[24M] With sudden severe central abdominal pain and back aches

Patient Description

A 24-year-old male woke up feeling fine but began experiencing severe central abdominal pain and back aches about an hour later. The pain came on suddenly and worsens with pressure on the stomach or lying on it. Tums provided minimal relief. The back pain is described as an ache that worsens when standing. The patient denies nausea, vomiting, fever, changes in stool, dark urine, jaundice, recent weight loss, loss of appetite, or radiating pain. There have been no changes in bowel habits, and the patient has no history of gastrointestinal issues. The patient does not use alcohol, tobacco, or recreational drugs and has not recently changed their diet. The patient recently traveled to Europe, specifically Germany and Switzerland, and consumed local food and water. No pre-existing conditions or chronic illnesses are reported, and the patient is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause sudden abdominal pain, and while it often includes symptoms like diarrhea and vomiting, these are not always present. Your recent travel to Europe and consumption of local food and water could be a potential source of infection.

    • Treatment: Gastroenteritis typically resolves on its own within a few days. Staying hydrated and resting are crucial. In some cases, over-the-counter medications can help manage symptoms.

  • Irritable Bowel Syndrome (IBS): This is a chronic condition that affects the large intestine and can cause cramping, abdominal pain, bloating, and changes in bowel habits. Stress and certain foods can trigger symptoms.

    • Treatment: Managing IBS often involves dietary changes, stress management, and sometimes medications to relieve symptoms.

  • Peptic Ulcer: This is a sore that develops on the lining of the stomach or the first part of the small intestine. It can cause severe abdominal pain, especially when the stomach is empty.

    • Treatment: Treatment usually involves medications to reduce stomach acid and protect the stomach lining. It's important to avoid irritants like NSAIDs, alcohol, and smoking.

  • Kidney Stones: These are hard deposits of minerals and salts that form inside the kidneys. They can cause severe pain in the abdomen and back, especially when moving or standing.

    • Treatment: Small stones may pass on their own with increased fluid intake. Larger stones may require medical intervention, such as medication or surgery.

What you can do

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

  1. Stay Hydrated: Drink plenty of water to stay hydrated, especially if you suspect gastroenteritis or kidney stones.
  2. Rest: Try to rest as much as possible to allow your body to heal.
  3. Avoid Irritants: Avoid foods and beverages that can irritate your stomach, such as spicy foods, caffeine, and alcohol.
  4. Heat Therapy: Applying a heating pad to your abdomen or back may help alleviate pain.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening pain
  • Blood in your stool or urine
  • Persistent vomiting or inability to keep fluids down
  • High fever (temperature over 100.4°F)
  • Yellowing of the skin or eyes (jaundice)
  • Unexplained weight loss or loss of appetite

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If your symptoms persist or worsen, please seek medical attention promptly.

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3 mo ago

People Also Ask

What are the common causes of sudden severe abdominal pain?

Common causes of sudden severe abdominal pain include gastroenteritis, peptic ulcers, kidney stones, appendicitis, and pancreatitis. It's important to consider recent activities, such as travel or dietary changes, and consult a healthcare professional for an accurate diagnosis.

How can recent travel affect gastrointestinal health?

Recent travel can expose individuals to new bacteria and viruses, especially if consuming local food and water, which can lead to gastrointestinal infections like gastroenteritis. It's important to stay hydrated and monitor symptoms, seeking medical advice if necessary.

What are the symptoms and treatments for peptic ulcers?

Peptic ulcers are sores on the stomach lining or small intestine, causing severe abdominal pain, especially when the stomach is empty. Treatment involves medications to reduce stomach acid and protect the stomach lining, and avoiding irritants like NSAIDs, alcohol, and smoking.

How can you differentiate between kidney stones and other causes of back pain?

Kidney stones typically cause severe, sharp pain in the back or side, often radiating to the lower abdomen and groin. This pain can be distinguished from other causes by its intensity and location, and may be accompanied by blood in the urine or difficulty urinating. A healthcare provider can perform tests to confirm the presence of kidney stones.

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