[36F] Experiencing intense abdominal pain and multisystem symptoms

Patient Description

A 36-year-old female presents with a constellation of symptoms persisting for approximately one year. She reports sharp, sudden-onset abdominal pain localized to the lower right side, which is somewhat alleviated by pain medication. Additionally, she experiences intense eye irritation described as a burning sensation, with associated severe itchiness and eyelid swelling. Facial swelling is also present, affecting the lips, nose, and eyelids, described as tight. The patient's skin is red, akin to a lobster, and she feels a burning sensation from head to foot. She has a history of diabetes diagnosed two years ago and is currently taking Januvia, Singulair, Cozaar, Trazodone, and Ozempic. The patient also reports high blood pressure, occasional difficulty breathing or wheezing, and nausea without vomiting. There are no reported rashes other than the redness. The patient has an allergy to Lunesta. Bowel movements have been irregular, with changes in stool consistency. No fever, chills, or recent eye injuries are reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be considered:

  • Allergic Reaction: The facial swelling, redness, and burning sensation in your eyes could be signs of an allergic reaction. This could be due to a substance you've come into contact with or a medication you're taking.

    • Treatment typically involves avoiding the allergen and taking antihistamines to reduce symptoms. In severe cases, a doctor may prescribe corticosteroids or other medications.
  • Gastrointestinal Issue: Your sharp, localized abdominal pain could be due to a gastrointestinal issue, such as appendicitis or an ovarian cyst.

    • Treatment for appendicitis typically involves surgery to remove the appendix. Ovarian cysts often resolve on their own, but may require surgery in some cases.
  • High Blood Pressure: You've mentioned that you have high blood pressure. This could be contributing to some of your symptoms, such as the feeling of being on fire.

    • Treatment typically involves lifestyle changes and medication.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

Here are some steps you can take:

  1. Seek immediate medical attention: Given the severity and range of your symptoms, it's important to seek medical attention as soon as possible. This is especially important given your abdominal pain and high blood pressure.

  2. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider.

  3. Stay hydrated and rest: Make sure to drink plenty of fluids and get plenty of rest. This can help your body recover.

What you should look out for

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

  • Severe abdominal pain
  • Difficulty breathing
  • Swelling of the throat or tongue
  • Chest pain
  • Confusion or difficulty speaking
  • Fainting or loss of consciousness

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

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11 mo ago

People Also Ask


What could be causing the sharp, sudden-onset abdominal pain in the lower right side?

The sharp, sudden-onset abdominal pain in the lower right side could be due to conditions like appendicitis or an ovarian cyst. Appendicitis often requires surgical removal of the appendix, while ovarian cysts may resolve on their own or require surgery if they cause significant symptoms.


What are the possible reasons for the intense eye irritation and facial swelling?

Intense eye irritation and facial swelling could be signs of an allergic reaction. This might be triggered by a substance you've come into contact with or a medication you're taking. It's important to identify and avoid the allergen and consider taking antihistamines to alleviate symptoms.


How can high blood pressure contribute to symptoms like feeling a burning sensation all over the body?

High blood pressure can cause symptoms like a burning sensation due to increased pressure on blood vessels, which may affect circulation and lead to sensations of heat or burning. Managing blood pressure through lifestyle changes and medication can help alleviate these symptoms.


What should I do if I suspect an allergic reaction to medication?

If you suspect an allergic reaction to medication, it's crucial to stop taking the medication and seek medical attention immediately. An allergist or healthcare provider can help identify the allergen and recommend appropriate treatment, such as antihistamines or corticosteroids, to manage the reaction.


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