[18F] With abdominal, chest, and back pain, nausea, and abnormal bleeding

Patient Description

An 18-year-old female presents with constant dull aching pain in the stomach, back, and chest, accompanied by occasional stabbing pains. The pain worsens with pressure, such as tight clothing or lying on the stomach, and is slightly relieved when curled up. The patient reports nausea and vomiting for the past 2-3 weeks, leading to an inability to keep food down and a weight loss of ten pounds. There is also constipation and chills, but no fever. The patient experienced abnormal vaginal bleeding and had an IUD that was out of place and subsequently removed, though the pain has worsened since. Current medications include Mobic for pain and Zofran for nausea. The patient has a history of asthma, diagnosed 8 years ago, and had an appendectomy. No known allergies or new medications.

Arora's Assessment

What might be happening

Your symptoms could be related to several issues:

Gastrointestinal Issues: The constant stomach pain, nausea, vomiting, and inability to keep food down may suggest a gastrointestinal problem such as gastritis, peptic ulcer, or a motility disorder. These conditions can cause inflammation or irritation in the stomach lining.
Musculoskeletal or Nerve Pain: The back and chest pain, especially with stabbing sensations, could be related to musculoskeletal issues or nerve irritation.
Hormonal or Gynecological Factors: The removal of the IUD and abnormal bleeding might have contributed to hormonal imbalances, which can sometimes cause pain and other symptoms.
Asthma and Breathing Issues: Difficulty breathing and rapid heart rate could be related to asthma, especially if you're experiencing stress or anxiety due to the pain.

Typical treatments might include medications to reduce stomach acid, pain management strategies, and possibly further evaluation by a specialist.

What you can do

Stomach and Back Pain:

Continue taking Mobic as prescribed for pain relief.
Try eating small, bland meals to see if they are easier to keep down.
Avoid tight clothing and apply a warm compress to your abdomen for comfort.

Nausea and Vomiting:

Take Zofran as prescribed to help manage nausea.
Stay hydrated with small sips of water or electrolyte solutions.

Breathing and Heart Rate:

Use your asthma inhaler as directed if you have one.
Practice deep breathing exercises to help manage anxiety and improve breathing.

General Tips:

Keep a symptom journal using MDandMe to track your symptoms, diet, and any triggers.
Follow up with your healthcare provider if symptoms persist or worsen.

What you should look out for

Seek medical attention if you experience:

Severe or worsening pain
Blood in vomit or stool
Persistent inability to eat or drink
Shortness of breath or chest pain

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

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[18F] With abdominal, chest, and back pain, nausea, and abnormal bleeding

What might be happening

What you can do

What you should look out for

Experiencing symptoms?