[26F] Experiencing nausea, abdominal pain, and constipation

Patient Description

A 26-year-old female presents with a 4-week history of nausea, rated 4/5 in severity, exacerbated by strong-scented foods and most prevalent in the mornings and evenings. Relief is found with menthol crystals, alcohol, or vapor rub. The patient also reports sharp pain around the navel area, rated 5/10 in severity, and slight back pain described as a burning sensation, which has been present for 4 days and worsens with certain movements and prolonged sitting. The patient has noticed dark yellow urine for the past 5 days and black or greenish-black, hard stools occurring 2 to 3 times over the last 3 days to a week. There is a lifelong history of constipation. Additionally, the patient experiences fatigue, dizziness, and has noticed slight dots of blood when wiping after passing stool. No current medications or known drug allergies are reported. The patient has gained weight over the last 3 years but has no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the digestive tract, commonly caused by a viral or bacterial infection. Symptoms can include nausea, vomiting, diarrhea, abdominal pain, and sometimes fever. The dark urine could be due to dehydration resulting from fluid loss.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if bacteria are the cause.
  • Peptic Ulcer Disease: This condition is characterized by sores or ulcers in the lining of the stomach or the first part of the small intestine (the duodenum). Symptoms can include abdominal pain, nausea, bloating, and dark or black stools.

    • Treatment typically involves medications to decrease stomach acid and potentially antibiotics if a bacteria called H. pylori is involved.
  • Gallbladder Disease: This includes conditions like gallstones and cholecystitis (inflammation of the gallbladder). Symptoms can include nausea, abdominal pain (especially after eating), and sometimes changes in urine and stool color.

    • Treatment can range from dietary changes to medications to surgery, depending on the specific condition and its severity.
  • Pancreatitis: This is inflammation of the pancreas, which can cause nausea, vomiting, abdominal pain, and back pain. It can be acute (sudden onset) or chronic (long-term).

    • Treatment usually involves hospitalization for pain control, hydration, and sometimes procedures or surgery.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Dehydration can worsen nausea and cause dark urine. Try to drink plenty of fluids, especially water. Avoid alcohol and caffeine as they can lead to dehydration.
  2. Eat small, frequent meals: This can sometimes help with nausea and abdominal pain. Avoid foods that are high in fat and sugar.
  3. Over-the-counter remedies: Antacids can sometimes help with nausea and abdominal pain. There are also over-the-counter medications specifically for nausea.
  4. Rest: Rest can help your body recover if an infection is the cause of your symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or don't improve after a few days
  • You have severe abdominal pain
  • You have a high fever (over 101°F)
  • You're unable to keep down fluids due to vomiting
  • Your stool is consistently black or tarry, as this can indicate bleeding in the digestive tract

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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10 mo ago

People Also Ask


What could be causing my nausea and abdominal pain?

Nausea and abdominal pain can be caused by several conditions, including gastroenteritis, peptic ulcer disease, gallbladder disease, or pancreatitis. Each of these conditions has different underlying causes and may require specific treatments.


Why is my urine dark yellow and my stools black or greenish-black?

Dark yellow urine can be a sign of dehydration, while black or greenish-black stools may indicate bleeding in the digestive tract or could be related to dietary factors or medications. It's important to consult a healthcare provider for an accurate diagnosis.


What are the potential treatments for peptic ulcer disease?

Treatment for peptic ulcer disease typically involves medications to reduce stomach acid, such as proton pump inhibitors or H2 blockers. If the ulcer is caused by H. pylori bacteria, antibiotics may also be prescribed. Lifestyle changes, such as avoiding NSAIDs and reducing stress, can also help.


How can I manage my symptoms at home before seeing a doctor?

To manage symptoms at home, stay hydrated by drinking plenty of fluids, eat small and frequent meals, avoid foods that trigger symptoms, and consider over-the-counter remedies like antacids for nausea and abdominal pain. Rest is also important to help your body recover.


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