This report is to have an informed conversation with your doctor. Do not self medicate, specially the medicines with Prescription only tag. It is for your own safety.

My recommendations

Provisional diagnosis

Acute non-specific gastroenteritis (Based on the symptoms and absence of fever, abdominal pain, or vomiting, the most likely hypothesis is acute non-specific gastroenteritis.)

Differentials

Here are top 6 differentials to consider. Estimated probabilities are mentioned along with. Sum of probabilities can be more than 100, because probabilities are assigned to each differentials individually.

1.Acute gastroenteritis (60%)
2.Viral enteritis (25%)
3.Food intolerance (10%)
4.Irritable bowel syndrome (3%)
5.Inflammatory bowel disease (1%)
6.Parasitic infection (1%)
Suggested medications

The treatment plan includes probiotics as per ESPGHAN guidelines and supportive care for acute gastroenteritis.

Lactobacillus rhamnosus GG Culturelle:
Take one capsule twice daily for 5 days.

Saccharomyces boulardii Florastor:
Take one sachet twice daily for 5 days.

Oral Rehydration Salts (ORS):
Prepare solution as per packet instructions and drink to maintain hydration, as needed.

Next line: If symptoms persist beyond 5 days or worsen at any time, seek further medical evaluation.

Investigations & monitoring

Investigations are not immediately required unless symptoms persist or worsen.

Decision tree
Advise

Follow-up is recommended if symptoms persist beyond 5 days or if there is any sign of dehydration or other complications.

  • Continue to maintain hydration with ORS and drink plenty of fluids.
  • Avoid dairy products and fatty foods until symptoms improve.
  • Wash hands frequently with soap and water, especially after using the bathroom and before eating.
  • Rest as needed to aid recovery.
    • Explanation behind my opinion

    The treatment plan is based on the ESPGHAN guidelines for probiotics in acute gastroenteritis and the absence of dehydration or other severe symptoms.

  • Probiotics recommended due to their efficacy in reducing the duration and severity of diarrhea.
  • ORS used to maintain hydration and prevent dehydration.
  • No antibiotics or antiemetics prescribed due to lack of symptoms indicating bacterial infection or significant vomiting.
    • References

    These are the top sources for reading and refinements of my recommendations. However, I have considered lot more resources than these articles.

    1.Szajewska H, Guarino A, Hojsak I, Indrio F, Kolacek S, Shamir R, et al. Use of probiotics for management of acute gastroenteritis: a position paper by the ESPGHAN Working Group for Probiotics and Prebiotics. J Pediatr Gastroenterol Nutr. 2014 Apr;58(4):531-9. Visit on web
    2.King CK, Glass R, Bresee JS, Duggan C. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003 Nov;52(RR-16):1-16. Visit on web
    3.Guarino A, Ashkenazi S, Gendrel D, Lo Vecchio A, Shamir R, Szajewska H, et al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition/European Society for Pediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe: update 2014. J Pediatr Gastroenterol Nutr. 2014 Jul;59(1):132-52. Visit on web

    Please note that Medicine is a complex discipline so Artificial intelligence is equally prone to committing mistakes just like a human physician. However, as a human physician can physically examine you and can get more information as needed, you should trust your doctor's judgement more than this report.

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