[18F] Experiencing abdominal cramping, nausea, and headache

Patient Description

An 18-year-old female is reporting persistent abdominal cramping in the upper to middle left of her abdomen, which has been occurring for 3 to 4 days. The pain varies from dull to sharp depending on her activities, with a severity rating of 6 out of 10. Heat provides slight relief, but the cramping is generally unresponsive to interventions. The cramping worsens with activities such as walking and cleaning, and after the intake of any food or drink. Additionally, the patient is experiencing intermittent nausea that correlates with the intensity of her pain, as well as headaches and weakness.

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Arora's Assessment

What might be happening

Based on your symptoms, possible explanations could include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause abdominal pain, cramping, nausea, and sometimes vomiting or diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Gastritis: This is an inflammation of the stomach lining, which can be caused by factors such as excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infection with bacteria such as H. pylori.

    • Treatment often involves medications to decrease stomach acid, which allows the stomach lining to heal.
  • Peptic Ulcer: These are sores that develop on the lining of the stomach, upper small intestine or esophagus. The most common symptom of a peptic ulcer is burning abdominal pain that extends from the navel to the chest.

    • Treatment usually involves medications to reduce stomach acid and protect the stomach lining.
  • Gallstones: These are hard deposits in the gallbladder that can cause abdominal pain, especially after eating.

    • Treatment can range from dietary changes to medications to dissolve the gallstones, or surgery in severe cases.
  • Pancreatitis: This is an inflammation of the pancreas, which can cause upper abdominal pain, nausea, and vomiting.

    • Treatment often involves hospitalization for intravenous fluids, medications for pain, and sometimes surgery.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult a healthcare professional for an accurate diagnosis and treatment.

What you can do

  • Try to rest and stay hydrated. If you're having trouble keeping liquids down, take small sips at a time.
  • Avoid foods that seem to trigger your symptoms.
  • Over-the-counter antacids may help with the pain and nausea.
  • Avoid alcohol, caffeine, and high-fat foods as these can worsen stomach pain.

What you should look out for

Seek immediate medical attention if you:

  • Have severe abdominal pain
  • Have bloody or black stools
  • Have bloody or dark green vomit
  • Have a fever over 100.4°F
  • Are unable to eat without vomiting
  • Have signs of dehydration, such as not urinating, extreme thirst, very dry mouth and throat, or feeling dizzy when you stand up.

Remember, I'm an AI and not a doctor. It's important to consult a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of persistent abdominal cramping in the upper left abdomen?

Common causes of persistent abdominal cramping in the upper left abdomen include gastroenteritis, gastritis, peptic ulcers, gallstones, and pancreatitis. Each condition has specific symptoms and triggers, so it's important to consult a healthcare professional for an accurate diagnosis.


How can I differentiate between gastritis and a peptic ulcer based on symptoms?

Gastritis often presents with a burning sensation in the stomach, nausea, and bloating, while a peptic ulcer typically causes a burning abdominal pain that may extend from the navel to the chest. Both conditions can worsen with certain foods and stress, but a healthcare provider can perform tests to differentiate between them.


What dietary changes can help alleviate symptoms of gallstones or gastritis?

For gallstones, it's recommended to avoid high-fat and fried foods, and for gastritis, reducing intake of alcohol, caffeine, and spicy foods can help. Eating smaller, more frequent meals and avoiding late-night eating may also alleviate symptoms.


When should I seek immediate medical attention for abdominal pain and nausea?

Seek immediate medical attention if you experience severe abdominal pain, bloody or black stools, bloody or dark green vomit, a fever over 100.4°F, inability to eat without vomiting, or signs of dehydration such as not urinating, extreme thirst, or dizziness when standing up.


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