[24F] With abdominal pain, headache, and body aches

Patient Description

A 24-year-old female is experiencing abdominal pain that is sensitive to touch and worsens with deep breathing, coughing, and laughing. The pain has been present for two days and is accompanied by body aches in the shoulders, neck, and lower back, as well as a persistent headache that is throbbing and aching, resembling a headband with most pressure at the back. The patient rates the body aches as a 4 out of 10 in severity and the headache as a 5 out of 10. The patient also reports fatigue and had diarrhea the day before. She has a history of hypermobile Ehlers-Danlos syndrome (hEDS), migraines with aura, and irritable bowel syndrome (IBS), and is currently taking amitriptyline, topamax, meloxicam, and birth control. There are no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause abdominal pain, diarrhea, and sometimes other symptoms like a headache and body aches.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is suspected.
  • Irritable Bowel Syndrome (IBS) Flare-Up: You mentioned you have a history of IBS. This condition can cause abdominal pain, bloating, and changes in bowel habits. Stress, certain foods, or hormonal changes can trigger a flare-up.

    • Treatment involves managing triggers, dietary changes, and sometimes medication.
  • Migraine: You also mentioned you have a history of migraines. Migraines can cause severe headaches, and sometimes other symptoms like fatigue and body aches. It's possible that your current headache is a migraine.

    • Treatment usually involves rest, hydration, and over-the-counter or prescription medication.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Make sure to get plenty of rest and stay hydrated, especially if you're having diarrhea.
  2. Over-the-counter remedies: Over-the-counter pain relievers may help with your abdominal pain and body aches. Over-the-counter remedies for diarrhea may also be helpful.
  3. Monitor your symptoms: Keep track of your symptoms and any potential triggers. This information can be helpful when you see a healthcare provider.
  4. Consult with a healthcare provider: Given the severity and duration of your symptoms, it's important to consult with a healthcare provider. They can provide an accurate diagnosis and appropriate treatment.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool
  • High fever (temperature over 100.4°F)
  • Signs of dehydration, such as extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Severe or worsening headache
  • Any new or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are common triggers for an IBS flare-up?

Common triggers for an IBS flare-up include stress, certain foods (like dairy, caffeine, and fatty foods), hormonal changes, and sometimes medications. Keeping a food diary and managing stress can help identify and manage these triggers.


How can I differentiate between a migraine and a regular headache?

Migraines often present with a throbbing or pulsing headache, usually on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. A regular headache might not have these additional symptoms and is usually less severe.


What are the symptoms of gastroenteritis and how is it treated?

Symptoms of gastroenteritis include diarrhea, abdominal pain, nausea, vomiting, and sometimes fever and body aches. Treatment typically involves rest, staying hydrated, and over-the-counter medications to manage symptoms. In some cases, antibiotics may be needed if a bacterial infection is suspected.


What should I do if my abdominal pain becomes severe?

If your abdominal pain becomes severe, you should seek immediate medical attention. Severe pain could indicate a more serious condition that requires prompt evaluation and treatment by a healthcare professional.


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