[36F] Experiencing severe abdominal pain and gastrointestinal symptoms

Patient Description

A 36-year-old female presents with a multi-year history of severe abdominal pain, rated 8 out of 10, located in the middle and right side of the abdomen. The pain is described as sore and swollen, with no relief found to date. Accompanying symptoms include daily gas for the past two years, headaches, and blurred vision. The patient's stool is described as floating, oily, greasy, and pale or clay-colored. Additionally, there is a noted change in appetite and yellowing of the skin and eyes. The patient has a past medical history of endometriosis diagnosed 6 years ago. No current medications are being taken, and there are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you could be experiencing one of the following conditions:

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the middle or right side of your abdomen, which can be severe. Other symptoms can include gas, clay-colored stools, and yellowing of the skin or eyes (jaundice).

    • Treatment can range from lifestyle changes to medications to dissolve the gallstones, or surgery to remove the gallbladder.
  • Pancreatitis: This is inflammation of the pancreas, an organ that aids in digestion and regulates blood sugar. Symptoms can include abdominal pain, oily or greasy stools, and yellowing of the skin or eyes.

    • Treatment usually involves hospitalization for pain management, fluid replacement, and sometimes surgery.
  • Celiac Disease: This is an immune reaction to eating gluten, a protein found in wheat, barley, and rye. Symptoms can include abdominal pain, gas, and greasy or pale stools.

    • Treatment involves a strict gluten-free diet.
  • Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus. It can cause severe abdominal pain and changes in appetite. However, it doesn't typically cause changes in stool or skin color.

    • Treatment can involve pain relievers, hormone therapy, or surgery.

Please note that this is not a comprehensive list and these conditions can present differently in different people. It's also possible that you could be experiencing a combination of conditions.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor. They can perform a physical examination and order tests such as blood tests, imaging studies, or endoscopy to help determine the cause of your symptoms.
  2. If you're unable to get an appointment soon and your symptoms are worsening, consider going to an urgent care center or emergency department.
  3. Keep a symptom diary. Note down when your symptoms occur, their severity, and any potential triggers (like food or stress). This can help your doctor in diagnosing your condition.
  4. Try to maintain a balanced diet and stay hydrated. This can help manage your symptoms and overall health.

What you should look out for

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

  • Intense abdominal pain
  • Vomiting blood or having blood in your stool
  • Difficulty breathing
  • Severe headache or vision changes
  • Sudden increase in the severity or frequency of symptoms

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What causes floating, oily, greasy, and pale or clay-colored stools?

Floating, oily, greasy, and pale or clay-colored stools can be caused by malabsorption of fats, which may occur in conditions like pancreatitis, celiac disease, or gallbladder issues such as gallstones.


What are the common symptoms of gallstones?

Common symptoms of gallstones include severe pain in the middle or right side of the abdomen, gas, clay-colored stools, and yellowing of the skin or eyes (jaundice).


How is pancreatitis diagnosed and treated?

Pancreatitis is diagnosed through blood tests to check for elevated levels of pancreatic enzymes, imaging tests like CT scans or ultrasounds, and sometimes endoscopic procedures. Treatment usually involves hospitalization for pain management, fluid replacement, and sometimes surgery.


Can endometriosis cause changes in stool or skin color?

Endometriosis typically does not cause changes in stool or skin color. It primarily causes severe abdominal pain and changes in appetite, but the symptoms related to stool and skin color are more indicative of other conditions like gallstones or pancreatitis.


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