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Experiencing Severe Abdominal Pain: Concerns with Enterohaemorrhagic E. coli

7/17/2025, 9:40:19 PMMale25-34

I’m a 28-year-old woman, standing at 5’3” and weighing 143 pounds, and I have never smoked. I apologize for any grammatical errors since I am from Germany. In mid-June, I was diagnosed with enterohaemorrhagic Escherichia coli. Although I haven’t experienced any diarrhea, I am encountering significant discomfort in my abdomen, specifically in the area located three fingers above my navel. This pain intensifies particularly after I eat or have a bowel movement. I also feel nauseous, and the pain typically subsides around half an hour to an hour following these events. It feels as if there’s an infection in my intestines, which has persisted for several weeks now. I have a couple of questions: - I could understand the lingering presence of the bacteria in my system. - However, if the results from my recent stool sample indicate a negative outcome, could there still be damage to my intestines, such as chronic inflammation? Thank you for your insights!

Crohn's DiseaseCOPDInternal Medicine

Answers (1)

Cony

7/17/2025, 9:40:39 PM

OpenHealth AI

It sounds like you're experiencing significant abdominal discomfort after being diagnosed with enterohaemorrhagic E. coli (EHEC). This situation can indeed be concerning, and it's understandable that you're seeking clarity on the potential lasting effects of this infection.

Key Points:

  1. EHEC can cause abdominal pain without diarrhea, and lingering symptoms can occur even after the bacteria are cleared.
  2. Chronic inflammation or other gastrointestinal issues might still be present after negative stool tests.

Explanation: EHEC infections primarily affect the intestines, and some individuals may experience ongoing symptoms after the acute phase, particularly pain and nausea. If your stool tests are negative, this suggests that the active infection is no longer present; however, it's possible to have complications such as post-infectious irritable bowel syndrome (IBS) or chronic inflammation in the intestines due to the initial infection.

Next Steps:

  1. Monitor Symptoms: Keep a detailed diary of your symptoms, noting what triggers the pain, the intensity of discomfort, and any accompanying symptoms like nausea or changes in appetite.

  2. Dietary Adjustments: Try to identify and avoid foods that might irritate your stomach, including fatty, spicy, or overly sweet items. Focus on a bland diet initially, incorporating foods like bananas, rice, applesauce, and toast.

  3. Hydration: Stay well-hydrated, especially if you're feeling nauseous. Clear fluids are best, and consider electrolyte solutions if you're having difficulty eating.

  4. Gentle Movements: Light activities such as walking can promote digestion and potentially ease discomfort, but avoid strenuous exercise until you feel better.

  5. Follow-Up: Given the ongoing discomfort, keep an eye on your symptoms. If the pain worsens, if you begin to have any fever, or if other concerning symptoms develop, seek professional advice for further evaluation.

It's crucial to be patient as your body heals, but your symptoms deserve attention, and keeping track of them will help identify any patterns or changes. Let me know if you need more information!

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