Your Symptoms: Abdominal Pain, Diarrhea, and Nausea - Internal Medicine

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Recently, I've been experiencing stomach rumbling, having very loose stools, feeling nauseous, and passing foul-smelling gas?


On Monday, I felt very tired, had no appetite, and felt unwell.
I still feel the same now.
Since Thursday, I've been experiencing diarrhea, nausea, and excessive flatulence, and I still have no appetite.
Today, I've had three bowel movements.
However, since I had a gathering with friends today, I still ate something, but I feel like I might vomit, although I haven't.
My stomach keeps rumbling, and I have abdominal pain.
What could be wrong with me? Thank you, doctor!

Liao, 20~29 year old female. Ask Date: 2015/07/26

Dr. Liao Zhongxin reply Internal Medicine


Dear readers, regarding the issue of frequent diarrhea and the inability to eat, I suggest the following:
1.
First, recall if you had eaten out or consumed expired food within 4 to 24 hours prior to the onset of diarrhea.

2.
Since diarrhea has already occurred, it is advisable to rest well, avoid overeating, and instead eat small, frequent meals to allow your gastrointestinal tract to recover.

3.
Just like elementary school students, make sure to wash your hands thoroughly with soap and water before meals and after using the restroom.

4.
If you have followed steps 1 to 3 and still experience abdominal discomfort, you should seek medical attention at a nearby healthcare facility.

Thank you!

Reply Date: 2015/07/26

More Info


I'm sorry to hear that you're experiencing these troubling symptoms. Based on your description, it sounds like you may be dealing with a gastrointestinal issue, possibly a viral or bacterial infection, food poisoning, or even a gastrointestinal condition like irritable bowel syndrome (IBS). Let’s break down your symptoms and explore potential causes and recommendations.


Symptoms Overview
1. Fatigue and Lack of Appetite: Feeling tired and having no desire to eat can be common in various illnesses, especially those affecting the gastrointestinal tract. This can be due to the body’s response to infection or inflammation.


2. Diarrhea: The presence of watery stools can indicate a few things:
- Infection: Viral gastroenteritis (often referred to as the stomach flu) is a common cause of diarrhea and can lead to nausea and vomiting. Bacterial infections from contaminated food or water can also cause similar symptoms.

- Food Intolerance or Allergy: If you recently consumed something that your body does not tolerate well, this could lead to diarrhea and abdominal pain.


3. Nausea and Abdominal Pain: Nausea often accompanies gastrointestinal disturbances. The pain you’re experiencing could be due to cramping from diarrhea or irritation in the gastrointestinal tract.

4. Flatulence: Increased gas production can occur with certain foods or due to the digestive system reacting to an infection or inflammation.


Possible Causes
- Viral Gastroenteritis: This is often self-limiting and can resolve within a few days. Symptoms include diarrhea, vomiting, and abdominal cramps.

- Bacterial Infection: If you consumed contaminated food, you might be experiencing food poisoning. Symptoms can include diarrhea, abdominal pain, and sometimes fever.

- Irritable Bowel Syndrome (IBS): If you have a history of similar symptoms, IBS could be a possibility, especially if stress or certain foods trigger your symptoms.

- Other Gastrointestinal Disorders: Conditions like inflammatory bowel disease (IBD) or celiac disease could also present with similar symptoms, though these are less common.


Recommendations
1. Stay Hydrated: It’s crucial to drink plenty of fluids, especially if you are experiencing diarrhea. Oral rehydration solutions can help replenish lost electrolytes.


2. Dietary Adjustments: Stick to bland foods that are easy on the stomach, such as bananas, rice, applesauce, and toast (the BRAT diet). Avoid greasy, spicy, or heavy foods until you feel better.

3. Rest: Your body needs energy to fight off whatever is causing your symptoms, so make sure to get plenty of rest.

4. Monitor Symptoms: Keep track of your symptoms. If they worsen or do not improve within a few days, or if you experience severe abdominal pain, high fever, or blood in your stools, seek medical attention promptly.

5. Consult a Healthcare Provider: Given the persistence of your symptoms, it would be wise to consult a healthcare professional. They may recommend tests such as stool analysis, blood tests, or imaging studies to determine the underlying cause of your symptoms.


Conclusion
While your symptoms may resolve on their own, it’s essential to listen to your body and seek medical advice if necessary. Gastrointestinal issues can range from mild to severe, and early intervention can often lead to better outcomes. Take care of yourself, and I hope you feel better soon!

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