[30M] Experiencing severe abdominal pain, cough, and fever

Patient Description

A 30-year-old male has been experiencing severe, sharp, crushing abdominal pain that started suddenly yesterday, accompanied by a severe dry cough with wheezing for over four days. The patient has also been vomiting, with three episodes in the past 24 hours, and reports a lack of energy and body aches. The patient has a fever and chest tightness upon deep breathing. He has a history of endocarditis diagnosed two years ago and atrial fibrillation following a traumatic incident. The patient has been without heart medication for a month and smokes cigarettes, although he has not smoked since falling ill. No known allergies or other medications reported.

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Arora's Assessment

What might be happening

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

  • Influenza (Flu): This viral infection can cause fever, chills, body aches, cough, and gastrointestinal symptoms like vomiting. It can also make you feel very tired and weak.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms. Antiviral medication may be prescribed by a doctor if the flu is diagnosed within the first 48 hours of symptom onset.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. It can cause a cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment typically involves antibiotics, rest, and hydration.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and can lead to vomiting and severe abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Acute Bronchitis: This is an inflammation of the lining of the bronchial tubes, which carry air to and from the lungs. It can cause coughing, wheezing, and chest tightness.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.

Given your history of endocarditis and atrial fibrillation, it's also possible that your heart condition could be contributing to your symptoms, especially the difficulty breathing and lack of energy.

What you can do

You should seek immediate medical attention. It's important to get a proper diagnosis and treatment, especially given your history of heart conditions and the severity of your symptoms.

In the meantime, try to rest and stay hydrated. Over-the-counter medication like Advil and Tylenol can help manage your fever and body aches, but they won't treat the underlying cause of your symptoms.

What you should look out for

Reasons to seek immediate medical attention:

  • If your difficulty breathing worsens or you experience chest pain
  • If your abdominal pain becomes unbearable
  • If your fever continues to rise or doesn't improve with medication
  • If you can't keep down fluids due to vomiting

Please note that this advice is based on the information you've provided and is not a substitute for professional medical advice.

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1 yr ago

People Also Ask


What are the common symptoms of influenza and how is it treated?

Common symptoms of influenza include fever, chills, body aches, cough, sore throat, and fatigue. Treatment usually involves rest, hydration, and over-the-counter medications to relieve symptoms. Antiviral medications may be prescribed if diagnosed early.


How can pneumonia be distinguished from other respiratory infections?

Pneumonia can be distinguished by symptoms such as a persistent cough with phlegm or pus, high fever, chills, and difficulty breathing. A chest X-ray and sputum test can help confirm the diagnosis. Treatment typically involves antibiotics and supportive care.


What are the typical causes and treatments for gastroenteritis?

Gastroenteritis is often caused by viruses, bacteria, or parasites and leads to symptoms like vomiting, diarrhea, and abdominal pain. Treatment focuses on staying hydrated and may include over-the-counter medications to manage symptoms.


How does a history of heart conditions like endocarditis and atrial fibrillation affect respiratory symptoms?

A history of heart conditions like endocarditis and atrial fibrillation can exacerbate respiratory symptoms due to potential heart-related complications, such as reduced cardiac output or fluid buildup in the lungs, making it crucial to monitor and manage these conditions carefully.


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