[23F] Experiencing upper right abdominal pain with associated symptoms

Patient Description

A 23-year-old female presents with a one-week history of aching pain in the upper right side of the abdomen, sometimes described as sharp. The pain severity is rated as 7 out of 10 and has not been relieved by any measures. The patient also reports associated symptoms including nausea, hip pain radiating from the abdominal area, back pain, and fatigue. The hip pain is described as dull and has been occurring on and off since the onset of abdominal pain. Bowel movements are reported as normal as of the previous evening. The patient has not mentioned any fever or chills and is unsure if these symptoms are present. No other medical history, medication use, or allergies have been disclosed.

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Arora's Assessment

What might be happening

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

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the upper right abdomen, often accompanied by nausea. The pain can be sharp or aching and may radiate to the back or the right shoulder.

    • Treatment options include medications to dissolve gallstones or surgery to remove the gallbladder.

  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs and may radiate to the lower abdomen and groin. Nausea and fatigue can also be symptoms.

    • Treatment options include pain relievers, drinking lots of water, and medical procedures to remove or break up larger stones.

  • Musculoskeletal pain: Pain in the muscles, ligaments, and tendons. The pain can be localized to one area or widespread. It can be constant or intermittent, and may be related to movement or posture.

    • Treatment options include rest, physical therapy, pain relievers, and muscle relaxants.

What you can do

You should definitely seek medical attention for your symptoms. In the meantime, here are some things you can do:

  1. Rest and avoid any activities that make your pain worse.
  2. Over-the-counter pain relievers may help with your pain. Be sure to follow the instructions on the package.
  3. Drink plenty of fluids, especially water, to help prevent dehydration from nausea or if you have kidney stones.

What you should look out for

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

  • Severe pain that prevents you from sitting still or finding a comfortable position
  • Blood in your urine
  • Fever and chills
  • Vomiting
  • Yellowing of your skin and the whites of your eyes (jaundice)

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago

People Also Ask

What are the common symptoms of gallstones?

Common symptoms of gallstones include pain in the upper right abdomen, nausea, vomiting, and pain that may radiate to the back or right shoulder. The pain can be sharp or aching.

How can kidney stones be treated at home?

For kidney stones, home treatment includes drinking plenty of water to help pass the stone, taking over-the-counter pain relievers, and possibly using a heating pad to relieve discomfort. However, medical evaluation is important to determine the appropriate treatment.

What are the signs that musculoskeletal pain might require medical attention?

Musculoskeletal pain might require medical attention if it is severe, persistent, or accompanied by other symptoms such as swelling, redness, or fever. If the pain interferes with daily activities or does not improve with rest and over-the-counter medications, a healthcare professional should be consulted.

When should I seek immediate medical attention for abdominal pain?

Immediate medical attention for abdominal pain is necessary if you experience severe pain that prevents you from sitting still, blood in your urine, fever and chills, vomiting, or jaundice (yellowing of the skin and eyes).

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