[25F] With upper right abdominal pain and associated symptoms

Patient Description

A 25-year-old female presents with a 2-day history of sharp, intermittent upper right abdominal pain that worsens with movement and radiates slightly into the upper right chest. The pain is rated at a 5/10 in severity. She also reports a new onset of dull jaw pain rated at 3/10, constant shakiness in her legs and arms, and swelling under the right rib. Additionally, she experiences flank and back pain on the right side. The patient has a history of small fiber neuropathy diagnosed in 2017. She is not currently taking any medications and reports no allergies to medications. There have been no changes in bowel movements, stool or urine color, and no symptoms of fever, chills, nausea, vomiting, or jaundice.

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Arora's Assessment

What might be happening

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

  • Gallstones: These are hard deposits that form in your gallbladder, a small organ under the liver. You might not even know you have them until they block a bile duct, causing pain that you need to get treated right away. The pain is often severe and may radiate to the upper back or right shoulder. Some people also experience nausea or vomiting.

    • Treatment options include surgery to remove the gallbladder (cholecystectomy), medications to dissolve gallstones, and procedures to remove the stones.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain often starts high in your back or side, below the ribs, and may radiate to the lower abdomen or groin. There can be pain on urination, pink, red or brown urine, or frequent urination. A stone may also result in a urinary tract infection, which can cause fever and chills.

    • Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required to remove or break up larger stones.
  • Musculoskeletal pain: This is pain that affects the muscles, ligaments and tendons, and bones. The causes of musculoskeletal pain are varied. Muscle tissue can be damaged with the wear and tear of daily activities.

    • Treatment for musculoskeletal pain is varied as well. It might include physical therapy, and in some cases, referral to a specialist for further diagnosis and treatment.
  • Pancreatitis: This is inflammation of the pancreas. The pancreas is a long, flat gland that sits tucked behind the stomach in the upper abdomen. Pancreatitis can cause severe abdominal pain that is often felt in the back as well.

    • Treatment usually requires hospitalization. Once your pancreatitis is under control, your health care team can treat the underlying cause of your pancreatitis.

Please note that these are potential explanations for your symptoms, but there may be other causes. It's important to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.

What you can do

Given the severity and nature of your symptoms, it's important to seek immediate medical attention. Here's what you can do:

  1. Contact your healthcare provider and describe your symptoms in detail. They may want to see you for an examination or direct you to a more appropriate care setting.
  2. If the pain becomes severe, seek emergency medical attention.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Severe pain that stops you from doing normal activities
  • Pain accompanied by a fever
  • Yellowing of the skin or eyes
  • Dark urine or light-colored stools
  • Nausea and vomiting that doesn't stop
  • Difficulty breathing or chest pain

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include severe pain in the upper right abdomen, pain that radiates to the upper back or right shoulder, and sometimes nausea or vomiting. If a bile duct is blocked, it can cause significant pain that requires treatment.


How can kidney stones be treated?

Kidney stones can be treated with pain relievers and increased water intake to help pass the stone. In some cases, medical procedures may be necessary to remove or break up larger stones. It's important to consult a healthcare provider for appropriate management.


What causes musculoskeletal pain and how is it managed?

Musculoskeletal pain can be caused by damage to muscles, ligaments, tendons, or bones due to wear and tear from daily activities. Management may include physical therapy, pain relief medications, and sometimes referral to a specialist for further diagnosis and treatment.


What are the signs and treatment options for pancreatitis?

Signs of pancreatitis include severe abdominal pain that may radiate to the back, nausea, vomiting, and sometimes fever. Treatment usually requires hospitalization to manage the inflammation and address the underlying cause. It's important to seek medical attention if pancreatitis is suspected.


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