[34F] Experiencing persistent lower abdominal pain and fullness

Patient Description

A 34-year-old female has been experiencing a persistent dull ache in the lower abdomen for over a week, with a sensation of fullness and worsening of pain postprandially. The patient rates the pain as an 8 out of 10 in severity. Nausea is present, but there are no instances of vomiting, fever, chills, yellowing of the skin or eyes, black or tarry stools, or blood in the vomit. The patient's last bowel movement was normal and occurred the previous day. There is a reported lack of appetite and a single episode of sudden severe stomach pain. The patient has no known drug allergies, no pre-existing conditions or chronic illnesses, and is not on any prescribed medications, only taking vitamins.

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Arora's Assessment

What might be happening

Based on the information you've provided, you could be experiencing:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms include abdominal pain, cramping, diarrhea, nausea, and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if it's caused by bacteria.
  • Gastritis: This is an inflammation of the stomach lining. Symptoms can include upper abdominal pain, nausea, and a feeling of fullness in your upper abdomen after eating.

    • Treatment usually involves taking medication to decrease stomach acid.
  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. Symptoms can include severe abdominal pain, nausea, and vomiting.

    • Treatment may involve surgery to remove the gallbladder.
  • Peptic Ulcer Disease: This condition is characterized by painful sores or ulcers in the lining of your stomach or the first part of your small intestine, the duodenum. Symptoms can include a burning stomach pain, feeling of fullness, bloating, and nausea.

    • Treatment usually involves medication to reduce stomach acid and protect the stomach lining.
  • Pancreatitis: This is inflammation of the pancreas. Symptoms can include upper abdominal pain, nausea, and vomiting.

    • Treatment usually involves hospitalization for intravenous fluids, medications for pain, and sometimes surgery.

What you can do

It's important to seek medical attention as soon as possible. In the meantime, try to stay hydrated and eat bland foods like rice, bananas, and toast if you can. Avoid foods that are high in fat and sugar, as well as spicy foods, alcohol, and caffeine, which can irritate your stomach.

What you should look out for

Seek immediate medical attention if you experience any of the following symptoms:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • High fever (over 101°F)
  • Signs of dehydration, such as not urinating, extreme thirst, very dry mouth and throat, or feeling dizzy when you stand up
  • Unexplained weight loss
  • Difficulty swallowing

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

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People Also Ask


What are the common causes of persistent lower abdominal pain?

Persistent lower abdominal pain can be caused by a variety of conditions including gastroenteritis, gastritis, gallstones, peptic ulcer disease, and pancreatitis. It is important to consult a healthcare professional for an accurate diagnosis.


How can I differentiate between gastritis and peptic ulcer disease based on symptoms?

Gastritis often presents with upper abdominal pain, nausea, and a feeling of fullness after eating, while peptic ulcer disease typically involves a burning stomach pain, bloating, and nausea. Both conditions can have overlapping symptoms, so medical evaluation is necessary for a definitive diagnosis.


What dietary changes can help alleviate symptoms of abdominal pain and nausea?

To help alleviate symptoms, it is recommended to eat bland foods such as rice, bananas, and toast. Avoid foods high in fat and sugar, as well as spicy foods, alcohol, and caffeine, which can irritate the stomach.


When should I seek immediate medical attention for abdominal pain?

Immediate medical attention should be sought if you experience severe abdominal pain, blood in your stool or vomit, a high fever over 101°F, signs of dehydration, unexplained weight loss, or difficulty swallowing.


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