[36F] With upper right abdominal pain and gastrointestinal symptoms

Patient Description

A 36-year-old female presents with upper right abdominal pain that started as sharp and has transitioned to cramping over the past week. The pain is rated as a 5 on a scale of 1-10 and is somewhat relieved by heat application. Accompanying symptoms include regurgitation, diarrhea characterized by loose stools, nausea, and loss of appetite. The patient denies any fever, jaundice, recent travel, new medications, or alcohol consumption. There is no history of abdominal or digestive surgeries. The patient does not report any specific dietary triggers. No family history of gallbladder disease or digestive issues was noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Gallbladder Issues (such as Gallstones or Cholecystitis): The upper right abdominal pain, especially if it started suddenly and is accompanied by nausea and changes in stool, could suggest a problem with your gallbladder. Gallstones can block the bile ducts, leading to pain, nausea, and digestive issues.

    • Typical treatments may include dietary changes, medications to dissolve gallstones, or surgical removal of the gallbladder if necessary. An ultrasound or other imaging tests are often used to diagnose gallbladder issues.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by an infection. It can lead to symptoms like diarrhea, abdominal cramping, nausea, and sometimes fever.

    • Treatment usually involves staying hydrated, resting, and following a bland diet. In some cases, anti-nausea or anti-diarrheal medications may be recommended.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea.

    • Management typically involves dietary changes, stress management, and sometimes medications to manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis, here are some steps you can take to manage your symptoms:

  1. Dietary Adjustments: Try eating smaller, more frequent meals and avoid fatty or spicy foods that might exacerbate your symptoms.
  2. Stay Hydrated: Drink plenty of fluids, especially if you're experiencing diarrhea, to prevent dehydration.
  3. Apply Heat: Continue using a heating pad on your abdomen to help relieve cramping.
  4. Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and note any potential triggers. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Yellowing of the skin or eyes (jaundice)
  • Persistent vomiting or inability to keep fluids down
  • Blood in your stool or black, tarry stools
  • High fever or chills

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a thorough evaluation and appropriate treatment.

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1 mo ago

People Also Ask


What are common symptoms of gallbladder issues like gallstones or cholecystitis?

Common symptoms of gallbladder issues include sudden upper right abdominal pain, nausea, vomiting, and changes in stool such as diarrhea. Pain may worsen after eating fatty foods.


How can gastroenteritis be distinguished from other digestive issues?

Gastroenteritis often presents with symptoms like diarrhea, abdominal cramping, nausea, and sometimes fever. It is usually caused by an infection and can be distinguished by the presence of these symptoms following exposure to contaminated food or water.


What lifestyle changes can help manage symptoms of Irritable Bowel Syndrome (IBS)?

Lifestyle changes for managing IBS include eating smaller, more frequent meals, avoiding trigger foods (such as fatty or spicy foods), managing stress, and staying hydrated. Regular exercise and a high-fiber diet can also help.


When should someone with abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if there is severe or worsening abdominal pain, yellowing of the skin or eyes (jaundice), persistent vomiting, blood in the stool, black, tarry stools, or a high fever with chills.


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