[22F] With severe abdominal pain and lightheadedness

What might be happening

Based on the symptoms you've described, there are several serious conditions that could be causing your severe abdominal pain and other symptoms:

1. Opioid Withdrawal: Given your use of unprescribed fentanyl, it's possible that some of your symptoms, such as severe abdominal pain, nausea, vomiting, and lightheadedness, could be related to withdrawal. Opioid withdrawal can be very uncomfortable and sometimes dangerous, requiring medical supervision.

2. Pancreatitis: This is an inflammation of the pancreas that can cause severe abdominal pain, nausea, and vomiting. It can be triggered by various factors, including medication use. Pancreatitis is a serious condition that requires medical attention.

3. Liver or Gallbladder Issues: The white stool you mentioned could indicate a problem with your liver or gallbladder, such as a blockage in the bile ducts. This can also cause severe abdominal pain and requires prompt medical evaluation.

4. Gastrointestinal Obstruction or Infection: Severe abdominal pain, nausea, and vomiting can also be signs of a blockage or infection in your digestive tract, which would need urgent medical assessment.

What you can do

1. Seek Immediate Medical Attention: Given the severity of your symptoms and the potential for serious underlying conditions, it's crucial to seek medical help right away. Go to the nearest emergency room or urgent care center. If you feel too unwell to travel, call 911 for assistance.

2. Avoid Taking More Fentanyl: While it may temporarily relieve some symptoms, continued use without medical supervision can be dangerous, especially if you're experiencing withdrawal symptoms.

3. Stay Hydrated: Try to drink small sips of water or an electrolyte solution to stay hydrated, especially if you're vomiting. However, prioritize getting medical help over managing symptoms at home.

4. Have Someone Accompany You: If possible, have a friend or family member accompany you to the hospital to provide support and help communicate your symptoms to healthcare providers.

Remember, I'm not a doctor, but your symptoms suggest that you need urgent medical evaluation. Please prioritize your health and safety by seeking professional medical care immediately.