[22F] Experiencing persistent upper right abdominal pain

Patient Description

A 22-year-old female has been experiencing a constant, dull pain in the upper right abdomen, rated 3/10 in intensity, for the past three days. The pain is localized and does not radiate. It is alleviated by warmth and rest. The patient's bowel movements are normal, with no changes in stool or urine color, and no accompanying symptoms such as fever, chills, nausea, vomiting, or jaundice. There is no known family history of gallbladder disease, but her mother has chronic pancreatitis. The patient has a past medical history of appendicitis at age 13 and a recent diagnosis of gastritis. She is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gallstones or Cholecystitis: Given the location and nature of your pain, gallstones or inflammation of the gallbladder (cholecystitis) could be a possibility. These conditions often cause a dull, constant pain in the upper right abdomen.

    • Treatment typically involves pain management and sometimes surgery to remove the gallbladder if the stones are causing significant problems.
  • Gastritis: As you've been recently diagnosed with gastritis, this could also be causing your symptoms. Gastritis is inflammation of the stomach lining and can cause upper abdominal pain.

    • Treatment usually involves medications to reduce stomach acid and help the stomach lining heal.
  • Pancreatitis: Given your family history of chronic pancreatitis, this could also be a possibility, although it typically causes pain in the upper abdomen that radiates to the back.

    • Treatment usually involves hospitalization for pain management and treatment of the underlying cause.

Please note that these are potential diagnoses based on the information you've provided. It's important to see a healthcare provider for a formal diagnosis.

What you can do

In the meantime, you can try the following to help manage your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen can help manage your pain. Avoid NSAIDs like ibuprofen if you have gastritis, as they can worsen your condition.
  2. Warm compress: Applying a warm compress to your abdomen may help relieve your pain.
  3. Rest: As you've noticed, rest seems to help your symptoms. Try to take it easy until you can see a doctor.

What you should look out for

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

  • Severe or worsening abdominal pain
  • Fever or chills
  • Jaundice (yellowing of the skin or eyes)
  • Nausea or vomiting
  • Changes in your bowel movements or urine

Remember, I'm an AI and not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of gallstones or cholecystitis?

Common symptoms of gallstones or cholecystitis include a dull or sharp pain in the upper right abdomen, nausea, vomiting, fever, and sometimes jaundice. The pain may occur after eating a fatty meal.


How can gastritis cause abdominal pain?

Gastritis causes abdominal pain due to inflammation of the stomach lining, which can lead to discomfort, a burning sensation, or a dull ache in the upper abdomen. It may also cause bloating, nausea, and indigestion.


What role does family history play in the risk of developing pancreatitis?

Family history can increase the risk of developing pancreatitis, as genetic factors may predispose individuals to conditions that affect the pancreas. However, lifestyle factors and other medical conditions also play a significant role.


What are the potential complications if gallstones are left untreated?

If gallstones are left untreated, they can lead to complications such as acute cholecystitis (inflammation of the gallbladder), pancreatitis, or bile duct obstruction, which can cause severe pain, infection, and jaundice.


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