[32F] Experiencing severe postprandial abdominal pain with vomiting and lower back pain

Patient Description

A 32-year-old female presents with severe abdominal pain that occurs approximately 20 minutes after eating, persisting for the past 3 days. The pain is described as sharp and is completely relieved by vomiting, which ensues after every meal. The patient also reports associated lower back pain described as dull and rated 7/10 in severity, which started concurrently with the vomiting episodes. Additionally, the patient has had runny bowel movements for the past 2 days and reports experiencing chills today. There is no history of back injury, chronic illnesses, allergies, or adverse reactions to medications, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possible conditions:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include abdominal pain, vomiting, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Gastritis: This is an inflammation of the stomach lining, which can be caused by various factors such as long-term use of certain pain relievers, excessive alcohol consumption, stress, or an autoimmune reaction.

    • Treatment often involves medications to decrease stomach acid, which can give the stomach lining a chance to heal.
  • Gallstones: These are hard deposits in the gallbladder that can cause abdominal pain if they block the bile ducts. The pain is often severe and located in the upper right part of the abdomen.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause heartburn.

    • Treatment often involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.

What you can do

  1. Try to stay hydrated. Dehydration can make many gastrointestinal symptoms worse. Aim for 8 glasses of water a day, more if you're vomiting or have diarrhea.
  2. Avoid foods that irritate your stomach. These can include spicy foods, caffeine, and alcohol.
  3. Over-the-counter antacids may help with stomach pain. However, they should not be used long term without speaking to a doctor.
  4. Rest as much as possible. Your body needs energy to fight off an infection if that's the cause of your symptoms.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (over 101°F)
  • Signs of dehydration, such as extreme thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Your symptoms persist for more than a few days or get worse

Remember, while I strive to provide accurate information, I'm not a doctor. Please 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 severe abdominal pain after eating?

Severe abdominal pain after eating can be caused by conditions such as gallstones, gastritis, gastroenteritis, or gastroesophageal reflux disease (GERD). Each condition has specific triggers and symptoms, so it's important to consult a healthcare professional for an accurate diagnosis.


How can vomiting relieve abdominal pain?

Vomiting can relieve abdominal pain by expelling irritants or excess stomach acid from the stomach, which may be causing the discomfort. However, frequent vomiting can lead to dehydration and other complications, so it's important to address the underlying cause.


What are the symptoms of gallstones and how are they treated?

Symptoms of gallstones include severe pain in the upper right abdomen, nausea, vomiting, and sometimes jaundice. Treatment options include medications to dissolve the gallstones or surgical removal of the gallbladder, depending on the severity and frequency of symptoms.


When should I seek medical attention for gastrointestinal symptoms?

You should seek medical attention if you experience severe abdominal pain, blood in vomit or stool, a high fever, signs of dehydration, or if your symptoms persist for more than a few days or worsen. These could indicate a more serious condition that requires prompt medical evaluation.


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