[25F] Experiencing sharp stomach pains and fainting episodes

Patient Description

A 25-year-old female is reporting sharp stomach pains that are sensitive to touch, bright green diarrhea, and multiple fainting episodes in the morning. The patient has also experienced dizziness upon standing. These symptoms are a departure from her usual mild cramps associated with menstruation and ovulation. The patient's last menstrual period started on January 28th, and her cycle typically lasts 24 days. She is not aware of any current pregnancy, has no known drug allergies, no pre-existing conditions, and is not on any medication. There has been no vomiting, fever, blood in stool, or significant changes in blood pressure noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. The symptoms are often intense and start suddenly. It can cause severe stomach pain and green diarrhea.

    • Treatment usually involves rest, hydration and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Gallbladder disease: The gallbladder is an organ that stores bile, a fluid produced by the liver to digest fats. When the gallbladder is inflamed or blocked, it can cause intense stomach pain and changes in stool color.

    • Treatment can range from dietary changes to surgery, depending on the severity and cause of the problem.
  • Gynecological issues: Given your age and sex, certain gynecological conditions like ovarian cysts or endometriosis could potentially cause severe abdominal pain. These conditions can sometimes cause fainting if the pain is severe.

    • Treatment depends on the specific condition and its severity, but can range from pain management strategies to hormonal treatments or surgery.

What you can do

Given the severity of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, try to stay hydrated and rest as much as you can. Over-the-counter pain medication may help with the pain, but it's important to not delay seeking medical help.

What you should look out for

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

  • The pain becomes unbearable
  • You have a high fever
  • You continue to faint
  • Your stool is bloody or black
  • You cannot keep down fluids

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.

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1 yr ago

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

People Also Ask


What could cause bright green diarrhea and sharp stomach pains?

Bright green diarrhea and sharp stomach pains can be caused by a variety of factors, including viral or bacterial gastroenteritis, which is an inflammation of the intestines. It can also be due to dietary factors or bile pigment changes, which might occur with gallbladder issues.


Why might someone experience dizziness and fainting upon standing?

Dizziness and fainting upon standing, known as orthostatic hypotension, can occur due to dehydration, blood loss, or other conditions that affect blood pressure regulation. It is important to stay hydrated and seek medical evaluation to determine the underlying cause.


How can you differentiate between gastroenteritis and gallbladder disease?

Gastroenteritis typically presents with symptoms like diarrhea, stomach cramps, and sometimes vomiting, often following exposure to contaminated food or water. Gallbladder disease may cause more localized pain in the upper right abdomen, changes in stool color, and sometimes jaundice. A healthcare provider can perform tests to differentiate between the two.


What are the potential gynecological issues that could cause severe abdominal pain?

Potential gynecological issues that could cause severe abdominal pain include ovarian cysts, endometriosis, or pelvic inflammatory disease. These conditions can cause significant discomfort and may require medical evaluation and treatment, which can range from pain management to surgical intervention.


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