[30F] Experiencing abdominal and low back pain with nausea

Patient Description

A 30-year-old female presents with a 4-hour history of constant and dull right upper and lower quadrant pain, which sharpens when coughing. The pain has gradually worsened and radiates to the back and left upper quadrant. Accompanying symptoms include nausea and inability to eat throughout the day. The patient's stool was described as sticky and dark during the last bowel movement, which occurred yesterday. No fever, chills, or changes in urine or stool color were reported. The patient's medical history includes gallbladder and appendix removal 8 months prior. Current medications include Ambien, taken for the first time last night at a 5 mg dose, and a weekly injection of semaglutide, with the last dose administered one week ago. 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:

  • 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 also known as stomach flu. Your symptoms of abdominal pain and nausea could be due to this condition.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if the cause is bacterial.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs, before radiating to the lower abdomen and groin. The pain may come in waves and fluctuate in intensity.

    • Treatment can range from pain relief and drinking lots of water to pass the stone, to medical procedures if the stone is too large.
  • Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that radiates to the back, as well as nausea.

    • Treatment usually involves hospitalization, fasting to rest the pancreas, pain medication, and IV fluids.
  • Peptic Ulcer: This is a sore on the lining of your stomach, upper small intestine or esophagus. A dull or burning pain in your stomach is the most common symptom.

    • Treatment usually involves medication to decrease stomach acid. If a bacteria called H. pylori is causing your ulcers, you’ll need antibiotics.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention as soon as possible. In the meantime, try to stay hydrated and rest as much as you can.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe pain that you cannot tolerate
  • Blood in your stool or dark, tarry stools
  • Blood in your vomit or vomit that looks like coffee grounds
  • A high fever (over 101°F)
  • Difficulty breathing or chest pain
  • Signs of dehydration, such as not urinating, extreme thirst, very dry mouth and throat, or feeling dizzy when you stand up.

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.

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10 mo ago

People Also Ask


What are the common symptoms of pancreatitis?

Common symptoms of pancreatitis include upper abdominal pain that may radiate to the back, nausea, vomiting, fever, and a rapid pulse. The pain often worsens after eating.


How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment may involve drinking plenty of water to help pass the stone, pain relief medications, and in some cases, medical procedures to remove or break up larger stones.


What are the signs that a peptic ulcer might be present?

Signs of a peptic ulcer include a dull or burning pain in the stomach, bloating, heartburn, nausea, and in severe cases, vomiting blood or having dark, tarry stools. The pain often occurs between meals or at night.


What should I do if I suspect I have gastroenteritis?

If you suspect you have gastroenteritis, it's important to stay hydrated by drinking plenty of fluids. Rest and over-the-counter medications can help alleviate symptoms. If symptoms are severe or persist, seek medical attention.


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