[36F] With persistent abdominal pain and associated symptoms
Patient Description
A 36-year-old female has been experiencing sharp, burning abdominal pain in the right upper quadrant and center for the past two months. The pain is severe, rated at 7 out of 10, occurring every few hours and lasting about 30 minutes. Heat provides some relief. She reports blood in her stool, which is narrow, despite a recent colonoscopy. Additional symptoms include nausea, headaches, and moderate lightheadedness, particularly when standing. She has experienced vomiting, chills, and a significant weight loss of 37 pounds since late August. Her appetite has changed, but she denies recent travel or use of alcohol and tobacco. Her medical history includes atrial fibrillation, colitis, cystitis, and pancreatitis, diagnosed in late August. She is taking Adderall XR 20mg once daily and has allergies to penicillin, sulfa, Wellbutrin, Reglan, Compazine, and Droperidol.
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Arora's Assessment
What might be happening
Your symptoms could be related to several conditions:
-
Gastrointestinal Issues:
- Colitis or Pancreatitis: Given your history, these could be contributing to your abdominal pain, nausea, and weight loss. Blood in the stool and narrow stools can be associated with colitis.
- Gallbladder Issues: Pain in the right upper quadrant could suggest gallstones or inflammation.
-
Atrial Fibrillation:
- This condition can sometimes cause dizziness and lightheadedness, especially when standing.
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Weight Loss and Appetite Changes:
- These could be due to your gastrointestinal issues or other underlying conditions.
It's important to follow up with your healthcare provider for a thorough evaluation. They may recommend imaging tests or blood work to better understand your symptoms.
What you can do
Abdominal Pain and Gastrointestinal Symptoms:
- Dietary Adjustments: Try eating smaller, more frequent meals and avoid foods that trigger your symptoms.
- Hydration: Ensure you stay well-hydrated, especially if you're experiencing vomiting.
- Heat Application: Continue using heat to relieve pain, as it seems to help.
Dizziness and Lightheadedness:
- Slow Movements: Stand up slowly to reduce dizziness.
- Hydration: Drink plenty of fluids to maintain blood pressure.
General Health:
- Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your provider.
- Follow-up: Schedule an appointment with your healthcare provider to discuss your symptoms and any necessary tests.
What you should look out for
Seek medical attention if you experience:
- Severe or worsening abdominal pain
- Persistent vomiting or inability to keep fluids down
- Fainting or severe dizziness
- Yellowing of the skin or eyes
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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2 mo ago