[30F] Experiencing a range of symptoms including stomach pain

Patient Description

A 30-year-old female presents with a 2-day history of dull stomach pain rated 6/10, which is felt on both sides of the stomach and does not seem to be relieved by anything. The patient also reports dizziness, fullness, nausea, lower back pain, anxiety, and fatigue. The stomach pain is not localized to a specific quadrant and is not more towards the front or the back of the abdomen. The patient's last bowel movement was described as smooth and light brown, with no fever or chills. The patient denies being currently pregnant.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include stomach pain, nausea, and fatigue.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is the cause.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment focuses on long-term management of symptoms and can include changes in diet, lifestyle, and stress management. Medications may also be helpful.
  • Gastritis: This is an inflammation of the stomach lining. Symptoms can include upper abdominal pain, nausea, and fullness.

    • Treatment typically involves medications to decrease stomach acid. Avoiding certain foods, alcohol, and stress can also help.
  • Anxiety: This is a mental health disorder characterized by feelings of worry or fear that are strong enough to interfere with one's daily activities. Symptoms can include fatigue, nausea, and stomach pain.

    • Treatment can include psychotherapy (talk therapy), medications, and coping strategies such as stress management and relaxation techniques.

Remember, these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some general suggestions that might help:

  1. Stay hydrated: Drink plenty of fluids, especially water. Avoid alcohol, caffeine, and carbonated drinks, which can worsen symptoms.
  2. Eat small, light meals: Avoid fatty, fried, spicy, or very sweet foods.
  3. Rest: Make sure you're getting enough sleep and rest.
  4. Manage stress: Techniques such as deep breathing, meditation, and yoga can help manage stress and anxiety.
  5. Over-the-counter medications: Antacids, for example, can help with stomach pain. However, you should consult with a healthcare professional before starting any new medication.

What you should look out for

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

  • Severe pain or cramping
  • Blood in your stool or vomit
  • High fever (over 101°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little or no urination, severe weakness, dizziness or lightheadedness
  • Unexplained weight loss
  • Persistent or worsening symptoms

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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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 causes of dull stomach pain and nausea?

Common causes of dull stomach pain and nausea include gastroenteritis, gastritis, irritable bowel syndrome (IBS), and anxiety. These conditions can cause inflammation, irritation, or stress-related symptoms in the digestive system.


How can anxiety contribute to physical symptoms like stomach pain and fatigue?

Anxiety can lead to physical symptoms such as stomach pain and fatigue due to the body's stress response. This can cause muscle tension, changes in digestion, and increased fatigue as the body remains in a heightened state of alertness.


What lifestyle changes can help manage symptoms of Irritable Bowel Syndrome (IBS)?

Lifestyle changes that can help manage IBS symptoms include eating a balanced diet with plenty of fiber, avoiding trigger foods, staying hydrated, exercising regularly, and managing stress through techniques like meditation or yoga.


When should I seek medical attention for stomach pain and related symptoms?

You should seek medical attention if you experience severe pain, blood in your stool or vomit, a high fever, signs of dehydration, unexplained weight loss, or if your symptoms persist or worsen despite self-care measures.


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