[34F] Experiencing upper ribcage pain with associated symptoms

Patient Description

A 34-year-old female presents with a one-day history of pain in the upper ribcage, described as a heavy cramp and stabbing sensation, located centrally and on the sides. The patient also reports loose and watery diarrhea occurring approximately 6 times a day for over 24 hours, and nausea. Additionally, there is a report of heavy breathing and some chest discomfort that may radiate to other areas. The patient has no known pre-existing conditions, allergies, or current medications. There is no recent travel history to foreign countries or areas with poor sanitation, and no leg swelling or pain is present.

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Arora's Assessment

What might be happening

Based on your symptoms, possible conditions include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can cause diarrhea, stomach cramps, and nausea.

    • Treatment usually involves rest, hydration, and eating light, bland foods. Over-the-counter medication can help with symptoms.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right abdomen or in the center of the abdomen. Pain from gallstones can also radiate to the right shoulder or back.

    • Treatment can range from watchful waiting to surgery, depending on the severity and frequency of symptoms.
  • Gastritis: This is an inflammation of the stomach lining, which can cause upper abdominal pain, nausea, and vomiting.

    • Treatment usually involves medications to reduce stomach acid and inflammation.
  • Heart conditions: Symptoms such as chest pain and difficulty breathing can sometimes be related to heart conditions, such as angina or even a heart attack.

    • These are serious conditions that require immediate medical attention.

What you can do

Given the severity and combination of your symptoms, it's important to seek immediate medical attention. While waiting for help:

  1. Try to stay calm and rest.
  2. If you have aspirin at home and are not allergic to it, consider chewing a 325 mg tablet, as this can help in case of a heart-related issue.
  3. Avoid eating or drinking anything until you've been evaluated by a medical professional.

What you should look out for

Seek immediate medical help if you:

  • Feel pain that is severe, sudden, or sharp
  • Have difficulty breathing or shortness of breath
  • Experience chest pain or pressure
  • Have bloody or black stools
  • Start vomiting blood or have vomit that looks like coffee grounds

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

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1 yr ago

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People Also Ask


What are the common causes of gastroenteritis and how can it be treated?

Gastroenteritis is commonly caused by viral or bacterial infections, often resulting from contaminated food or water. Treatment typically involves staying hydrated, resting, and consuming bland foods. Over-the-counter medications can help alleviate symptoms.


How can I differentiate between gallstones and other abdominal pain?

Gallstones often cause pain in the upper right abdomen or center, which can radiate to the right shoulder or back. Unlike other abdominal pain, gallstone pain may be associated with eating fatty meals. Diagnosis usually requires imaging tests, and treatment can vary from monitoring to surgery.


What are the symptoms of gastritis and how is it managed?

Gastritis symptoms include upper abdominal pain, nausea, and sometimes vomiting. It is managed by reducing stomach acid with medications, avoiding irritants like alcohol and NSAIDs, and eating smaller, more frequent meals.


When should chest pain be considered a medical emergency?

Chest pain should be considered a medical emergency if it is severe, sudden, or accompanied by difficulty breathing, pressure, or pain radiating to other areas like the arm or jaw. Immediate medical attention is crucial to rule out heart-related issues.


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