[34F] With sudden onset of sharp abdominal pain and shortness of breath

Patient Description

A 34-year-old female presents with very sharp abdominal pain located just below the sternum, which started suddenly within the last 15 minutes. The pain worsens with deep breaths and when sitting down. She also reports moderate shortness of breath and feeling shaky, which began simultaneously with the abdominal pain. There are no other associated symptoms such as nausea, vomiting, fever, recent weight loss, or loss of appetite. The patient has a history of high blood pressure, diagnosed around mid to late May of this year, and is currently taking Labetalol 100mg once daily. She has no recent infections, injuries, or travel history. She had her gallbladder removed years ago and has not had any complications since her recent delivery. She is allergic to Bactrim and is not taking any other medications, supplements, or herbal remedies.

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Arora's Assessment

What might be happening

Based on the information you’ve provided, there are a few serious conditions that could be causing your symptoms:

  1. Acute Pancreatitis: This is an inflammation of the pancreas that can cause sudden, severe abdominal pain that may worsen with breathing. It often requires immediate medical attention. Typical treatments include hospitalization, fasting to rest the pancreas, pain management, and IV fluids.

  2. Heart Attack: Although less common in younger individuals, a heart attack can present with abdominal pain, especially in women. The pain can be sharp and worsen with breathing. Immediate medical evaluation is crucial. Treatments may include medications, procedures to restore blood flow, and lifestyle changes.

  3. Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs, which can cause sharp chest or abdominal pain and shortness of breath. This is a medical emergency. Treatments typically involve anticoagulant medications and sometimes surgical intervention.

  4. Peptic Ulcer: A peptic ulcer can cause sharp abdominal pain, especially if it perforates. This condition can worsen with certain positions and breathing. Treatment usually involves medications to reduce stomach acid and antibiotics if an infection is present.

What you can do

Given the severity and sudden onset of your symptoms, it is crucial to seek immediate medical attention. Here are the steps you should take:

  1. Call 911: Given the potential seriousness of your symptoms, it is best to call an ambulance. This ensures you get to the hospital quickly and safely.

  2. Do Not Drive Yourself: If you are unable to call an ambulance, have someone else drive you to the nearest emergency room immediately.

  3. Stay Calm and Rest: Try to stay as calm as possible and avoid any physical exertion. Sit or lie down in a comfortable position while you wait for help.

  4. Inform Medical Staff: When you arrive at the hospital, inform the medical staff about your symptoms, your recent delivery, your high blood pressure, and your allergy to Bactrim.

Remember, I am not a doctor, and this information is not a substitute for professional medical advice. Please seek care from real health professionals to receive a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


What are the common symptoms of acute pancreatitis?

Common symptoms of acute pancreatitis include sudden severe abdominal pain, nausea, vomiting, fever, and a rapid pulse. The pain often radiates to the back and may worsen after eating.


Can a heart attack present with abdominal pain in women?

Yes, a heart attack can present with abdominal pain in women. Other symptoms may include chest pain, shortness of breath, nausea, and fatigue. Women may experience less typical symptoms compared to men.


What are the signs and symptoms of a pulmonary embolism?

Signs and symptoms of a pulmonary embolism include sudden shortness of breath, sharp chest or abdominal pain that may worsen with deep breathing, rapid heart rate, and sometimes coughing up blood. It is a medical emergency.


How is a peptic ulcer diagnosed and treated?

A peptic ulcer is diagnosed through endoscopy, where a camera is used to view the stomach lining, or through tests for H. pylori infection. Treatment typically involves medications to reduce stomach acid and antibiotics if an infection is present.


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