gastroenteritis, it is essential to consider a range of potential causes for your abdominal pain. Seeking medical advice is the best course of action to ensure that you receive appropriate care and to rule out any serious conditions.

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