[18F] Experiencing severe cough, abdominal and breast pain

Patient Description

An 18-year-old female presents with a severe cough that produces a sensation of cold coming up and causes weakness, accompanied by sharp and crampy abdominal pain rated 7 out of 10 in severity. The abdominal pain has been present for 2-3 days, is located in the middle of the lower stomach, and spreads out. The patient also reports breast pain that is exacerbated by touch or rubbing against something, rated 6 out of 10 in severity, and has been present for 3 days. Additionally, the patient experiences lightheadedness and shortness of breath. The patient woke up with a sharp headache rated 10 out of 10 in severity, centered in the forehead, which is not a common occurrence. The patient has a past medical history of Bacterial Vaginosis diagnosed last year and is not currently on any medications. No recent injuries, recreational drug use, smoking, or alcohol consumption were reported. The patient was sexually active a month ago with unprotected intercourse.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Influenza (Flu): The flu is a common viral infection that can cause fever, body aches, cough, and general malaise. It can also cause headaches and shortness of breath.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms. In some cases, antiviral medication may be prescribed.
  • Pregnancy: Given your age, sexual activity, and the symptoms of lower abdominal pain and breast tenderness, it's possible that you could be experiencing early signs of pregnancy.

    • A home pregnancy test can help confirm this. If positive, you should schedule an appointment with a healthcare provider for prenatal care.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause abdominal pain, nausea, and sometimes fever.

    • Treatment usually involves rest, hydration, and eating bland foods.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are important for recovery.
  2. Over-the-counter medication: Over-the-counter pain relievers can help manage your body aches and headache. Over-the-counter cough suppressants can help with your cough.
  3. Home pregnancy test: If there's a chance you could be pregnant, consider taking a home pregnancy test. If positive, schedule an appointment with a healthcare provider.
  4. Seek medical attention: If your symptoms persist or worsen, seek medical attention. This is particularly important if you develop severe abdominal pain, difficulty breathing, or if your headache worsens.

What you should look out for

  • If your symptoms persist or worsen, seek medical attention.
  • If you develop severe abdominal pain, difficulty breathing, or if your headache worsens, seek immediate medical attention.
  • If you have a positive pregnancy test, schedule an appointment with a healthcare provider.

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. You should seek care from a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of the flu and how can it be treated?

Common symptoms of the flu include fever, body aches, cough, headache, and shortness of breath. Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms. In some cases, antiviral medications may be prescribed.


Could abdominal pain and breast tenderness indicate pregnancy?

Yes, abdominal pain and breast tenderness can be early signs of pregnancy. A home pregnancy test can help confirm this, and if positive, you should schedule an appointment with a healthcare provider for further evaluation and prenatal care.


What is gastroenteritis and how is it typically treated?

Gastroenteritis is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can lead to symptoms like abdominal pain, nausea, and sometimes fever. Treatment typically involves rest, staying hydrated, and eating bland foods.


When should I seek medical attention for severe headaches and shortness of breath?

You should seek medical attention if your symptoms persist or worsen, especially if you experience severe abdominal pain, difficulty breathing, or if your headache worsens. Immediate medical attention is necessary in these cases to rule out serious conditions.


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