[20F] Experiencing severe abdominal pain, headache, and emotional distress

Patient Description

A 20-year-old female reports severe abdominal pain, rating it a 7 out of 10, which worsens upon breathing and has not improved with ibuprofen. The pain started yesterday and is located in the lower abdomen. She also experiences a pulsating headache throughout the front, side, and back of her head, which has become increasingly uncomfortable since yesterday. Additionally, she reports fever and chills, sensitivity to light, altered mental status, and neck stiffness. The patient feels nauseous, especially when hot, but has not vomited. She describes feeling weak, with a severity rating of 9 out of 10, and has difficulty performing daily activities. Emotional distress is also significant, with feelings of sadness, loneliness, and being overwhelmed, which have been worsening. The patient has a history of anemia diagnosed around age 14-15 but stopped taking prescribed medication due to adverse effects. She was involved in a physical altercation recently, which may have resulted in head or chest trauma. No current medications or known allergies. The combination of symptoms suggests a complex presentation that may require immediate medical evaluation for potential serious conditions, including complications from the recent physical altercation, anemia, and possible infection or neurological issues.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include abdominal pain, nausea, and fever. Dehydration from not eating or drinking enough could also contribute to your feelings of weakness and lightheadedness.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. If symptoms persist or worsen, a healthcare provider may prescribe antibiotics or other medications.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, often accompanied by nausea and sensitivity to light. The fact that your headache is worsening and you're experiencing sensitivity to light could suggest a migraine.

    • Treatment typically involves rest, hydration, and over-the-counter or prescription medications to manage pain and other symptoms.
  • Anxiety or Depression: You mentioned feeling sad, alone, and like you're not enough. These feelings, along with physical symptoms like headaches and stomach pain, could suggest a mental health condition like anxiety or depression.

    • Treatment typically involves a combination of therapy, lifestyle changes, and medication. It's important to talk to a healthcare provider if you're feeling this way.
  • Physical trauma: You mentioned that you were involved in a fight where you might have been hit in the head or punched in the chest. This could explain some of your physical symptoms, like chest pain and headaches.

    • Treatment for physical trauma can vary widely depending on the severity and location of the injury. It's important to seek medical attention if you're in pain or if your symptoms worsen.

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 and treatment.

What you can do

  1. Rest and stay hydrated. This can help manage symptoms of both gastroenteritis and migraines.
  2. Try over-the-counter remedies to manage your symptoms. For example, ibuprofen can help with pain and fever, while an antacid can help with stomach discomfort.
  3. Reach out to a mental health professional. If you're feeling sad and alone, it's important to talk to someone who can help, such as a counselor or therapist.
  4. Seek medical attention if your symptoms worsen or don't improve. This is especially important given the physical trauma you mentioned.

What you should look out for

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

  • Severe abdominal pain or chest pain
  • Difficulty breathing
  • Confusion or difficulty staying awake
  • A headache that gets significantly worse
  • Persistent or worsening fever

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. 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 could be causing severe abdominal pain that worsens with breathing?

Severe abdominal pain that worsens with breathing could be due to several conditions, including gastroenteritis, physical trauma, or other abdominal issues. It's important to seek medical evaluation to determine the exact cause and receive appropriate treatment.


How can migraines be managed when they are accompanied by sensitivity to light and nausea?

Migraines can be managed with a combination of rest, hydration, and medications. Over-the-counter pain relievers like ibuprofen or acetaminophen can help, but prescription medications may be necessary for more severe cases. Avoiding triggers such as bright lights and stress can also be beneficial.


What are the potential risks of not treating anemia, especially if diagnosed in adolescence?

Untreated anemia can lead to fatigue, weakness, and other health complications. In adolescents, it can affect growth and development. It's important to follow up with a healthcare provider to manage anemia effectively, even if previous treatments caused side effects.


How can emotional distress and feelings of sadness be addressed effectively?

Emotional distress and feelings of sadness can be addressed through therapy, lifestyle changes, and sometimes medication. Speaking with a mental health professional can provide support and strategies to cope with these feelings. It's important to reach out for help if these feelings are overwhelming.


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1 Comments


Janice#4034

1 yr ago

sounds like when my gf had a GI bug like norovirus or somethin last fall. hopefully you'll feel better in just a day or 2. get some rest and drink lots of water

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