[34F] Experiencing upper right abdominal pain with associated symptoms

Patient Description

A 34-year-old female presents with a few days' history of upper right abdominal pain described as a stabbing sensation, rated 7 out of 10 in severity. The pain is localized below the right rib cage and does not radiate. The patient reports relief when lying flat on her back. Accompanying symptoms include fatigue, rapid heart rate, and a very low-grade fever of 99F. The patient's last bowel movement was two hours ago, with loose and lighter brown stool. There is no history of recent travel or dietary changes. A recent Covid test was negative. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Gallstones: These are hard deposits that form in your gallbladder, a small organ under the liver. The gallbladder is located in the upper right part of your abdomen. The symptoms can include severe pain in the upper right abdomen, fever, and sometimes changes in bowel movements.

    • Treatment options include lifestyle changes, medications to dissolve the gallstones, or surgery to remove the gallbladder.
  • Hepatitis: This is inflammation of the liver, which can cause pain in the upper right abdomen, fatigue, and fever. Hepatitis can be caused by a variety of factors, including viral infections, alcohol, and certain medications.

    • Treatment depends on the cause of the hepatitis. It may include antiviral medications, lifestyle changes, or in severe cases, a liver transplant.
  • Peptic Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine or esophagus. The symptoms can include a burning or stabbing pain in the upper abdomen, changes in bowel movements, and fatigue.

    • Treatment typically involves medications to reduce stomach acid and promote healing. In some cases, surgery may be required.

What you can do

  1. Consult a healthcare professional: Given the severity of your symptoms, it is important to seek medical attention as soon as possible. They can provide a formal diagnosis and appropriate treatment.

  2. Rest and hydration: Make sure to get plenty of rest and stay hydrated. This can help your body recover and manage symptoms like fatigue and rapid heart rate.

  3. Over-the-counter pain relief: Non-prescription pain relievers may help to manage your abdominal pain. However, these should be used as a temporary measure until you can see a healthcare professional.

What you should look out for

  • If your pain becomes severe or unbearable
  • If you develop a high fever (over 100.4°F)
  • If you notice yellowing of your skin or the whites of your eyes (jaundice)
  • If you experience persistent vomiting or nausea

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include severe pain in the upper right abdomen, especially after eating fatty foods, nausea, vomiting, fever, and changes in bowel movements. Some people may also experience jaundice if a gallstone blocks the bile duct.


How is hepatitis diagnosed and treated?

Hepatitis is diagnosed through blood tests that check for liver function and the presence of hepatitis viruses. Imaging tests like ultrasound or CT scans may also be used. Treatment depends on the cause and may include antiviral medications, lifestyle changes such as avoiding alcohol, and in severe cases, a liver transplant.


What lifestyle changes can help manage peptic ulcers?

Lifestyle changes to manage peptic ulcers include avoiding foods and drinks that irritate the stomach, such as spicy foods, alcohol, and caffeine. It's also important to quit smoking, manage stress, and take medications as prescribed to reduce stomach acid.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if it becomes severe or unbearable, if you develop a high fever (over 100.4°F), if you notice yellowing of your skin or eyes (jaundice), or if you experience persistent vomiting or nausea.


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