[27F] Experiencing severe intermittent abdominal pain with associated fever, vomiting, and sweating

Patient Description

A 27-year-old female presents with severe, intermittent abdominal pain rated 9/10, located above the belly button, described as a stabbing sensation that comes and goes in cycles lasting about 2.5 minutes with a frequency of every 5-10 minutes. The pain is accompanied by episodes of fever and profuse sweating, with the sweating being directly related to the pain. The patient reports an inability to keep any food down, leading to immediate vomiting upon ingestion and subsequent dry heaving. The patient's last bowel movement was described as solid and normal in color, with a notably foul odor. The patient has tested negative for Covid and is experiencing significant discomfort, raising the question of whether emergency medical attention is necessary.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause abdominal pain, vomiting, and fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to alleviate symptoms. Antibiotics may be necessary if a bacterial infection is suspected.
  • Gallstones: These are hard deposits in the gallbladder that can cause severe abdominal pain, especially after eating.

    • Treatment can range from dietary changes to medications to dissolve the gallstones, or surgery to remove the gallbladder.
  • Gastritis: This is an inflammation of the stomach lining that can cause upper abdominal pain, nausea, and vomiting.

    • Treatment typically involves antacids and other medications to reduce stomach acid and inflammation.
  • Peptic Ulcer Disease: This is a condition where open sores develop on the inside lining of your stomach and the upper portion of your small intestine. Symptoms of peptic ulcer disease include burning stomach pain, feeling of fullness, bloating or belching, fatty food intolerance, heartburn, and nausea.

    • The most common causes are infection with the bacterium Helicobacter pylori (H. pylori) and long-term use of aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs). Treatment usually involves medications to decrease stomach acid and antibiotics to kill H. pylori.

Please note that these are possible conditions based on your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

Given the severity of your symptoms, it's important to seek immediate medical attention. Please go to the emergency room or urgent care center as soon as possible. In the meantime, try to stay hydrated and avoid eating if it exacerbates your symptoms.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (over 101°F)
  • Signs of dehydration, such as dry mouth, decreased urination, or dizziness

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include diarrhea, vomiting, stomach cramps, fever, and dehydration. It is often caused by viral or bacterial infections.


How can gallstones cause abdominal pain?

Gallstones can cause abdominal pain by blocking the bile ducts, leading to a buildup of bile in the gallbladder. This can result in severe pain, especially after eating fatty foods.


What are the treatment options for gastritis?

Treatment options for gastritis typically include antacids, proton pump inhibitors, and H2 blockers to reduce stomach acid, as well as antibiotics if an infection is present. Lifestyle changes such as avoiding spicy foods and alcohol may also help.


What are the risk factors for developing peptic ulcer disease?

Risk factors for developing peptic ulcer disease include infection with Helicobacter pylori, long-term use of NSAIDs, smoking, excessive alcohol consumption, and stress. A family history of ulcers can also increase risk.


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