[19F] Experiencing sharp, sudden upper right abdominal pain and daily headaches

Patient Description

A 19-year-old female presents with a sharp, sudden pain in the upper right side of her abdomen, which she rates as an 8 out of 10 in severity. The pain started recently and has not been alleviated by any measures. She also reports daily headaches, which are throbbing and aching, with a severity of 7 out of 10, worsened by bright lights and loud noises. Additionally, she experiences nausea but no vomiting, and her last bowel movement was described as loose. She denies any changes in the color of her urine or stool, and there is no yellowing of the skin or eyes. The patient has no known drug allergies, no current medications, and no significant past medical history, including no family history of gallbladder issues. She also denies the use of recreational drugs, alcohol, or prescription medications.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause sharp, sudden pain in the upper right abdomen. This pain can start suddenly and quickly get worse. This pain can sometimes be felt in the back or under the right shoulder. Nausea and vomiting are also common symptoms.

    • Treatment often involves surgery to remove the gallbladder, especially if the pain is severe or recurrent, or if the gallstones are very large. Medications to dissolve gallstones may be an option if surgery is not possible for some reason.
  • Peptic Ulcer: These are sores that develop in the lining of your stomach, upper small intestine or esophagus. Pain in the upper stomach is a common symptom, along with nausea, and bloating.

    • Treatment usually involves medications to decrease stomach acid, which allows the ulcer to heal. In some cases, antibiotics to treat H. pylori bacteria, which can cause ulcers, may be needed.
  • Migraines: These are a type of headache characterized by severe, throbbing pain usually on one side of the head. They are often accompanied by nausea and sensitivity to light and sound, as you described.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks. Lifestyle changes, such as stress management and avoiding triggers, can also be helpful.

Please note that these are possibilities based on the symptoms you've provided and not a definitive diagnosis.

What you can do

  1. Seek immediate medical attention. The symptoms you're experiencing, particularly the severe abdominal pain, require urgent evaluation by a healthcare professional.
  2. Avoid eating fatty foods as they can trigger gallbladder attacks.
  3. Try to rest and stay hydrated.
  4. Avoid triggers that worsen your headache, such as bright lights and loud noises.

What you should look out for

Seek immediate medical attention if you experience:

  • Intense abdominal pain that lasts more than 5 hours
  • Fever or chills
  • Yellowing of the skin or eyes (jaundice)
  • Unusual changes in your bowel movements or urine

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your condition and provide a formal diagnosis.

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1 yr ago

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People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include sharp, sudden pain in the upper right abdomen, nausea, vomiting, and sometimes pain that radiates to the back or right shoulder. Some people may also experience bloating and indigestion.


How are peptic ulcers diagnosed and treated?

Peptic ulcers are typically diagnosed through endoscopy, where a camera is used to view the stomach lining, or through tests for H. pylori bacteria. Treatment usually involves medications to reduce stomach acid and, if necessary, antibiotics to treat H. pylori.


What lifestyle changes can help manage migraines?

Lifestyle changes that can help manage migraines include identifying and avoiding triggers (such as certain foods, stress, or lack of sleep), maintaining a regular sleep schedule, staying hydrated, and practicing stress-reduction techniques like yoga or meditation.


When should someone seek immediate medical attention for abdominal pain?

Immediate medical attention for abdominal pain is necessary if the pain is intense and lasts more than 5 hours, is accompanied by fever or chills, or if there are signs of jaundice or unusual changes in bowel movements or urine.


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