[35F] Experiencing sharp lower abdominal pain, dark urine, and severe diarrhea

Patient Description

A 35-year-old female presents with sharp, cramp-like pain in the lower left abdomen, radiating towards the vaginal area, rated as a 5 out of 10 in severity. The patient has been experiencing this pain intermittently for some time, but it has recently become constant. Additionally, the patient reports severe, watery diarrhea that began two days ago, where any intake of food or water resulted in immediate passage of stools. The patient also notes dark, tea-colored urine since this morning and has been feeling nauseous with an inability to retain even water without feeling sick. The patient denies any recent travel, injuries, or use of recreational drugs, alcohol, or new medications. The patient has a history of bilateral arm pain for the past two years, gallbladder removal in 2014, and is currently taking ibuprofen 600mg every few days and Opzenpic 1mg weekly. The patient has a family history of gastrointestinal or liver diseases and is allergic to amoxicillin. No other medications, supplements, or vitamins are being taken. No signs of fever, chills, vomiting, or blood in urine or stool have been reported, although the patient has experienced some dizziness.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. The symptoms are often similar to those of a stomach virus or the stomach flu.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment focuses on long-term management of symptoms and may involve changes to diet and lifestyle, as well as medication and stress management.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can affect any part of your urinary tract — from your kidneys to your bladder. Often, stones form when the urine becomes concentrated, allowing minerals to crystallize and stick together.

    • Treatment may involve pain relief and drinking lots of water to help pass the stone. Medical procedures may be required if the stone is too large.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.

Please note that these are potential explanations for your symptoms, but other conditions could also be responsible. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids like water, clear broths, or rehydration drinks. Avoid alcohol, coffee, and soft drinks, which can make dehydration worse.

  2. Rest: Your body needs energy to fight off the virus. Getting enough sleep can help.

  3. Eat light: If you can eat without vomiting, eat small amounts of bland foods like rice, applesauce, or crackers.

  4. Over-the-counter medication: Over-the-counter medication can help manage symptoms like nausea and diarrhea.

  5. Seek medical attention: If your symptoms persist or worsen, seek medical attention. Your healthcare provider can provide a diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Blood in your stool or dark, tarry stools
  • High fever (greater than 101.4 F)
  • Signs of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness

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

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10 mo ago

People Also Ask


What are the common causes of sharp, cramp-like pain in the lower left abdomen?

Sharp, cramp-like pain in the lower left abdomen can be caused by a variety of conditions, including gastrointestinal issues like irritable bowel syndrome (IBS), diverticulitis, kidney stones, or urinary tract infections. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between gastroenteritis and irritable bowel syndrome (IBS)?

Gastroenteritis typically presents with sudden onset of symptoms like diarrhea, nausea, and vomiting, often due to an infection. IBS, on the other hand, is a chronic condition characterized by recurrent abdominal pain and changes in bowel habits, such as diarrhea or constipation, without an underlying infection. A healthcare provider can help differentiate between the two based on symptoms and medical history.


What are the signs that a urinary tract infection (UTI) might be present?

Signs of a urinary tract infection (UTI) can include a strong, persistent urge to urinate, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain. In some cases, there may also be blood in the urine. If you suspect a UTI, it's important to see a healthcare provider for diagnosis and treatment.


What dietary changes can help manage symptoms of gastrointestinal issues like diarrhea?

To manage symptoms of gastrointestinal issues like diarrhea, it's often recommended to follow a bland diet. This can include foods like rice, bananas, applesauce, and toast. It's also important to stay hydrated by drinking clear fluids. Avoiding caffeine, alcohol, and fatty or spicy foods can also help reduce symptoms.


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