[26M] Experiencing severe abdominal pain with nausea and tiredness

Patient Description

A 26-year-old male presents with a 2-day history of severe abdominal pain, rated 7 out of 10, located in the flanks, accompanied by cramps and tenderness. The pain is so intense that it prevents him from standing up straight. In addition to the abdominal issues, the patient reports associated symptoms of tiredness and nausea. The patient's bowel movements are reported as normal, and there is no presence of fever or chills. He has no known drug allergies, is not on any medications, and has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Appendicitis: This is an inflammation of the appendix, a small pouch attached to the large intestine. Symptoms include severe abdominal pain, nausea, and sometimes fever. However, appendicitis pain usually starts around the belly button and then moves to the right lower side of the abdomen.

    • Treatment typically involves surgical removal of the appendix.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Flank pain, especially pain that goes to the groin, may be a sign of kidney stones if it comes in waves and fluctuates in intensity.

    • Treatment for kidney stones varies depending on the size of the stone and its location. Small stones with minimal symptoms can be managed with pain medication and drinking lots of water to flush out the stone. Larger stones may require more invasive treatments.
  • Gastroenteritis: Also known as stomach flu, this condition causes inflammation in the stomach and intestines, which can lead to abdominal cramps, nausea, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.

What you can do

Given the severity and duration of your pain, it's important to seek medical attention as soon as possible. In the meantime, try to stay hydrated and get plenty of rest. Avoid eating solid foods until vomiting stops, then try eating small amounts of mild foods like rice, applesauce, or crackers.

What you should look out for

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

  • The pain becomes severe or unbearable
  • You have bloody or black, tarry stools
  • You have a high fever (over 101°F)
  • You start vomiting blood or a substance that looks like coffee grounds
  • You have signs of dehydration, such as dark urine, dry skin, or feeling faint

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a visit to a healthcare professional.

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11 mo ago

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People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, nausea, vomiting, and sometimes blood in the urine.


How can I differentiate between appendicitis and other causes of abdominal pain?

Appendicitis pain typically starts around the belly button and then moves to the right lower side of the abdomen. It is often accompanied by nausea, vomiting, and sometimes fever. If the pain is localized and persistent, especially in the lower right abdomen, it may indicate appendicitis.


What are the recommended treatments for gastroenteritis?

Treatment for gastroenteritis usually involves rest, staying hydrated, and using over-the-counter remedies to manage symptoms. It's important to avoid solid foods until vomiting stops, then gradually reintroduce mild foods like rice, applesauce, or crackers.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention if the abdominal pain becomes severe or unbearable, if you have bloody or black, tarry stools, a high fever over 101°F, if you start vomiting blood or a substance that looks like coffee grounds, or if you show signs of dehydration such as dark urine, dry skin, or feeling faint.


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