[27F] With intense lower left abdominal pain and dark stools

Patient Description

A 27-year-old female presents with an intense squeezing pain in the lower left side of the abdomen, rated 8 out of 10 in intensity, persisting for one day. The pain was sudden in onset and is accompanied by dark, sticky stools, nausea, stomach pain, cramping, dizziness, fever, and chills. The patient reports a brief menstrual cycle this month. There is no vomiting, blood in the stool, recent infections, or illnesses. The patient is taking Aleve and has a history of Hepatitis C. No recent changes in appetite or weight have been noted. The patient also reports using marijuana daily and has an allergy to penicillin.

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Arora's Assessment

What might be happening

Based on your symptoms, there are a few possibilities to consider:

  1. Gastrointestinal Bleeding: The dark, sticky stools and intense abdominal pain could indicate bleeding in your digestive tract. This can be serious and requires immediate medical attention.

  2. Diverticulitis: This condition involves inflammation of small pouches in the digestive tract and can cause sudden, severe pain, especially in the lower left abdomen.

  3. Peptic Ulcer: Although you haven't noticed blood, the use of NSAIDs like Aleve can increase the risk of ulcers, which might cause pain and dark stools.

  4. Hepatitis C Complications: Given your history, liver-related issues could also contribute to your symptoms.

These conditions can be serious, and it's important to seek medical care promptly. Testing might include blood tests, imaging studies, or endoscopy to determine the cause.

What you can do

  • Seek Immediate Medical Attention: Please visit an emergency room or urgent care as soon as possible. The symptoms you're experiencing could indicate a serious condition that needs prompt evaluation.

  • Avoid NSAIDs: Until you see a healthcare provider, avoid taking NSAIDs like Aleve, as they can worsen gastrointestinal issues.

  • Stay Hydrated: Drink clear fluids to stay hydrated, but avoid solid foods until you've been evaluated.

  • Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, vomiting, or changes in stool color.

Remember, it's crucial to get a professional medical evaluation to determine the exact cause and receive appropriate treatment. If you feel your symptoms worsening, call 911 or have someone take you to the hospital immediately.

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2 mo ago


People Also Ask


What are the possible causes of dark, sticky stools?

Dark, sticky stools, also known as melena, can indicate bleeding in the upper gastrointestinal tract. This can be caused by conditions such as peptic ulcers, gastritis, or esophageal varices. It's important to seek medical attention to determine the cause.


How can NSAIDs like Aleve affect gastrointestinal health?

NSAIDs, such as Aleve, can irritate the stomach lining and increase the risk of developing peptic ulcers or gastrointestinal bleeding. They can also exacerbate existing gastrointestinal conditions, so it's advised to use them cautiously and under medical supervision.


What are the symptoms and risks associated with diverticulitis?

Diverticulitis occurs when small pouches in the digestive tract become inflamed or infected, leading to symptoms like severe abdominal pain, fever, and changes in bowel habits. If left untreated, it can lead to complications such as abscesses or perforation of the colon.


How does a history of Hepatitis C impact current health conditions?

A history of Hepatitis C can lead to liver damage, which may affect overall health and increase the risk of complications such as cirrhosis or liver cancer. It can also impact the body's ability to process medications and manage infections, making it important to monitor liver function regularly.


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