[32F] Experiencing intermittent right abdominal pain with nausea

Patient Description

A 32-year-old female presents with an intermittent sharp, stabbing pain under the right rib cage, radiating to the lower back. The pain, which has been occurring for about an hour, worsens upon bending over and is partially alleviated by sitting and leaning to the left. The patient rates the pain as 6/7 in severity and also reports feeling dazed and tired, with a mild fever of 99.9°F and slight nausea. There is no change in urine color or presence of blood, and no jaundice is observed. The patient has a history of kidney stones but indicates that this pain feels different. There is a known allergy to Codeine, which causes anaphylaxis, but no current medications are being taken. No other chronic illnesses or conditions are reported.

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Arora's Assessment

What might be happening

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

  • Gallstones: These are hardened deposits in the gallbladder that can cause sharp, stabbing pain in the right upper part of your abdomen. The pain can sometimes radiate to the back or the shoulder. Other symptoms can include nausea and vomiting.

    • Treatment options for gallstones can include lifestyle changes, medications to dissolve the gallstones, or surgery to remove the gallbladder.
  • Kidney Stones: Even though you've mentioned that this pain feels different than your previous experience with kidney stones, it's still a possibility. Kidney stones can cause severe pain in the side and back, below the ribs, and can radiate to the lower abdomen and groin. The pain may come in waves and fluctuate in intensity.

    • Treatment for kidney stones usually involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required if the stone is too large.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include abdominal pain, nausea, and a low-grade fever.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Appendicitis: This is an inflammation of the appendix, a small tube that branches off the large intestine. This condition causes severe pain in the lower right part of the abdomen. The pain tends to be more constant and severe than your typical stomachache.

    • Treatment for appendicitis usually involves surgery to remove the appendix.

What you can do

Given the severity of your pain, it's important that you seek medical attention immediately. Here are some steps you can take:

  1. If the pain is severe or debilitating, go to the emergency room or call an ambulance.
  2. If the pain is manageable, make an urgent appointment with your healthcare provider.
  3. In the meantime, try to rest and stay hydrated.

What you should look out for

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

  • The pain becomes severe or unbearable
  • You start vomiting
  • You have blood in your stool or urine
  • Your skin or eyes become yellow
  • You develop a high fever (over 100.4°F)

Please note that while I strive to provide accurate information, I'm an AI and not a doctor. It's crucial that you consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.

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11 mo ago

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People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include sharp, stabbing pain in the right upper abdomen, which can radiate to the back or shoulder, nausea, vomiting, and sometimes jaundice if a bile duct is blocked.


How can I differentiate between kidney stone pain and gallstone pain?

Gallstone pain typically occurs in the upper right abdomen and may radiate to the back or shoulder, often after eating fatty meals. Kidney stone pain usually starts in the side or back, below the ribs, and can radiate to the lower abdomen and groin, often coming in waves.


What are the typical signs of appendicitis?

Typical signs of appendicitis include severe pain in the lower right abdomen, which may start around the navel and then shift, loss of appetite, nausea, vomiting, and sometimes a low-grade fever.


What should I do if I suspect I have gastroenteritis?

If you suspect you have gastroenteritis, rest and stay hydrated by drinking plenty of fluids. Over-the-counter remedies may help alleviate symptoms. If symptoms persist or worsen, especially if you have a high fever or severe dehydration, seek medical attention.


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