[34F] Experiencing abdominal pain and systemic symptoms

Patient Description

A 34-year-old female is reporting a constellation of symptoms including right upper quadrant abdominal pain described as both sharp and dull, with episodes lasting 5-15 minutes several times a week. The pain sometimes alleviates when lying on her back. Accompanying symptoms include fatigue, headaches, itchy skin, temperature dysregulation, swelling in the abdomen, ankles, and legs, red blotchy skin from the knees down, dry skin, dry mouth, dark urine, and occasional diarrhea. The patient also reports nausea and a single vomiting episode in the last week. She has noticed slight yellowing of the skin and eyes, and the urine has turned orange. The patient experiences dry, itchy eyes with vision issues, and a red, dry, irritated, and blotchy rash on her lower and upper legs that has been present intermittently for about 3 months. She has been diagnosed with Hepatitis C since 2020 and is currently taking blood pressure medication, Tylenol, Motrin, and Suboxone. No known drug allergies have been reported.

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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:

  • Hepatitis C: This is a viral infection that causes liver inflammation, sometimes leading to serious liver damage. The hepatitis C virus (HCV) spreads through contaminated blood. Your symptoms of abdominal pain, fatigue, itchy skin, dry mouth, dark urine, and yellowing of the skin and eyes (jaundice) are common in people with Hepatitis C.

    • Treatment typically involves antiviral medications to clear the virus from your body. Your doctor might recommend regular medical checkups to monitor for liver problems.
  • Liver Disease: Your symptoms of abdominal pain, fatigue, itchy skin, swelling in your belly, ankles, and legs, yellowing of the skin and eyes (jaundice), dark urine, and grayish-black stool could be signs of liver disease. The liver is located in the upper right part of your abdomen, which is where you're experiencing pain.

    • Treatment depends on the specific type of liver disease. For example, lifestyle changes (such as avoiding alcohol and losing weight) are often recommended for fatty liver disease, while medications are typically used to treat autoimmune liver diseases.
  • Gallbladder Disease: The gallbladder is also located in the upper right part of your abdomen. Your symptoms of abdominal pain, especially after eating, could be due to gallstones or inflammation of the gallbladder (cholecystitis).

    • Treatment often involves surgery to remove the gallbladder.

What you can do

You should seek immediate medical attention. Your symptoms are concerning and could indicate a serious condition. In the meantime, try to rest and stay hydrated. Avoid alcohol and any unnecessary medications, as these can put additional strain on your liver.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek immediate medical attention:

  • Intense abdominal pain
  • Vomiting blood or passing blood in your stool
  • Confusion or difficulty staying awake
  • A high fever (temperature over 100.4°F)

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of Hepatitis C?

Common symptoms of Hepatitis C include fatigue, abdominal pain, jaundice (yellowing of the skin and eyes), dark urine, itchy skin, and flu-like symptoms. Some people may not experience symptoms until the liver is significantly damaged.


How does liver disease affect the body?

Liver disease can lead to symptoms such as jaundice, abdominal pain, swelling in the abdomen and legs, fatigue, dark urine, and pale stool. The liver is crucial for detoxifying the blood, producing proteins for blood clotting, and metabolizing nutrients, so its dysfunction can affect many body systems.


What are the treatment options for gallbladder disease?

Treatment options for gallbladder disease often include dietary changes, medications to dissolve gallstones, or surgery to remove the gallbladder (cholecystectomy). The specific treatment depends on the severity and type of gallbladder disease.


What should I do if I experience worsening symptoms related to liver or gallbladder issues?

If you experience worsening symptoms such as intense abdominal pain, vomiting blood, passing blood in your stool, confusion, or a high fever, you should seek immediate medical attention. These could be signs of a serious condition requiring urgent care.


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