[21F] Experiencing abdominal discomfort and nausea

Patient Description

A 21-year-old female reported an episode of abdominal discomfort around the belly button area, described as a sensation similar to the need to defecate, but not crampy or sharp. The episode lasted about an hour and was accompanied by nausea and cold hands. The patient denied experiencing diarrhea, vomiting, changes in bowel habits, or alterations in heart rate or rhythm during the episode. She also mentioned feeling anxious during the episode but clarified that she does not have a diagnosed anxiety disorder. The patient's anxiety seems to be episodic and related to specific stressors such as school tests. She expressed concern about the possibility of kidney stones, although she did not report any symptoms typical of kidney stones such as severe pain in the back or side, blood in urine, or frequent urination. She stated her overall well-being is good and she leads a happy life.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms can include stomach pain, nausea, and sometimes fever. It usually resolves on its own within a few days.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for symptoms like nausea and pain.
  • Anxiety: Stress and anxiety can manifest in physical symptoms, including stomach pain and nausea. Given the context of your exams and the transient nature of your symptoms, this could be a contributing factor.

    • Treatment can involve a combination of therapy, stress management techniques, and medication if necessary.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, and nausea. However, your symptoms do not strongly suggest kidney stones.

    • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.

What you can do

  1. Keep yourself well-hydrated. Dehydration can make feelings of nausea worse.
  2. Try to eat small, light meals and avoid fatty or spicy foods if you're feeling nauseous.
  3. Practice stress management techniques, such as deep breathing, meditation, and yoga, which may help reduce anxiety-related symptoms.
  4. Over-the-counter antacids may help with stomach pain.
  5. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or worsening abdominal pain
  • Blood in your urine
  • High fever or chills
  • Persistent vomiting or inability to keep down fluids
  • Symptoms that persist for more than a few days

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

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11 mo ago

People Also Ask


What are the common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include stomach pain, nausea, vomiting, diarrhea, and sometimes fever. It is usually caused by a viral or bacterial infection and often resolves on its own within a few days.


How can anxiety cause physical symptoms like stomach pain and nausea?

Anxiety can cause physical symptoms due to the body's stress response, which can include increased heart rate, muscle tension, and changes in digestion. This can lead to symptoms like stomach pain and nausea.


What are the typical symptoms of kidney stones?

Typical symptoms of kidney stones include severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain during urination, blood in the urine, and nausea.


What are some effective stress management techniques to help with anxiety-related symptoms?

Effective stress management techniques include deep breathing exercises, meditation, yoga, regular physical activity, and maintaining a healthy lifestyle. These can help reduce anxiety-related symptoms and improve overall well-being.


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