[33F] Experiencing acute rib and stomach pain with nausea

Patient Description

A 33-year-old female presents with acute, intermittent stabbing pain in the lower left and right ribs, radiating slightly to the middle, and an achy stomach pain rated 6/10 in severity. Both symptoms have persisted for a few hours and are accompanied by chills and mild lower back pain. The patient has not found relief from any interventions and denies difficulty breathing, vomiting, or recent use of NSAIDs, steroids, or substances. The patient's bowel movement was described as dark brown and intact, with no observed changes in stool color or presence of blood. The patient has no known pre-existing conditions, is not currently taking any medications, and has an allergy to amoxicillin and related antibiotics.

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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:

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or damage to the lining of the stomach, which can cause pain in the stomach and rib area. The pain is often described as aching or burning, and can be accompanied by nausea.

    • Treatment typically involves medications to reduce stomach acid and promote healing, as well as lifestyle modifications such as avoiding spicy foods and alcohol.
  • Gallstones: These are hard deposits in the gallbladder that can cause sharp, stabbing pain in the right upper abdomen and right lower rib area. The pain can sometimes radiate to the back or the shoulder.

    • Treatment can range from watchful waiting for small stones to surgery for larger stones or if complications arise.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be sharp and stabbing, and is typically located in the back, below the ribs, and can radiate to the lower abdomen and groin.

    • Treatment typically involves pain management and drinking lots of water to help pass the stone. In some cases, medical or surgical intervention may be necessary.
  • Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen that radiates to the back, and can be aggravated by eating.

    • Treatment typically involves fasting to rest the pancreas, followed by a low-fat diet. In some cases, hospitalization may be necessary.

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

What you can do

It's important to seek medical attention to get an accurate diagnosis and appropriate treatment. In the meantime, you can try the following to help manage your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen can help manage your pain. However, avoid NSAIDs like ibuprofen, as they can sometimes worsen stomach pain.

  2. Rest: Try to rest and avoid any activities that seem to worsen your pain.

  3. Hydration: Drink plenty of fluids, especially if your pain is due to gallstones or kidney stones.

  4. Diet: Avoid foods that seem to worsen your symptoms. If your pain is due to gastritis or peptic ulcer disease, try to avoid spicy foods and alcohol.

What you should look out for

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

  • Severe pain that doesn't improve with rest or over-the-counter medications
  • Vomiting blood or having blood in your stool
  • A high fever (over 101°F)
  • Difficulty breathing or chest pain
  • Symptoms of dehydration, such as dry mouth, feeling very thirsty, or producing very little urine

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common symptoms of gastritis or peptic ulcer disease?

Common symptoms of gastritis or peptic ulcer disease include aching or burning stomach pain, nausea, bloating, and sometimes vomiting. The pain is often located in the upper abdomen and can radiate to the ribs.


How can gallstones cause pain in the rib area?

Gallstones can cause pain in the rib area because they are located in the gallbladder, which is situated under the liver in the right upper abdomen. When gallstones block the bile ducts, they can cause sharp, stabbing pain that may radiate to the back or shoulder.


What are the typical symptoms of kidney stones?

Typical symptoms of kidney stones include sharp, stabbing pain in the back or side below the ribs, pain that radiates to the lower abdomen and groin, nausea, vomiting, and sometimes blood in the urine. The pain can be intermittent and vary in intensity.


What should I do if I suspect I have pancreatitis?

If you suspect you have pancreatitis, it's important to seek medical attention immediately. In the meantime, avoid eating or drinking to rest the pancreas, and avoid alcohol. Pancreatitis can be serious and may require hospitalization for treatment.


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