[33F] Experiencing upper abdominal cramping and diarrhea

Patient Description

A 33-year-old female has been experiencing upper abdominal cramping and a burning sensation, accompanied by diarrhea and urgency to defecate for the past three days. The abdominal pain is described as a dull burning sensation, rated 6/10 in severity, and is alleviated somewhat by not eating and lying on her left side. Additionally, she reports a history of diarrhea for the past six months, occurring at least twice daily and triggered by meat or high-fiber foods. The patient also experiences intermittent back pain, similar in nature to the abdominal pain, and exhaustion. She has been managing symptoms with Adderall (10 mg daily) and Pepto-Bismol as needed. There is a family history of gastrointestinal diseases, but no recent travel, black or tarry stools, or vomiting of blood. No other significant medical history or medications were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or erosion of the stomach lining, which can cause upper abdominal pain, especially after eating, as well as heartburn. The pain may sometimes radiate to the back.

    • Treatment typically involves medications to reduce stomach acid and protect the stomach lining. In some cases, antibiotics may be needed if a bacterium called Helicobacter pylori is involved.
  • Gastroesophageal Reflux Disease (GERD): This condition occurs when 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 typically involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right abdomen, which may radiate to the back or shoulder. However, gallstones often don't cause any symptoms unless they block a duct.

    • Treatment may not be necessary unless gallstones are causing symptoms. In such cases, surgery to remove the gallbladder is the most common treatment.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea or constipation.

    • Treatment focuses on relieving symptoms. Lifestyle changes, including diet and managing stress, play an important role.

Please note that these are potential explanations for your symptoms, but only a healthcare provider can make a definitive diagnosis.

What you can do

  • Try to identify and avoid foods or drinks that seem to worsen your symptoms. You've mentioned that meat and high-fiber foods seem to trigger your diarrhea, so you may want to limit these in your diet.
  • Over-the-counter antacids may help with heartburn and stomach pain. However, these should not be used long-term without speaking to a healthcare provider.
  • Over-the-counter medications like loperamide (Imodium) can help with diarrhea. However, these should not be used for more than a few days without speaking to a healthcare provider.
  • Try to maintain a balanced diet and stay hydrated, especially if you're experiencing diarrhea.
  • Regular physical activity can help manage symptoms of IBS.
  • Stress management techniques, such as relaxation exercises or meditation, may also help manage symptoms of IBS.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your stool or black, tarry stools
  • Vomiting blood or dark, coffee-ground like material
  • Unexplained weight loss
  • Difficulty swallowing
  • Persistent vomiting or diarrhea

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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8 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 upper abdominal pain or discomfort, bloating, nausea, vomiting, and a burning sensation in the stomach. The pain often occurs after eating and may be relieved by antacids.


How can lifestyle changes help manage GERD symptoms?

Lifestyle changes that can help manage GERD symptoms include avoiding foods and drinks that trigger reflux (such as spicy foods, alcohol, and caffeine), eating smaller meals, not lying down immediately after eating, losing weight if overweight, and quitting smoking.


What dietary changes can help manage IBS symptoms?

To manage IBS symptoms, it is often recommended to avoid trigger foods, which can vary from person to person. Common triggers include high-fiber foods, dairy, and fatty foods. Keeping a food diary can help identify specific triggers. Additionally, eating smaller, more frequent meals and staying hydrated can be beneficial.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if you experience severe pain, blood in your stool or black, tarry stools, vomiting blood or dark, coffee-ground like material, unexplained weight loss, difficulty swallowing, or persistent vomiting or diarrhea.


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