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

Patient Description

A 25-year-old female presents with severe abdominal pain described as aching cramps that worsen upon standing and walking, rated 8 out of 10 in intensity. The pain is accompanied by nausea, vomiting, and diarrhea, with the stool being reddish-brown in color. The patient has experienced diarrhea five times today and has vomited once, noting the vomit contained undigested food from the previous night. The patient has been feeling nauseous continuously and has not eaten all day. Additionally, the patient reports a history of chest and back pain, both rated 7 out of 10 in severity, persisting for four months without variation throughout the day or due to specific movements. The patient also experiences random goosebumps, a rapid heartbeat, and occasional lightheadedness. The patient's medical history includes severe obstructive sleep apnea, a cavernous angioma in the brain, and worsening anxiety and depression. Current medications include Aimovig, citalopram, sertraline, B12 vitamins, and heartburn medication. The patient is allergic to cashews and fluoxetine. No recent travel or back injuries were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastroenteritis: This is inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause diarrhea, vomiting, stomach pain, and nausea.

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

    • Treatment usually involves medications to decrease stomach acid.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right abdomen or the center of the abdomen. The pain can also radiate to the back or the right shoulder.

    • Treatment may involve surgery to remove the gallbladder, medications to dissolve the gallstones, or lifestyle changes.
  • Peptic Ulcer: This is a sore on the lining of the stomach, upper small intestine, or esophagus. It can cause abdominal pain, bloating, nausea, and vomiting.

    • Treatment usually involves medications to reduce stomach acid and protect the stomach lining.
  • Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen that radiates to the back.

    • Treatment usually involves hospitalization for intravenous fluids, pain control, and sometimes surgery.

Please note that these are potential explanations for your symptoms, but they may not be the actual cause. It's important to seek medical attention to get a proper diagnosis and treatment.

What you can do

  1. Seek immediate medical attention: Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible.

  2. Stay hydrated: With vomiting and diarrhea, it's easy to become dehydrated. Try to drink plenty of fluids, such as water or oral rehydration solutions.

  3. Rest: Try to get plenty of rest to help your body recover.

  4. Avoid irritants: If possible, try to avoid foods or drinks that can irritate your stomach, such as spicy foods, alcohol, and caffeine.

What you should look out for

Seek immediate medical attention if you:

  • Notice blood in your vomit or stool
  • Experience severe abdominal pain
  • Have a high fever
  • Become lightheaded or faint
  • Have symptoms that persist or worsen

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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10 mo ago

People Also Ask


What are the common causes of reddish-brown diarrhea?

Reddish-brown diarrhea can be caused by bleeding in the gastrointestinal tract, certain foods or medications, or infections. It's important to seek medical evaluation to determine the exact cause.


How can severe obstructive sleep apnea affect other health conditions?

Severe obstructive sleep apnea can lead to increased risk of cardiovascular problems, worsen anxiety and depression, and contribute to fatigue and poor concentration. It can also exacerbate other health conditions by affecting overall health and well-being.


What are the potential side effects of taking both citalopram and sertraline?

Taking both citalopram and sertraline, which are both SSRIs, can increase the risk of serotonin syndrome, a potentially life-threatening condition. Symptoms include confusion, rapid heart rate, and high blood pressure. It's important to follow a doctor's guidance when taking these medications.


When should someone with severe abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if the abdominal pain is severe, persistent, or accompanied by symptoms like blood in vomit or stool, high fever, or lightheadedness. These could indicate a serious underlying condition that requires prompt treatment.


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