[26F] With severe abdominal cramping and headache
Patient Description
A 26-year-old female presents with severe, cramping abdominal pain that is evenly spread out and has persisted for five days. The pain began suddenly and has not been relieved by any measures. Accompanying symptoms include a throbbing headache at the front and back of the head, rated as a 6 out of 10 in intensity, lasting for three days. The headache is worsened by bright light and accompanied by sensitivity to sound. The patient also reports nausea, reduced appetite, fatigue, and feeling hot without a fever. There are no changes in bowel movements or urine. The patient has a history of muscular dystrophy diagnosed at age 7 and is allergic to doxycycline. Current medications include Topiramate, birth control, and Duloxetine. Over-the-counter medications such as ibuprofen, Tylenol, Pepto, and Tums have been used without relief.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Migraine: Your throbbing headache, sensitivity to light and sound, and nausea suggest a migraine. Migraines can be triggered by stress, certain foods, or hormonal changes.
- Treatment often includes medications to relieve pain and prevent future attacks.
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Gastroenteritis: The sudden onset of cramping abdominal pain, nausea, and reduced appetite could indicate a stomach infection or irritation.
- Treatment typically involves staying hydrated and resting. Over-the-counter medications can help with symptoms.
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Medication Side Effects: Some medications, like Topiramate, can cause side effects such as nausea and headaches.
- Discussing these symptoms with your doctor can help determine if your medication needs adjustment.
What you can do
- Hydration: Drink plenty of fluids to stay hydrated, especially if you're eating less.
- Rest: Ensure you get enough rest to help your body recover.
- Diet: Eat small, bland meals to avoid irritating your stomach further.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
What you should look out for
Seek medical attention if you experience:
- Severe or worsening symptoms
- New symptoms like visual changes or weakness
- Persistent vomiting or inability to keep fluids down
Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.
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3 mo ago
