[28M] Experiencing intermittent dull upper right abdominal pain

Patient Description

A 28-year-old male reports a 3-week history of intermittent dull pain located at the base of the rib cage in the upper right abdomen. The pain is unrelated to meals and is alleviated somewhat by burping and passing gas. The patient has a normal stool pattern with the last bowel movement reported as normal. There are no accompanying symptoms such as jaundice, fever, chills, nausea, vomiting, or weight changes. The patient has a history of health-related anxiety diagnosed last year but no other pre-existing conditions or chronic illnesses. No medications are being taken and there are no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Gallstones or Gallbladder Disease: The gallbladder is located in the upper right part of your abdomen, and gallstones can cause a dull pain in this area. However, gallstone pain is typically associated with meals, especially fatty meals, and can also cause nausea and vomiting.

    • Treatment for gallstones can range from dietary changes to medications to dissolve the stones, or surgery in more severe cases.
  • Gastritis or Peptic Ulcer Disease: These conditions involve inflammation or damage to the lining of your stomach or the first part of your small intestine, and can cause upper abdominal pain. However, these conditions are often associated with meals or use of nonsteroidal anti-inflammatory drugs (NSAIDs).

    • Treatment typically involves medications to reduce stomach acid and promote healing, as well as lifestyle changes such as avoiding spicy foods and alcohol.
  • Gas: Excess gas in your digestive system can cause a variety of symptoms, including abdominal pain and discomfort. You mentioned that burping and passing gas seem to relieve your pain, which could suggest this is the cause.

    • Treatment for excess gas often involves dietary changes, such as avoiding foods that cause gas.

Please note that these are just possibilities, and it's important to see a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that may help you manage your symptoms until you can see a healthcare provider:

  1. Try to identify any foods or drinks that seem to make your symptoms worse and consider avoiding them.
  2. Stay hydrated and try to eat a balanced diet.
  3. Over-the-counter antacids may help if your pain is related to your stomach or digestion.
  4. Try to manage your health-related anxiety, as this can sometimes make symptoms feel worse. This could involve relaxation techniques, regular exercise, or talking to a mental health professional.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Fever or chills
  • Yellowing of your skin or eyes
  • Dark or bloody stool
  • Persistent nausea or 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 provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of gallstones or gallbladder disease?

Common symptoms of gallstones or gallbladder disease include pain in the upper right abdomen, especially after eating fatty meals, nausea, vomiting, and sometimes jaundice. However, symptoms can vary, and not everyone with gallstones experiences symptoms.


How can gastritis or peptic ulcer disease be managed at home?

Gastritis or peptic ulcer disease can be managed at home by avoiding foods and drinks that irritate the stomach lining, such as spicy foods, alcohol, and caffeine. Over-the-counter antacids or medications that reduce stomach acid can also help. It's important to consult a healthcare provider for a proper diagnosis and treatment plan.


What dietary changes can help reduce excess gas in the digestive system?

To reduce excess gas, consider avoiding foods known to cause gas, such as beans, lentils, carbonated drinks, and certain vegetables like broccoli and cabbage. Eating slowly and avoiding chewing gum can also help reduce swallowed air, which contributes to gas.


How can health-related anxiety affect physical symptoms and what can be done to manage it?

Health-related anxiety can amplify physical symptoms, making them feel more severe. Managing anxiety through relaxation techniques, regular exercise, mindfulness, and talking to a mental health professional can help reduce its impact on physical health.


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