[28F] With severe upper right abdominal pain and associated symptoms

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Gallstones or Gallbladder Disease: Pain in the upper right abdomen, especially after eating, can be a sign of gallstones or inflammation of the gallbladder (cholecystitis). This condition is often associated with nausea and can cause a hard, tender abdomen.

  • Typical Testing: An ultrasound of the abdomen is commonly used to diagnose gallstones or gallbladder disease. Blood tests may also be conducted to check for signs of infection or inflammation.
  • Treatment: Treatment may include dietary changes, medications to dissolve gallstones, or surgical removal of the gallbladder if necessary.

• Peptic Ulcer Disease: Ulcers in the stomach or the first part of the small intestine (duodenum) can cause upper abdominal pain that worsens after eating. Nausea and a hard abdomen can also be symptoms.

  • Typical Testing: Endoscopy or upper GI series (a type of X-ray) can be used to diagnose ulcers. Blood tests may also be done to check for H. pylori infection, a common cause of ulcers.
  • Treatment: Treatment typically involves medications to reduce stomach acid, antibiotics if H. pylori infection is present, and lifestyle changes such as avoiding NSAIDs and reducing stress.

• Pancreatitis: Inflammation of the pancreas can cause severe upper abdominal pain that radiates to the back, along with nausea and a hard abdomen.

  • Typical Testing: Blood tests to check for elevated levels of pancreatic enzymes, and imaging tests like CT scans or ultrasounds.
  • Treatment: Treatment usually involves hospitalization, fasting to rest the pancreas, IV fluids, and pain management. In some cases, surgery may be required.

What you can do

While waiting to see a healthcare professional, you can try the following to help manage your symptoms:

1. Dietary Changes: Avoid fatty, fried, and spicy foods, as these can exacerbate your symptoms. Stick to a bland diet with easily digestible foods.
2. Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are experiencing diarrhea.
3. Rest: Lying down and resting can help alleviate some of the pain and dizziness.
4. Over-the-Counter Medications: Continue taking your indigestion pill as directed. You can also take Tylenol for pain relief, but avoid NSAIDs like ibuprofen, as they can worsen stomach issues.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe or worsening abdominal pain
• Vomiting, especially if it contains blood or looks like coffee grounds
• Yellowing of the skin or eyes (jaundice)
• High fever or chills
• Inability to keep fluids down
• Significant changes in bowel movements, such as blood in the stool

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and appropriate treatment.