[19F] Experiencing abdominal pain, nausea, and fluctuating bowel habits

Patient Description

A 19-year-old female is reporting abdominal pain that is alleviated when lying on her right side, with the pain sometimes reaching an intensity of 6 to 8 out of 10. The pain is described as a feeling of pressure in the abdomen. The patient has also been experiencing nausea, particularly after eating, rated at a consistent intensity of 5 out of 10. Additionally, there are reports of fluctuating bowel habits, including constipation and diarrhea, with the most recent stool being runny and dark brown. The patient denies any fever, chills, blood in stool, mucus in stool, significant weight loss, or sudden severe abdominal pain. The symptoms have been occurring intermittently, and the onset of abdominal pain is not clearly remembered, indicating a possible chronic or recurring issue.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include abdominal pain, nausea, and changes in bowel movements, such as diarrhea or constipation.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment often involves long-term management of diet, lifestyle and stress. Medication and counseling might be part of the treatment plan.
  • Gastritis: This is an inflammation of the stomach lining. Symptoms can include upper abdominal pain, nausea, and feeling full quickly after eating.

    • Treatment usually involves taking medication to decrease stomach acid.
  • Peptic Ulcer Disease: These are sores that develop in the lining of the stomach, upper small intestine or esophagus. Symptoms can include a burning stomach pain, feeling of fullness, bloating or belching, and nausea.

    • Treatment typically involves medication to decrease stomach acid, and in some cases, antibiotics to clear a Helicobacter pylori infection.

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

What you can do

  1. Try to maintain a balanced diet and avoid foods that seem to trigger your symptoms.
  2. Stay hydrated, especially if you're experiencing diarrhea.
  3. Over-the-counter antacids may help with stomach pain and nausea.
  4. Try to get enough rest and manage stress as these can exacerbate symptoms.

What you should look out for

If your symptoms persist or worsen, or if you experience any of the following, seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Difficulty swallowing
  • Persistent vomiting

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are common causes of abdominal pain that improves when lying on one side?

Abdominal pain that improves when lying on one side can be associated with conditions like irritable bowel syndrome (IBS), gastroenteritis, or even musculoskeletal issues. The position may relieve pressure or reduce irritation in the abdomen.


How can I differentiate between IBS and gastroenteritis based on symptoms?

IBS is a chronic condition characterized by a combination of symptoms such as cramping, abdominal pain, bloating, and changes in bowel habits, often triggered by stress or certain foods. Gastroenteritis, on the other hand, is usually acute, caused by an infection, and often accompanied by fever and more severe diarrhea.


What dietary changes can help manage symptoms of gastritis or peptic ulcer disease?

For gastritis or peptic ulcer disease, it is recommended to avoid spicy, acidic, or fatty foods, as well as alcohol and caffeine. Eating smaller, more frequent meals and avoiding eating late at night can also help manage symptoms.


When should I seek medical attention for abdominal pain and changes in bowel habits?

You should seek medical attention if you experience severe abdominal pain, blood in your stool or vomit, unexplained weight loss, difficulty swallowing, or persistent vomiting, as these could indicate a more serious condition.


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