[20M] Experiencing intermittent mild abdominal pain

Patient Description

A 20-year-old male has been experiencing intermittent mild abdominal pain on the lower left side for the past three days. The pain is described as on and off with an intensity of about 2 out of 10. The patient has not tried any remedies besides drinking water and has not noticed any relief or worsening of the pain with any specific activities. There are no accompanying symptoms such as fever, chills, nausea, vomiting, changes in bowel habits, or changes in urine. The patient suspects an increase in protein intake might be related to the discomfort. There is no known family history of gastrointestinal conditions, no known drug allergies, no current medications, and no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria, or parasites. Symptoms can include abdominal pain, diarrhea, and vomiting. However, you did not report having diarrhea or vomiting.

    • 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 and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits. However, you did not report having any changes in bowel habits.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress.
  • Diverticulitis: This is an inflammation or infection in one or more small pouches in the digestive tract. It typically causes severe abdominal pain, fever, nausea, and a marked change in your bowel habits. However, your pain is mild and you did not report having fever, nausea, or changes in bowel habits.

    • Treatment typically involves antibiotics and pain relievers.
  • Muscle strain: If you've been doing heavy lifting or other strenuous physical activity, you might have strained a muscle in your abdomen. This can cause pain that comes and goes.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers.

What you can do

  1. Keep a symptom diary: Note down when your pain occurs, its intensity, and any potential triggers (like meals, stress, or physical activity).
  2. Try over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) can help manage your pain.
  3. Stay hydrated: Continue drinking water and also consider beverages with electrolytes, like sports drinks, to stay hydrated.
  4. Rest: Give your body time to recover.

What you should look out for

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

  • Severe pain or pain that gets progressively worse
  • Blood in your stool
  • Unexplained weight loss
  • Persistent vomiting or inability to keep down fluids
  • High fever (over 100.4°F)

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

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10 mo ago

People Also Ask


Can an increase in protein intake cause abdominal pain?

An increase in protein intake can sometimes lead to digestive discomfort, including abdominal pain, especially if the body is not used to processing large amounts of protein. It can also cause bloating or gas. It's important to balance protein intake with other nutrients and ensure adequate hydration.


What are the common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include abdominal pain, diarrhea, vomiting, nausea, and sometimes fever. It is often caused by infections from viruses, bacteria, or parasites. Staying hydrated and resting are key to recovery.


How can I differentiate between muscle strain and other abdominal issues?

Muscle strain typically results from physical activity and is characterized by localized pain that may worsen with movement or touch. Unlike other abdominal issues, it usually doesn't involve gastrointestinal symptoms like changes in bowel habits or nausea. Rest and over-the-counter pain relievers can help alleviate symptoms.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it becomes severe or progressively worse, if you notice blood in your stool, experience unexplained weight loss, have persistent vomiting, or develop a high fever (over 100.4°F). These could be signs of a more serious condition.


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