[28M] Experiencing sharp, cramping stomach pain

Patient Description

A 28-year-old male reports a sharp, cramping pain on the left side of the stomach, above the belly button, that has been occurring for the past three days. The pain is described as a minor sharp sensation that lasts about two seconds and recurs every few minutes. It is particularly noticeable after the patient starts eating and when using the restroom. The patient rated the pain as a 3 out of 10 in terms of severity. There was one episode of loose diarrhea noted yesterday, but no specific food triggers have been identified. The patient has a history of intermittent high blood pressure but is not currently on any medication. No recent travel history was reported. No other symptoms such as nausea, vomiting, blood in stool, fever, or chills were present. The patient's stool was solid brown with one small dark spot. No known drug allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Irritable Bowel Syndrome (IBS): Given your history of IBS, this could be a flare-up. IBS can cause cramping, belly pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress. Medications and counseling might be recommended by your doctor.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, stomach cramps, nausea, and a low-grade fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if it's bacterial.
  • Gastritis: This is an inflammation of the stomach lining, which can cause sharp or burning pain in the upper abdomen, nausea, and, in some cases, vomiting.

    • Treatment usually involves medications to reduce stomach acid and, in some cases, antibiotics to treat a bacterial infection.
  • Peptic Ulcer: These are sores that develop in the lining of the stomach, upper small intestine or esophagus. The most common symptom of a peptic ulcer is burning abdominal pain.

    • Treatment usually involves medications to reduce stomach acid and, in some cases, antibiotics to treat a bacterial infection.

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history.

What you can do

Here are some general suggestions that might help:

  1. Keep a symptom diary: Write down what you eat and when you have symptoms. This may help you identify triggers for your symptoms.

  2. Stay hydrated: Especially if you're having diarrhea. Water is good, but adding broth, juice, or sports drinks to your diet may help replace lost electrolytes.

  3. Eat smaller, more frequent meals: Instead of three large meals a day, try eating several small meals throughout the day. Eat slowly and chew your food thoroughly.

  4. Try over-the-counter remedies: Anti-diarrheal medications may help with diarrhea. Always follow the instructions on the package.

  5. Reduce stress: Stress can make digestive symptoms worse. Consider stress-reducing activities, such as meditation, yoga, or deep breathing exercises.

Remember, these are general suggestions and may not be suitable for everyone. Always consult with a healthcare professional before starting any new treatment or changes to your diet.

What you should look out for

Contact a healthcare professional if you notice any of the following:

  • Your symptoms persist for more than a week
  • You have severe abdominal pain
  • You have bloody or black stools
  • You have a high fever (over 100.4°F)
  • You have signs of dehydration, such as dark urine, dry skin, or feeling lightheaded when standing up

These could be signs of a more serious condition that needs immediate attention.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Symptoms can vary in intensity and may be triggered by certain foods, stress, or hormonal changes.


How can I differentiate between gastritis and a peptic ulcer?

Gastritis typically causes a burning or gnawing pain in the upper abdomen, often accompanied by nausea and vomiting. A peptic ulcer, on the other hand, usually presents as a burning abdominal pain that may improve with eating or antacids. Both conditions can have overlapping symptoms, so a medical evaluation is necessary for an accurate diagnosis.


What dietary changes can help manage symptoms of gastroenteritis?

To manage symptoms of gastroenteritis, it's important to stay hydrated by drinking plenty of fluids like water, broth, or oral rehydration solutions. Eating bland foods such as bananas, rice, applesauce, and toast (the BRAT diet) can also help. Avoiding dairy, caffeine, alcohol, and fatty or spicy foods is recommended until symptoms improve.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it persists for more than a week, is severe, or is accompanied by symptoms such as bloody or black stools, a high fever, or signs of dehydration like dark urine or dizziness. These could indicate a more serious condition requiring prompt medical evaluation.


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