[20F] Experiencing persistent abdominal pain

Patient Description

A 20-year-old female has been experiencing non-stop stomach pain for five days, with a severity rating of 7 out of 10. The pain is described as a full feeling that sometimes improves slightly after eating and can be alleviated by drinking tea or distraction. The patient also reports tiredness and the presence of her menstrual period, although the abdominal pain does not seem to be influenced by her menstrual cycle. She has experienced some nausea but no vomiting, fever, chills, or changes in bowel habits. Her stool was soft and dark in the morning, with no blood present. The patient has a family history of irritable bowel syndrome but no personal or family history of celiac disease or inflammatory bowel disease. She was diagnosed with an anxiety disorder last year and is not currently on any medications. There are no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Irritable Bowel Syndrome (IBS): Given your family history and the nature of your symptoms, IBS could be a possibility. IBS is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. It's worth noting that IBS is a chronic condition that you'll need to manage long term.

    • Treatment typically involves long-term strategies to manage symptoms, such as changes in diet and lifestyle, and sometimes medications.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is also known as the stomach flu. Your symptoms of abdominal pain and nausea could be indicative of this condition.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Anxiety Disorder: Anxiety can manifest in many ways and can cause physical symptoms such as stomach pain and nausea. Given your history of anxiety disorder, it's possible that your symptoms could be related.

    • Treatment typically involves psychotherapy (counseling), medications, or both.
  • Menstrual Cramps: Some women experience pain and discomfort in their abdominal area during their period. This is usually not a cause for concern unless the cramps disrupt your life every month.

    • Treatment can include over-the-counter pain relievers and home remedies like a heating pad.

What you can do

  1. Keep a symptom diary: Note down when you experience pain, what you're eating, your stress levels, and any other symptoms. This can help identify patterns and potential triggers.
  2. Try dietary changes: Some people find that certain foods trigger their symptoms. Common culprits include alcohol, caffeine, certain fruits and vegetables, and fatty foods.
  3. Exercise regularly: Physical activity can often help reduce abdominal pain and ease stress.
  4. Practice stress management: Techniques such as deep breathing, meditation, and yoga may help reduce symptoms, particularly if they're related to anxiety.
  5. Over-the-counter remedies: Non-prescription medications like antacids, pain relievers, and anti-diarrheal medications may help. Always follow the package instructions.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain or cramping
  • Blood in your stool or black, tarry stools
  • High fever (over 101°F)
  • Signs of dehydration, such as dark-colored urine, dry skin, thirst, and decreased urination
  • Persistent vomiting
  • Unexplained weight loss

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and diarrhea or constipation. These symptoms can vary in intensity and may be triggered by certain foods or stress.


How can anxiety manifest as physical symptoms like stomach pain?

Anxiety can cause physical symptoms due to the body's stress response, which may include stomach pain, nausea, and other gastrointestinal issues. This is because anxiety can affect the digestive system and alter gut function.


What dietary changes can help manage symptoms of IBS or gastroenteritis?

Dietary changes that may help manage symptoms include avoiding trigger foods such as caffeine, alcohol, fatty foods, and certain fruits and vegetables. Eating smaller, more frequent meals and staying hydrated can also be beneficial.


When should I seek medical attention for abdominal pain?

You should seek medical attention if you experience severe pain, blood in your stool, high fever, signs of dehydration, persistent vomiting, or unexplained weight loss. These could indicate a more serious condition that requires prompt medical evaluation.

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