[29F] Experiencing upper abdomen pain and vomiting

Patient Description

A 29-year-old female presents with pain in the upper abdomen, specifically right below the ribs, and associated vomiting. The pain is described as a tightening sensation that worsens with breathing and is rated as a 6 on the pain scale. The patient has not found any activities or positions that provide relief from the pain. Additionally, the patient reports experiencing chills. There is no mention of fever, and the patient has not attempted to eat, which could indicate whether the pain is postprandial. The last bowel movement was described as brown, which does not indicate any obvious abnormalities such as blood or black, tarry stools. The patient's symptoms warrant further medical evaluation to determine the underlying cause, which could range from gastrointestinal issues to other systemic conditions.

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Arora's Assessment

What might be happening

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

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the upper right abdomen that comes and goes, especially after eating fatty foods. The pain can be severe and can cause vomiting.

    • Treatment often involves surgery to remove the gallbladder, especially if the stones cause symptoms.
  • Peptic Ulcer: These are sores that develop in the lining of the stomach, upper small intestine or esophagus. The pain is often described as burning or gnawing, and it may come and go. Vomiting can also occur.

    • Treatment typically involves medication to decrease stomach acid. If a bacteria called H. pylori is involved, antibiotics are also used.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as stomach flu. Symptoms can include abdominal pain, vomiting, and chills.

    • Treatment usually involves rest and rehydration. Antibiotics may be used if a bacteria or parasite is the cause.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following:

  1. Rest and stay hydrated. Dehydration can make you feel worse. Try sipping on water, broth or an electrolyte solution.
  2. Avoid foods that are high in fat. These can make gallstone pain worse.
  3. Over-the-counter antacids may help with peptic ulcer pain. However, these should not be used long term without speaking to a doctor.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or constant
  • If you develop a fever (temperature over 100.4°F)
  • If you cannot keep down fluids due to constant vomiting
  • If your stool becomes black or bloody

Remember, while I strive to provide accurate information, I'm not a doctor. Please seek care from a healthcare professional to receive a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include pain in the upper right abdomen, especially after eating fatty foods, nausea, vomiting, and sometimes jaundice if a stone blocks the bile duct.


How can peptic ulcers be treated effectively?

Peptic ulcers are typically treated with medications that reduce stomach acid, such as proton pump inhibitors or H2 blockers. If an H. pylori infection is present, antibiotics are also prescribed.


What are the typical signs of gastroenteritis?

Typical signs of gastroenteritis include abdominal pain, vomiting, diarrhea, and sometimes fever and chills. It is often caused by a viral infection and is commonly referred to as the stomach flu.


When should I seek urgent medical attention for abdominal pain?

You should seek urgent medical attention if your abdominal pain becomes severe or constant, if you develop a fever over 100.4°F, if you cannot keep down fluids due to vomiting, or if your stool becomes black or bloody.


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