[25F] Experiencing abdominal pain, nausea, and diarrhea

Patient Description

A 25-year-old female is experiencing a burning, stabbing abdominal pain located about 3 inches above the belly button, radiating to the right mid to lower back, worsening with movement. The pain is rated at a severity of 5 out of 10 and is alleviated by rest. Accompanying symptoms include nausea and watery diarrhea with slight mucus, occurring 2-3 times a day. No recent travel history, no specific food triggers identified, and no blood in stool or vomit. The patient has a history of thyroid issues diagnosed at age 11, acid reflux leading to gallbladder removal, and allergies to seafood, mushrooms, and medications (Prednisone, Toradol, Reglan, Cefdinir). Currently, the patient is taking Slynd birth control and reports no other medications.

Show More

Arora's Assessment

What might be happening

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

  • Gastroenteritis: Also known as stomach flu, this condition is often caused by a viral or bacterial infection. It can cause diarrhea, abdominal pain, and nausea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if a bacterial infection is suspected.
  • Gastritis: This is inflammation of the stomach lining, which can cause burning abdominal pain, nausea, and vomiting. It can be caused by various factors, including long-term use of NSAIDs, excessive alcohol consumption, stress, or infection.

    • Treatment usually involves medications to reduce stomach acid and possibly antibiotics if an infection is present.
  • Peptic Ulcer Disease: These are sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is burning abdominal pain.

    • Treatment typically involves medications to reduce stomach acid and possibly antibiotics if an infection is present.
  • Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen that radiates to the back. It can be acute (sudden onset) or chronic (ongoing). Given your history of gallbladder removal, this is a possibility.

    • Treatment usually involves hospitalization for pain control and hydration, and avoiding eating or drinking until inflammation subsides.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol and caffeine, as these can worsen dehydration.
  2. Rest: Your body needs energy to fight off the infection. Getting rest can help.
  3. Over-the-counter remedies: Medications like Pepto-Bismol or Imodium can help with diarrhea. However, they should not be used if you have bloody diarrhea or a high fever.
  4. Seek medical attention: Given the severity and location of your pain, along with your history of gallbladder removal, it would be wise to seek medical attention promptly.

What you should look out for

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

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

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

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What are the common causes of burning abdominal pain that radiates to the back?

Burning abdominal pain that radiates to the back can be caused by conditions such as pancreatitis, peptic ulcer disease, or gastritis. It is important to consider the location, severity, and accompanying symptoms to narrow down the cause.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often presents with diarrhea, nausea, and vomiting, typically following a viral or bacterial infection. Gastritis, on the other hand, involves inflammation of the stomach lining and may cause burning pain, nausea, and vomiting without diarrhea. A healthcare provider can help differentiate these conditions based on a detailed history and examination.


What are the potential complications of having a gallbladder removed?

After gallbladder removal, some individuals may experience changes in digestion, such as diarrhea or difficulty digesting fatty foods. There is also a risk of developing pancreatitis, as the gallbladder plays a role in bile storage and release.


When should I seek medical attention for abdominal pain and diarrhea?

You should seek medical attention if you experience severe abdominal pain, blood in your stool or vomit, a high fever, or signs of dehydration such as dry mouth, excessive thirst, or dizziness. These symptoms may indicate a more serious condition that requires prompt evaluation.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback