[29F] Experiencing severe abdominal pain and neurological symptoms
Patient Description
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Arora's Assessment
What might be happening
Based on the information you provided, here are some possible explanations for your symptoms:
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Gallstones or Biliary Colic: Given your family history and the location and nature of your pain, gallstones or another gallbladder issue could be causing your symptoms. Even though you've had your gallbladder removed, it's still possible to develop gallstones in the bile ducts. These can cause severe pain in the upper right abdomen that can radiate to the back or shoulder, nausea, and vomiting.
- Treatment typically involves pain management and potentially surgery to remove the stones.
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Gastroesophageal Reflux Disease (GERD): This condition, in which stomach acid backs up into the esophagus, can cause upper abdominal pain, heartburn, and nausea. Your mention of pain worsening with eating could be a clue towards this.
- Treatment typically involves lifestyle changes and over-the-counter or prescription medications to reduce stomach acid.
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Panic Disorder or Anxiety: Your symptoms of shortness of breath, dizziness, and feeling clammy could be related to panic attacks or anxiety. Additionally, stress and anxiety can exacerbate many physical symptoms.
- Treatment typically involves a combination of therapy and medication.
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Migraines: Your description of severe, moving headaches accompanied by sensitivity to light and noise, as well as nausea, fits the typical presentation of migraines.
- Treatment typically involves a combination of lifestyle changes, over-the-counter pain relievers, and potentially prescription medications.
Please note that these are just possibilities, and the true cause of your symptoms could be something different. It's important to seek care from a healthcare provider to get a formal diagnosis.
What you can do
- Seek immediate medical attention. Your symptoms, particularly the severe abdominal pain and shortness of breath, are concerning and warrant urgent evaluation.
- Try to avoid foods and drinks that trigger your symptoms. This might include fatty or spicy foods, caffeine, and alcohol.
- Try to manage stress. Techniques such as deep breathing, meditation, and yoga might help.
- Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and what foods you've eaten. This could help identify patterns or triggers.
What you should look out for
Seek immediate medical attention if you experience:
- Intense pain that lasts for more than a few hours
- Difficulty breathing or chest pain
- Blood in your stool or vomit
- Yellowing of your skin or eyes
- Sudden, severe headache unlike any you've had before
Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.
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9 mo ago