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What Causes Diarrhea, Abdominal Cramps And Loss Of Appetite?

Posted on Thu, 7 Sep 2017

Question: Doc,

I've been having joint pain, lost of appetite, fullness, diarrhea and cramps, also lost about 10 lbs in a week. Went to a local doctor and was given some antibiotics. Doc told me it "might" be a bug or virus. A second opinion would be great. My anxiety isn't helping me much. What can this be linked to?

Thank you in advance

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Need more info

Detailed Answer:
Hello and Welcome

I appreciate your concern

Kindly answer the following to comment further

What is the nature and distribution of the joint pain, exactly what joints are affected. Is there specific joint involvement or generalized body aches ?
Has the diarrhea and cramping persisted for one week
Was there any blood in the stool
Was/is there any fever associated with these symptoms
Were any investigations advised, such as a full blood count, if so then please upload a copy of the labs done

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (17 minutes later)

The joint pains are as followed : eblows, risk, and knees, just recenlty some shoulder pain mainly left shoudler, the diarrhea has been persist for a week, no blood in the stool but it is very dark. No fever at all, no blood work was advised

Answered by Dr. Dr. Muhammad Sareer Khalil (43 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Based on your description, its likely to be reactive arthritis. The antibiotics should be continued and the course should be completed. Isotonic fluid replacement should also be done. If the symptoms persist despite the completion of antibiotics then workup including FBC, ESR/ CRP, stool R/E culture and an ultrasound of the abdomen pelvis should be done in consult with your doctor.

For now, the stool should be examined and a possible lower GI bleed should be ruled out. A stool for routine exam plus ova and parasites can be advised.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar