[34F] Experiencing abdominal cold sensation and dizziness post-endoscopy

Patient Description

A 34-year-old female reports a cold sensation in her abdomen described as a rush of cold water, which began after an endoscopy performed the previous day. The sensation is intermittent and not related to breathing or movement. Additionally, she woke up feeling lightheaded and nauseated, rating the dizziness at a severity of 5 out of 10, with no specific aggravating activities or time patterns. She has been experiencing upper left abdominal pain for a month, which is sharp, dull, and sometimes burning, radiating to her back, and rated at a severity of 7 out of 10. She also reports chills but no fever, and no changes in the severity of symptoms since the endoscopy. The patient's stool is brown and dark brown, with no blood noticed, and she has not experienced vomiting. There is no jaundice. The patient's current medications include Omeprazole, Dicyclamine, Sulcrafate, Zofran, and Linzess. She has no known allergies, no previous medical diagnoses, and no other medications reported.

Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

Post-Endoscopy Discomfort: It's common to experience some discomfort, bloating, or cramping after an endoscopy. The cold sensation you're feeling could be related to the procedure, but it's not a typical symptom.
- Treatment typically involves rest and over-the-counter pain relievers. However, any new or worsening symptoms should be reported to your doctor.
Gastritis or Peptic Ulcer Disease: Your symptoms and the fact that you had an endoscopy with biopsies for H. pylori and gastritis suggest this possibility. These conditions can cause upper abdominal pain, nausea, and bloating. H. pylori is a common cause of these conditions.
- Treatment typically involves medications to decrease stomach acid and, if H. pylori is present, antibiotics.
Side Effects of Medication: Some of your symptoms could be side effects of the medications you're taking. For example, Omeprazole can cause dizziness and abdominal pain, and Dicyclomine can cause bloating.
- Treatment would involve discussing these potential side effects with your doctor. They may adjust your medication regimen as necessary.

What you can do

Rest and stay hydrated. This can help with recovery from your endoscopy and alleviate some of your symptoms.
Avoid foods and drinks that can irritate your stomach, such as spicy foods, alcohol, and caffeine.
Keep taking your medications as prescribed by your doctor.
Report any new or worsening symptoms to your doctor. They should be aware of your symptoms, especially since you recently had an endoscopy.

What you should look out for

Seek immediate medical attention if you experience:

Severe abdominal pain
Vomiting blood or having blood in your stool
Difficulty breathing or chest pain
Fainting or severe dizziness

Remember, while I strive to provide accurate information, I'm not a doctor. You should reach out to a healthcare professional who can provide a formal diagnosis and treatment plan.

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1 yr ago

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