[24F] With sudden onset abdominal pain and early satiety

Patient Description

A 24-year-old female presents with a sudden onset of sharp abdominal pain localized to the middle of the abdomen, which has been persistent for the past 3-4 days. The pain intensifies upon palpation and disrupts sleep, causing the entire stomach to hurt. The patient rates the pain as a 6 out of 10 in severity. There are no relieving factors identified. Additionally, the patient reports experiencing early satiety, feeling full after eating only a small amount of food, and is unsure about any recent changes in stool or bowel movements. There is no associated nausea or vomiting, and no recent dietary changes or new medications have been introduced. The patient has noticed changes in appetite and potentially in weight, but the duration of these changes is unclear.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Gastritis or Peptic Ulcer Disease: This condition involves inflammation of the stomach lining, which can cause sharp abdominal pain, especially when pressing on the area. It can also lead to feeling full quickly. Common causes include infection with H. pylori bacteria, prolonged use of NSAIDs, or excessive alcohol consumption.

    • Treatment typically involves medications to reduce stomach acid, such as proton pump inhibitors or H2 blockers, and antibiotics if an infection is present.
  • Functional Dyspepsia: This is a common disorder that causes discomfort or pain in the upper abdomen. It can lead to early satiety (feeling full quickly) and is often related to stress, diet, or other lifestyle factors.

    • Management includes dietary changes, stress reduction, and sometimes medications to help with stomach motility or acid reduction.
  • Gallbladder Issues: Conditions like gallstones can cause sharp abdominal pain, particularly after eating. However, this pain is usually located in the upper right abdomen.

    • Treatment may involve dietary changes or, in some cases, surgical removal of the gallbladder.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Dietary Adjustments: Try eating smaller, more frequent meals and avoid foods that are spicy, fatty, or acidic, as they can exacerbate stomach pain.
  2. Stay Hydrated: Drink plenty of water throughout the day, but avoid drinking large amounts during meals.
  3. Avoid NSAIDs: If you're taking nonsteroidal anti-inflammatory drugs, consider stopping them and discussing alternatives with your doctor.
  4. Use MDandMe: Keep a journal of your symptoms, dietary habits, and any potential triggers using the MDandMe app. This can help you track your progress and provide valuable information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Persistent nausea or vomiting
  • Fever or chills

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan.

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1 mo ago

People Also Ask


What could be causing sharp abdominal pain in the middle of the abdomen?

Sharp abdominal pain in the middle of the abdomen could be caused by conditions such as gastritis, peptic ulcer disease, functional dyspepsia, or gallbladder issues. It's important to consult a healthcare professional for an accurate diagnosis.


Why might someone feel full quickly after eating only a small amount of food?

Feeling full quickly, or early satiety, can be associated with conditions like gastritis, peptic ulcer disease, or functional dyspepsia. It may also be related to stress, diet, or other lifestyle factors.


What are some common treatments for gastritis or peptic ulcer disease?

Common treatments for gastritis or peptic ulcer disease include medications to reduce stomach acid, such as proton pump inhibitors or H2 blockers, and antibiotics if an H. pylori infection is present. Dietary changes and avoiding NSAIDs may also be recommended.


When should someone with abdominal pain seek medical attention?

Medical attention should be sought if there is severe or worsening abdominal pain, blood in stool or vomit, unexplained weight loss, persistent nausea or vomiting, or if fever or chills are present.


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