[23F] Experiencing abdominal pain, weakness, and nausea

Patient Description

A 23-year-old female has been experiencing constant crampy abdominal pain rated 8/10 in severity, centered in the lower and middle abdomen for over a week. Accompanying symptoms include nausea, weakness so severe it impedes daily activities, forgetfulness, loss of appetite, and difficulty sleeping, taking up to two hours to fall asleep. The patient also reports intermittent sharp headaches and has had a recent onset of fever and chills. Bowel movements are described as normal and there are no changes in urination. The patient denies any recent injuries, increased stress, or changes in daily habits that could contribute to the symptoms. There is also a report of recent unexplained weight change.

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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 lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include abdominal cramps, nausea, vomiting, diarrhea, and fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Gastritis: This is an inflammation of the stomach lining. Symptoms can include abdominal pain, nausea, vomiting, and a feeling of fullness in your upper abdomen after eating.

    • Treatment typically involves medications to decrease stomach acid. Avoiding certain foods, drinks and substances can also help prevent gastritis.
  • Peptic Ulcer Disease: This is a condition where painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine (the duodenum). Symptoms can include burning stomach pain, feeling of fullness, bloating, intolerance to fatty foods, heartburn, and nausea.

    • Treatment typically involves medications to decrease stomach acid and protect the lining of the stomach. In some cases, antibiotics may be needed.
  • Stress or Anxiety: These conditions can cause a variety of physical symptoms, including fatigue, sleep problems, and gastrointestinal symptoms.

    • Treatment typically involves a combination of lifestyle changes, therapy, and medication.

Please note that these are potential explanations based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids to replace those lost from vomiting and diarrhea. Avoid alcohol, caffeine, and high-sugar drinks, as they can worsen dehydration.

  2. Rest: Your body needs energy to fight off the virus. Getting enough sleep can help your body recover.

  3. Eat bland foods: When you feel ready to eat solid foods, start with bland foods like rice, crackers, or bananas.

  4. Over-the-counter medication: Over-the-counter antacids or acid blockers can often relieve nausea and pain caused by gastritis or peptic ulcers.

  5. Seek medical help: If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you:

  • Have severe abdominal pain
  • Are vomiting blood or have blood in your stool
  • Have signs of dehydration, such as excessive thirst, dry mouth, little to no urine, severe weakness, dizziness, or lightheadedness
  • Have a fever over 100.4°F (38°C)

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 accurate information.

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8 mo ago

People Also Ask


What are the common causes of crampy abdominal pain and nausea?

Common causes of crampy abdominal pain and nausea include gastroenteritis, gastritis, peptic ulcer disease, and sometimes stress or anxiety. These conditions can cause inflammation or irritation in the digestive tract, leading to the symptoms described.


How can stress or anxiety contribute to gastrointestinal symptoms?

Stress or anxiety can lead to gastrointestinal symptoms by affecting the body's stress response, which can alter gut motility and increase stomach acid production. This can result in symptoms like nausea, abdominal pain, and changes in bowel habits.


What are the signs that abdominal pain might require immediate medical attention?

Immediate medical attention is needed if you experience severe abdominal pain, vomiting blood, blood in your stool, signs of dehydration (such as excessive thirst, dry mouth, little to no urine, severe weakness, dizziness, or lightheadedness), or a fever over 100.4°F (38°C).


What dietary changes can help alleviate symptoms of gastritis or peptic ulcers?

To alleviate symptoms of gastritis or peptic ulcers, it is recommended to avoid spicy, acidic, or fatty foods, as well as alcohol and caffeine. Eating smaller, more frequent meals and choosing bland foods like rice, crackers, or bananas can also help manage symptoms.


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