[21F] Pregnant with upper abdominal pain and history of gallstones

Patient Description

A 21-year-old female, currently 9 weeks pregnant, reports a history of gallstones and is experiencing severe upper abdominal pain that spreads across the area and radiates to the back. The pain is described as a dull constant sensation that occasionally becomes severe, lasting for hours, and is significant enough to wake her from sleep. Relief is occasionally found through the application of heat or by vomiting. Accompanying symptoms include vomiting of yellow bile, stomach soreness, bloating, and cramping leading to waking up at night. The patient has been taking Zofran 4mg every 8 hours for nausea, which is suspected to be due to pregnancy or gallstones, and is also taking Vitafusion prenatal vitamins twice daily. No fever, chills, vaginal bleeding, discharge, or jaundice are reported. There have been no changes in fetal movement patterns.

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

Gallstones: Given your recent diagnosis of gallstones, this condition could be causing your upper abdominal pain, especially if it radiates to your back. Gallstones can block the bile ducts, causing sharp pain in the upper abdomen. This pain can sometimes be severe and may last for a few hours. Nausea and vomiting are also common symptoms of gallstones.
- Treatment for gallstones often involves surgery to remove the gallbladder, but this is usually not performed during pregnancy unless absolutely necessary. Medications may be used to dissolve gallstones, but they are not always effective and it can take months or years for the stones to dissolve.
Pregnancy-related gastrointestinal issues: Pregnancy can cause a variety of gastrointestinal issues, including nausea, vomiting, bloating, and constipation. Hormonal changes during pregnancy can slow down your digestive system, leading to these symptoms.
- Treatment for these symptoms often involves dietary changes, such as eating smaller, more frequent meals and avoiding fatty or spicy foods. Over-the-counter medications may also be helpful, but you should always check with your doctor before starting any new medication during pregnancy.

What you can do

Consult with your doctor: Given the severity and duration of your symptoms, it's important that you consult with your doctor as soon as possible. They can provide a formal assessment and order relevant tests if necessary.
Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your doctor in diagnosing your condition.
Stay hydrated: Vomiting and diarrhea can lead to dehydration, which can be dangerous during pregnancy. Make sure you're drinking plenty of fluids, even if you're having trouble keeping food down.
Rest: Try to get plenty of rest. This can help your body recover and can also help alleviate some of your symptoms.

What you should look out for

Seek immediate medical attention if you experience any of the following:

Severe or worsening abdominal pain
High fever or chills
Yellowing of the skin or eyes (jaundice)
Persistent vomiting or inability to keep down fluids
Any changes in your baby's movements once you start to feel them

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

1

Hugs

0

Comments

Save

11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines