Secure Message Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-08-05 Encounter: Spruce text message CC: Persistent stomach cramping one week after GI illness. HPI: Jack continued to have stomach cramping approximately one week after the acute GI illness in late July. No other acute symptoms reported at time of contact. Assessment: Dr. Hobbs assessed the persistent cramping as normal post-infectious gastritis or enteritis — a common sequela following viral GI illness. Plan: Reduce dairy and berries. Probiotic recommended. Reassurance provided that lingering symptoms are expected and normal. Key clinical quotes: "very normal for them to have some lingering gastritis or enteritis following an illness. Easing back on dairy, berries can help, probiotic can sometimes help too." Source: Spruce conversation t_226ST10QO3800