[26M] Experiencing dull abdominal pain and swelling

Patient Description

A 26-year-old male presents with a 3-day history of gradual, dull, localized pain in the left rib area, more towards the front of the abdomen, with a pain severity of 3 out of 10. The pain typically resolves on its own. Today, the patient noticed slight swelling in the same area without redness, warmth, or pain upon touch. Accompanying symptoms include increased gassiness, with the patient reporting more frequent flatulence and stomach grumbling, particularly after consuming beans and fast food. Bowel movements occurred today with brown, clumpy but solid stools, and no changes in urine or stool color were noted. The patient denies any changes in appetite, nausea, vomiting, fever, or chills. There is no history of pre-existing conditions, chronic illnesses, medication use, or known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can cause abdominal pain, bloating, and gas. It usually resolves on its own within a few days.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits. The exact cause of IBS isn't known, but various factors play a role.

    • Treatment focuses on long-term management of symptoms and can involve dietary changes, medication, and addressing stress and mental health.
  • Gastritis: This is an inflammation of the stomach lining, which can cause abdominal pain and bloating. It's often caused by the same bacteria that cause most stomach ulcers.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.
  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) that can form in the lining of your digestive system become inflamed or infected. This can cause severe abdominal pain, fever, nausea, and a marked change in your bowel habits.

    • Mild diverticulitis can be treated with rest, changes in your diet, and antibiotics. Severe or recurring diverticulitis may require 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. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers (like certain foods or activities).
  2. Stay hydrated: Drink plenty of fluids, especially water, to help prevent dehydration, which can worsen your symptoms.
  3. Eat a balanced diet: Try to eat a variety of fruits, vegetables, whole grains, and lean protein. Avoid foods that seem to trigger your symptoms.
  4. Over-the-counter medications: Over-the-counter antacids or gas relief medications may help alleviate some of your symptoms. Always follow the package instructions.
  5. Rest: Give your body a chance to recover. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or worsening abdominal pain
  • Blood in your stool or dark, tarry stools
  • High fever (over 101°F)
  • Persistent vomiting or inability to keep down fluids
  • Signs of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness

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

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1 yr ago

People Also Ask


What are the common causes of abdominal pain and bloating?

Common causes of abdominal pain and bloating include gastroenteritis, irritable bowel syndrome (IBS), gastritis, and diverticulitis. These conditions can be triggered by infections, dietary choices, stress, or inflammation.


How can I differentiate between gastroenteritis and IBS?

Gastroenteritis often presents with sudden onset of symptoms like diarrhea, vomiting, and fever, and is usually short-lived. IBS, on the other hand, is a chronic condition characterized by recurrent abdominal pain, bloating, and changes in bowel habits without an underlying infection.


What dietary changes can help manage symptoms of gastritis?

To manage symptoms of gastritis, it is recommended to avoid spicy, acidic, or fried foods. Eating smaller, more frequent meals and avoiding alcohol and caffeine can also help. Including foods that are gentle on the stomach, like bananas, rice, and toast, may be beneficial.


When should I seek medical attention for abdominal pain?

Seek medical attention for abdominal pain if you experience severe or worsening pain, blood in your stool, high fever, persistent vomiting, or signs of dehydration such as dry mouth, excessive thirst, or dizziness.


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