[27F] With persistent abdominal pain and associated symptoms

Patient Description

A 27-year-old female presents with persistent, sharp, and crampy abdominal pain located around the middle of the abdomen, ongoing for two days. The pain began suddenly and has been constant since onset. The patient reports that applying pressure and rubbing the stomach provides temporary relief, but the pain returns immediately after stopping. There have been no changes in stool color or consistency, no recent dietary changes, and no recent travel or exposure to new environments. Associated symptoms include headache, weakness, and nausea. The patient denies any recent unusual food intake.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible explanations:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include stomach pain, nausea, vomiting, and sometimes headache and weakness. It often resolves on its own, but staying hydrated is crucial.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Peptic Ulcer: This is a sore that develops on the lining of the stomach or the beginning of the small intestine. It can cause sharp, crampy stomach pain, and sometimes nausea. Stress and certain medications can exacerbate symptoms.

    • Treatment may include medications to reduce stomach acid and protect the stomach lining.
  • Gastritis: This is the inflammation of the stomach lining, which can cause sharp stomach pain, nausea, and sometimes headache. It can be triggered by infections, certain medications, or excessive alcohol use.

    • Treatment often involves medications to reduce stomach acid and dietary changes.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids, such as water or oral rehydration solutions, to prevent dehydration, especially if you're experiencing nausea.
  2. Rest: Give your body time to heal by getting plenty of rest.
  3. Dietary Adjustments: Consider eating bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet) to help ease stomach discomfort.
  4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Blood in your stool or vomit
  • High fever or persistent vomiting
  • Signs of dehydration, such as dizziness, dry mouth, or reduced urination

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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1 mo ago

People Also Ask


What are the common causes of sharp, crampy abdominal pain?

Common causes of sharp, crampy abdominal pain include gastroenteritis, peptic ulcers, and gastritis. These conditions can be triggered by infections, stress, certain medications, or dietary factors.


How can I differentiate between gastroenteritis and a peptic ulcer?

Gastroenteritis often includes symptoms like nausea, vomiting, and diarrhea, and is usually caused by an infection. A peptic ulcer typically causes localized pain and may be associated with stress or certain medications. A healthcare provider can perform tests to differentiate between these conditions.


What dietary changes can help alleviate stomach pain and nausea?

To alleviate stomach pain and nausea, consider eating bland, easy-to-digest foods such as bananas, rice, applesauce, and toast (the BRAT diet). Avoid spicy, fatty, or acidic foods that can irritate the stomach lining.


When should I seek medical attention for abdominal pain?

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


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