[31F] Experiencing sudden nausea, back pain, and unilateral facial swelling

Patient Description

A 31-year-old female presents with sudden onset of nausea, rated 6/10 in severity, exacerbated by movement and slightly alleviated by stillness, ongoing for 3 hours. Accompanying the nausea is a dull stomach ache, rated 4/10, worsening to 6/10 on palpation, located near and below the sternum, persisting for 2 hours. The patient also reports new-onset left-sided facial swelling, particularly around the lip and cheek, with associated itchiness, starting approximately 15 minutes prior to consultation. No fever, chills, or changes in bowel habits were reported, with the last bowel movement described as normal. The patient has a history of occasional back pain, which is currently present and described as a middle upper back pain, in line with the stomach, behind the sternum. No chronic illnesses, known drug allergies, or current medications, except for daily vitamins and as-needed Advil, which has never previously caused reactions. The patient's overall health is described as generally good.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, here are some possible explanations:

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or damage to the lining of the stomach, which can cause pain and nausea. The pain is often described as a dull ache and can be located in the upper middle part of the abdomen, near or below the sternum.

    • Treatment usually involves medications to reduce stomach acid and protect the stomach lining. In some cases, antibiotics may be needed if a bacterial infection is the cause.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper abdomen and back. The pain is often severe and can be associated with nausea.

    • Treatment may involve medications to dissolve the stones or surgery to remove the gallbladder.
  • Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that may radiate to the back, as well as nausea.

    • Treatment usually involves fasting to rest the pancreas, pain management, and intravenous fluids. In some cases, hospitalization may be required.

The facial swelling you're experiencing could be due to:

  • Allergic Reaction: This could be a reaction to a substance you've come into contact with. The fact that it's itchy and localized to one side of your face suggests this possibility.
    • Treatment involves avoiding the allergen, taking antihistamines, and in severe cases, seeking immediate medical attention.

What you can do

Given the severity and sudden onset of your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Seek immediate medical attention: Given the severity and sudden onset of your symptoms, it's important to see a healthcare professional as soon as possible.

  2. Monitor your symptoms: Keep track of your symptoms and any changes. This information can be helpful to your healthcare provider.

  3. Stay hydrated: Drink plenty of fluids to stay hydrated, especially if you're feeling nauseous.

What you should look out for

Reasons to seek immediate medical attention include:

  • Severe abdominal pain
  • Difficulty breathing or swallowing due to facial swelling
  • Vomiting blood or having blood in your stool
  • High fever or chills
  • Symptoms that worsen or do not improve

Remember, while I strive to provide accurate and helpful information, I'm an AI and not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of sudden nausea and stomach pain?

Common causes of sudden nausea and stomach pain include gastritis, peptic ulcer disease, gallstones, and pancreatitis. These conditions can cause varying degrees of pain and discomfort, often accompanied by nausea.


How can I differentiate between gastritis and gallstones based on symptoms?

Gastritis typically presents with a dull ache in the upper abdomen and nausea, often related to meals. Gallstones, on the other hand, can cause severe pain in the upper right abdomen or back, often after eating fatty foods, and may also be associated with nausea.


What should I do if I experience sudden facial swelling and itchiness?

Sudden facial swelling and itchiness could indicate an allergic reaction. It's important to identify and avoid the allergen, take antihistamines, and seek medical attention if the swelling affects breathing or swallowing.


When should I seek medical attention for abdominal pain and nausea?

You should seek medical attention if you experience severe abdominal pain, difficulty breathing or swallowing due to facial swelling, vomiting blood, blood in your stool, high fever, or if your symptoms worsen or do not improve.


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