[21F] Experiencing abdominal pain, anxiety, and other symptoms

Patient Description

A 21-year-old female has been experiencing a range of symptoms including anxiety, abdominal pain, pain behind the eyes, headaches, muscle weakness, loss of appetite, and a low thyroid condition. The abdominal pain is achy, spread across the mid and lower abdomen, and has been worsening over the past five days. Anxiety has been present for a couple of months, with increased heart rate and chest pain, and has worsened over the past couple of weeks. The patient also reports an achy pain behind both eyes, resembling eye strain, with a severity of 6-7 out of 10, and has been ongoing for a couple of days. Headaches are described as aching, occurring a couple of times a day for the past few months, with a severity of 5-6 out of 10. Muscle weakness has been noted, especially after exercise, with a severity of 6-7 out of 10. The patient has a slight sensitivity to light and experiences dizziness when standing up. There is a history of a stomach ulcer diagnosed a month ago, which was treated with medication. The patient is currently on sulfate and occasionally takes Tylenol for pain. No known drug allergies or other medications reported.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is inflammation of the stomach and intestines, typically resulting from bacterial toxins or viral infection. It can cause symptoms like abdominal pain, loss of appetite, and muscle weakness. However, it usually also involves symptoms like vomiting and diarrhea, which you did not mention.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary in some cases.
  • Peptic Ulcer Disease: Given your history of a stomach ulcer, it's possible that your abdominal pain is related to a recurrence or complication of this condition. Peptic ulcers can cause a dull or burning pain anywhere from the navel to the chest, which can be worse when your stomach is empty, and can also lead to loss of appetite.

    • Treatment typically involves medications to decrease stomach acid, along with avoidance of NSAIDs, alcohol, and smoking.
  • Anxiety Disorder: You mentioned experiencing anxiety, increased heart rate, and chest pain even when alone at home. These could be symptoms of an anxiety disorder, which can also cause physical symptoms like muscle weakness and gastrointestinal issues.

    • Treatment usually involves a combination of psychotherapy (counseling) and medication.
  • Migraine: Your description of headaches, sensitivity to light, and pain behind the eyes could be indicative of migraines. Migraines are recurrent headaches that cause moderate to severe pain that is throbbing or pulsing. The pain is often on one side of your head. You may also have other symptoms, such as nausea and weakness.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks.

Please note that these are just possibilities based on your symptoms and should not be taken as a diagnosis. It's important to consult with a healthcare provider for a proper evaluation.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are generally beneficial when you're feeling unwell.
  2. Over-the-counter remedies: For your headaches and eye pain, you might find relief with over-the-counter pain relievers. However, these should be used sparingly and only as directed.
  3. Mindfulness and relaxation techniques: If you're feeling anxious, techniques such as deep breathing, yoga, and mindfulness meditation may help to reduce your symptoms.
  4. Keep a symptom diary: Tracking your symptoms, including when they occur, their severity, and any potential triggers, can be helpful information to share with your healthcare provider.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Sudden, severe headache or the worst headache of your life
  • Difficulty speaking, moving, or understanding, as these could be signs of a stroke
  • Any other symptoms that are severe or concerning to you

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What are the common symptoms of peptic ulcer disease?

Common symptoms of peptic ulcer disease include a dull or burning pain in the stomach area, bloating, heartburn, nausea, and in some cases, vomiting or weight loss. The pain often occurs when the stomach is empty and may be temporarily relieved by eating certain foods or taking antacids.


How can anxiety disorders manifest physically?

Anxiety disorders can manifest physically in various ways, including increased heart rate, chest pain, muscle tension or weakness, gastrointestinal issues like nausea or abdominal pain, dizziness, and headaches. These symptoms can occur even in the absence of a direct stressor.


What are the typical symptoms of a migraine?

Typical symptoms of a migraine include a throbbing or pulsing headache, often on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances known as auras. The pain can be moderate to severe and may last from a few hours to several days.


What should I do if I experience severe abdominal pain?

If you experience severe abdominal pain, it is important to seek immediate medical attention. This could be a sign of a serious condition such as a perforated ulcer, appendicitis, or another acute abdominal issue that requires prompt evaluation and treatment by a healthcare professional.


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