[36F] Experiencing severe back and abdominal pain with gastrointestinal symptoms

Patient Description

A 36-year-old female presents with severe, constant dull and throbbing pain in the upper back and middle abdomen, which has been worsening over the course of a week. The abdominal pain is described as sharp, akin to something piercing through, and is located in the middle area just below the ribcage. The patient also reports frequent, almost hourly, watery diarrhea that is yellow and mixed with blood, accompanied by constant nausea and vomiting. The patient has attempted using muscle relaxers for the back pain without relief. No recent injuries, accidents, or travel were reported. The patient denies having a fever or chills and has not identified any specific dietary triggers for the symptoms.

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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 particularly common and highly infectious. Symptoms can include diarrhea, abdominal pain, vomiting, headache, fever and chills.

    • Treatment usually involves rest and rehydration. Over-the-counter medication may help with symptoms.
  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause sharp pain in your upper right abdomen. This pain can radiate to your back.

    • Treatment typically involves surgery to remove the gallbladder.
  • Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen that radiates to the back. Other symptoms can include fever, rapid pulse, nausea, and vomiting.

    • Treatment usually involves hospitalization for intravenous fluids, antibiotics, and medication to relieve pain.
  • Peptic Ulcer: These are sores that develop on the lining of your stomach, upper small intestine or esophagus. Pain is often described as burning or gnawing, and it may go through to the back.

    • Treatment typically involves medication to decrease stomach acid. If the cause is the bacteria H. pylori, antibiotics will also be needed.

What you can do

Given the severity of your symptoms, you should seek immediate medical attention. You should not try to treat these symptoms on your own given the potential severity of the diseases that could be causing them.

What you should look out for

If you experience any of the following symptoms, you should seek immediate medical attention:

  • Pain that is severe and sudden
  • Blood in your stool or black, tarry stools
  • High fever (over 101°F)
  • Shortness of breath or rapid breathing
  • Chest pain
  • Fainting or confusion
  • Vomiting blood or dark material that resembles coffee grounds

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common causes of severe abdominal pain and diarrhea?

Common causes of severe abdominal pain and diarrhea include gastroenteritis, gallstones, pancreatitis, and peptic ulcers. Each condition has distinct symptoms and requires different treatments.


How can I differentiate between gastroenteritis and more serious conditions like pancreatitis or gallstones?

Gastroenteritis often includes symptoms like diarrhea, vomiting, and abdominal cramps, usually with a viral or bacterial cause. Pancreatitis and gallstones can cause more severe, persistent pain, often radiating to the back, and may require imaging tests for diagnosis. Blood in stool or severe pain should prompt immediate medical evaluation.


What are the potential treatments for pancreatitis?

Treatment for pancreatitis typically involves hospitalization for supportive care, including intravenous fluids, pain management, and sometimes antibiotics. In severe cases, surgery may be necessary.


When should I seek immediate medical attention for abdominal pain and diarrhea?

You should seek immediate medical attention if you experience severe and sudden pain, blood in your stool, high fever, shortness of breath, chest pain, fainting, confusion, or vomiting blood. These symptoms could indicate a serious condition requiring urgent care.


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