[36F] Experiencing abdominal pain, headache, nausea, and more

Patient Description

A 36-year-old female presents with a 24-hour history of crampy abdominal pain located under the right ribs and radiating to the hip and over to the belly button, described as crampy with some sharpness, rated 6/10 in severity. Accompanying symptoms include headache described as sharp and throbbing across the forehead and temples, lasting 2 hours with a severity of 7/10, worsened by bending over. The patient also reports experiencing chills, nausea, hip pain described as dull and sharp, making it painful to walk, and lower back pain described as sharp and constant, rated 5/10 in severity, persisting for about a week. Additionally, there is a loss of appetite coinciding with the onset of nausea and an increase in abdominal pain, and loose stools were reported. No recent changes in urine, vomiting, or significant weight changes were noted. The patient denies any recent injuries but confirms experiencing similar headaches in the past.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gallstones or Gallbladder Disease: The pain under your right ribs and radiating to your belly button, along with nausea, could be due to gallstones or gallbladder disease. This condition often presents with sharp, crampy pain in the right upper quadrant of the abdomen.

    • Treatment typically involves lifestyle changes, medication, or in some cases, surgery.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause crampy abdominal pain, loose stools, and nausea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.
  • Musculoskeletal Pain: Your hip and lower back pain could be due to a musculoskeletal issue, such as a strain or sprain.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis.

What you can do

  1. Rest and stay hydrated. This can help your body recover if you have gastroenteritis.
  2. Try over-the-counter pain relievers for your hip and lower back pain. However, avoid taking too much as it can upset your stomach.
  3. Monitor your symptoms. If they worsen or do not improve, seek medical attention.

What you should look out for

Reasons to seek urgent medical attention:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • High fever (temperature over 100.4°F)
  • Inability to keep down fluids due to vomiting
  • Severe or worsening hip or back pain

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

Show More

3
 Hugs
1
 Comments

Save

9 mo ago

People Also Ask


What are the common symptoms of gallstones or gallbladder disease?

Common symptoms of gallstones or gallbladder disease include sharp, crampy pain in the right upper quadrant of the abdomen, nausea, vomiting, and sometimes jaundice. The pain may radiate to the back or shoulder.


How can gastroenteritis be distinguished from other causes of abdominal pain?

Gastroenteritis typically presents with symptoms such as crampy abdominal pain, nausea, vomiting, diarrhea, and sometimes fever. It is often distinguished by the presence of loose stools and a recent history of exposure to contaminated food or water.


What are some effective home remedies for managing musculoskeletal pain?

Effective home remedies for managing musculoskeletal pain include rest, applying ice or heat to the affected area, gentle stretching exercises, and over-the-counter pain relievers like ibuprofen or acetaminophen. It's important to avoid activities that exacerbate the pain.


When should someone with abdominal pain and nausea seek urgent medical attention?

Urgent medical attention should be sought if there is severe abdominal pain, blood in stool or vomit, a high fever, inability to keep down fluids due to vomiting, or severe or worsening hip or back pain.


Preview

Post

1 Comments


Leo#3962

9 mo ago

It seems like you have a GI infection given the constellation of symptoms and how fast they all came about. However, if the pain gets worse, especially in the lower right quadrant, or if it doesn't resolve in a day or two, I'd probably go to the ER in case it's appendicitis

1
 Hugs
Reply

Share your feedback