[27M] Experiencing severe stomach pain with nausea

Patient Description

A 27-year-old male presents with severe, sharp, and throbbing stomach pain centered around the belly button, which started suddenly and has persisted for approximately 30 minutes. The patient also reports associated nausea and an inability to pass gas, but no vomiting or bowel movement since yesterday. The patient's last bowel movement was described as normal. There is no clear indication of fever. The patient has a history of high blood pressure diagnosed in his teenage years and is currently taking Losartan, Hydrochlorothiazide, and Valocyclivir. No known drug allergies or adverse reactions to medications were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Appendicitis: This is an inflammation of the appendix, a small pouch attached to the large intestine. It typically starts with a pain near the belly button that may shift to your lower right abdomen. Other symptoms can include nausea and difficulty passing gas.

    • Treatment usually involves surgical removal of the appendix.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause severe abdominal pain, nausea, and sometimes vomiting or diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if the cause is bacterial.
  • Gastric Ulcer: This is a sore that develops on the lining of the stomach. It can cause a burning or gnawing pain in the middle or upper stomach, and this pain can sometimes feel like a dull ache.

    • Treatment usually involves medication to reduce stomach acid and protect the stomach lining.

What you can do

Given the severity and sudden onset of your symptoms, it's important to seek immediate medical attention. While waiting for help:

  1. Try to stay as comfortable as possible. Avoid eating or drinking in case you need surgery.
  2. If you're able to, try to take note of your symptoms and any potential triggers. This will be helpful information for the healthcare professionals.

What you should look out for

Reasons to seek immediate medical attention:

  • If your pain becomes unbearable
  • If you develop a fever
  • If you start vomiting

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

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sudden pain that begins around the navel and often shifts to the lower right abdomen, nausea, vomiting, loss of appetite, and sometimes fever. The pain may worsen with movement, coughing, or sneezing.


How can I differentiate between gastroenteritis and other causes of stomach pain?

Gastroenteritis typically presents with symptoms like diarrhea, vomiting, stomach cramps, and sometimes fever. Unlike other causes of stomach pain, gastroenteritis often involves a viral or bacterial infection and is accompanied by diarrhea.


What lifestyle changes can help manage high blood pressure?

To manage high blood pressure, lifestyle changes such as maintaining a healthy diet low in salt, regular physical activity, managing stress, avoiding tobacco use, and limiting alcohol intake can be beneficial. It's also important to adhere to prescribed medications.


When should I seek immediate medical attention for stomach pain?

You should seek immediate medical attention for stomach pain if it is severe and sudden, if you have a fever, if you are unable to pass gas or have a bowel movement, or if you start vomiting. These could be signs of a serious condition that requires prompt treatment.


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