[22M] Experiencing crampy abdominal pain and fever

Patient Description

A 22-year-old male has been experiencing crampy abdominal pain for approximately two months, which he rates as a 7 out of 10 in severity. The pain seems to improve when he does not eat. He has also been experiencing a fever of 38C for about a week but has tested negative for Covid-19. His medical history includes high cholesterol, for which he has been taking Atorvastatin for the past 5 years. No other medications are reported, and there are 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:

  • Gastroenteritis: This is an inflammation of the digestive tract, usually caused by a viral or bacterial infection. It can cause abdominal pain, fever, and sometimes diarrhea or vomiting.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Gastric Ulcer: This is a sore that develops on the lining of the stomach. It can cause a burning pain in your stomach that gets better or worse with eating.

    • Treatment typically involves medications to reduce stomach acid and protect the stomach lining.
  • Gallstones: These are hard deposits in the gallbladder that can cause abdominal pain. The pain is often worse after eating, especially with fatty foods.

    • Treatment may involve medications to dissolve the gallstones or surgery to remove the gallbladder.
  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It can cause severe abdominal pain that often gets worse over time.

    • Treatment typically involves surgery to remove the appendix.

Please note that these are only possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try to rest and stay hydrated. This can help your body recover if you have a viral or bacterial infection.
  2. Avoid foods that seem to make your symptoms worse.
  3. Over-the-counter medications can help manage your symptoms. However, you should consult with a healthcare professional before starting any new medication.
  4. If your symptoms persist or get worse, seek medical attention immediately.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Persistent vomiting
  • Symptoms that persist for more than a week

Remember, I am an AI and not a doctor. Please consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common causes of crampy abdominal pain that improves when not eating?

Crampy abdominal pain that improves when not eating can be caused by conditions like gastric ulcers, where eating can irritate the stomach lining, or gallstones, where fatty foods can trigger pain. It's important to consult a healthcare professional for an accurate diagnosis.


How can fever be related to abdominal pain, and what should I be concerned about?

Fever can be a sign of infection or inflammation in the body, which might be related to conditions like gastroenteritis or appendicitis. If the fever persists or is accompanied by severe symptoms, it's important to seek medical attention.


Can high cholesterol or Atorvastatin use contribute to abdominal pain?

High cholesterol itself is not typically associated with abdominal pain, but some medications, including Atorvastatin, can have gastrointestinal side effects. However, these are usually mild. If you suspect a medication is causing symptoms, consult your doctor.


What are the warning signs that abdominal pain might be something serious like appendicitis?

Warning signs that abdominal pain might be serious include severe pain, pain that worsens over time, blood in stool or vomit, unexplained weight loss, and persistent vomiting. If you experience these symptoms, seek immediate medical attention.


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