[28F] Experiencing acute abdominal and pelvic pain with associated symptoms

Patient Description

A 28-year-old female presents with acute onset of significant stomach and pelvic pain that began last night. The stomach pain is described as cramping in the pit of the stomach, with minimal relief when lying on the right side. The patient has also been experiencing nausea and has not been able to eat, with no relief from omeprazole and Zofran. The pelvic pain is atypical from her usual endometriosis-related discomfort and is rated as a 7 out of 10 in severity. Accompanying symptoms include a headache, which is different from her chronic migraines with aura, rated at a 6 out of 10 in severity, and moderate dizziness with episodes that occur suddenly and vary in duration. Weakness and fatigue are also present, rated at a 6 out of 10 in severity. The patient has an axillary abscess under the right armpit but reports no other recent trauma or accidents. Bowel movements were last reported as normal in consistency and color the day prior to symptom onset, and there is no fever or chills.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include abdominal pain, nausea, and dizziness.

    • Treatment often includes rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if bacteria or parasites are the cause.

  • Gastritis: This is an inflammation of the stomach lining, which can cause abdominal pain and nausea. It can be caused by various factors, including long-term use of NSAIDs, infection with Helicobacter pylori, or autoimmune disorders.

    • Treatment often involves medications to reduce stomach acid and, if H. pylori is present, antibiotics.

  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's often caused by sexually transmitted bacteria. Symptoms can include pelvic pain, abdominal pain, and nausea.

    • Treatment typically involves antibiotics to treat the infection.

  • Endometriosis Flare: Although you mentioned this pain feels different from your usual endometriosis pain, it's possible that this could be a particularly severe flare or a new manifestation of the disease.

    • Treatment typically involves pain management and hormone therapy, and in some cases, surgery.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis.

What you can do

  1. Rest and stay hydrated. Avoid any foods or drinks that seem to make your symptoms worse.
  2. Over-the-counter pain relievers may help with the pain, but avoid NSAIDs if possible as they can worsen gastritis.
  3. Keep a symptom diary. Note down when your symptoms occur, what you're doing when they happen, and anything that makes them better or worse. This can be useful information for your doctor.
  4. Consult a healthcare professional. They can provide a formal assessment and order relevant tests if necessary.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have a high fever (over 100.4°F)
  • You start vomiting and can't keep down fluids
  • You see blood in your vomit or stool
  • Your symptoms persist for more than a few days or worsen

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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11 mo ago

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People Also Ask

What are the common symptoms of gastroenteritis and how is it treated?

Common symptoms of gastroenteritis include abdominal pain, cramping, nausea, vomiting, diarrhea, and dizziness. Treatment typically involves rest, staying hydrated, and using over-the-counter remedies. If a bacterial or parasitic infection is suspected, antibiotics may be prescribed.

How can gastritis be differentiated from other stomach issues and what are the treatment options?

Gastritis can be differentiated from other stomach issues by symptoms such as burning stomach pain, nausea, and bloating. It is often diagnosed through endoscopy or testing for H. pylori. Treatment includes medications to reduce stomach acid and antibiotics if H. pylori is present.

What are the signs of Pelvic Inflammatory Disease (PID) and how is it managed?

Signs of Pelvic Inflammatory Disease (PID) include pelvic pain, abdominal pain, fever, unusual vaginal discharge, and pain during intercourse. Management typically involves antibiotics to treat the infection, and in severe cases, hospitalization may be required.

How can one manage an endometriosis flare-up and what are the treatment options?

Managing an endometriosis flare-up involves pain management with medications such as NSAIDs or hormonal therapy. In some cases, surgery may be necessary. Lifestyle changes, such as diet and stress management, can also help alleviate symptoms.

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