[33F] Experiencing severe abdominal pain, fever, and respiratory symptoms

Patient Description

A 33-year-old female presents with a constellation of symptoms including severe, constant, sharp, and cramping abdominal pain rated 8-10/10, primarily in the middle of the stomach, persisting for almost two weeks. The pain is described as all over, sore, tight, and throbbing, with no relief from any interventions. Accompanying symptoms include shortness of breath with a severity of 5-6/10, fever with heavy sweating rated 5-7/10 for the past 5-6 days, and a throbbing migraine without prior history, lasting 7 days and rated 8/10. The patient also reports chest pain and tightness, dizziness, lightheadedness, and the presence of yellowish-green mucus. There is no known history of chronic illnesses, allergies, or adverse reactions to medications, and the patient is not currently on any medications. A Covid test was performed since the onset of the fever, but results were not disclosed during the encounter.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. The presence of yellowish-green mucus in your throat, fever, and shortness of breath could suggest this condition.

    • Treatment typically involves antibiotics, fever reducers, and cough medicine.
  • Gastroenteritis: This is an inflammation of the digestive tract, typically resulting from a viral, bacterial, or parasitic infection. Symptoms can include abdominal pain, diarrhea, vomiting, and fever. While you didn't mention diarrhea or vomiting, your severe abdominal pain and fever could suggest this condition.

    • Treatment typically involves rest, hydration, and over-the-counter remedies.
  • Gallstones: These are hardened deposits in the gallbladder that can cause sharp, cramping pain in the upper middle or upper right abdomen. Your description of your abdominal pain could suggest this condition.

    • Treatment may involve surgery to remove the gallbladder or medications to dissolve the gallstones.
  • Peptic Ulcer: This is a sore on the lining of your stomach, upper small intestine or esophagus. A peptic ulcer can cause sharp abdominal pain, and it can sometimes cause chest pain.

    • Treatment typically involves medications to reduce stomach acid and protect the lining of your stomach and small intestine.
  • Migraine: This is a type of headache characterized by throbbing pain, usually confined to one side of the head, that tends to get worse with movement and can last hours to days. Your description of your headache could suggest this condition.

    • Treatment typically involves medications to relieve migraine pain.

Please note that these are potential explanations for your symptoms, but they may not fully account for all of your symptoms.

What you can do

Given the severity of your symptoms, it's important that you seek medical attention as soon as possible. You should go to the emergency room or urgent care, or contact your primary care provider immediately.

What you should look out for

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

  • Difficulty breathing or shortness of breath that is getting worse
  • Severe, persistent abdominal pain
  • Persistent vomiting or diarrhea
  • High fever (over 103°F or 39.4°C)
  • Severe headache that doesn't improve with over-the-counter pain relievers

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

People Also Ask


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

Common symptoms of pneumonia include cough with phlegm or pus, fever, chills, and difficulty breathing. Treatment typically involves antibiotics, fever reducers, and cough medicine.


Can severe abdominal pain be a sign of gallstones, and what are the treatment options?

Severe abdominal pain, especially in the upper middle or upper right abdomen, can be a sign of gallstones. Treatment may involve surgery to remove the gallbladder or medications to dissolve the gallstones.


What are the typical symptoms of a migraine and how can it be managed?

A migraine is characterized by throbbing pain, usually on one side of the head, that worsens with movement and can last hours to days. Management includes medications to relieve pain and sometimes preventive treatments.


How can you differentiate between gastroenteritis and a peptic ulcer based on symptoms?

Gastroenteritis often includes symptoms like diarrhea, vomiting, and fever, while a peptic ulcer typically causes sharp abdominal pain and sometimes chest pain. Diagnosis usually requires medical evaluation and testing.


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