[37F] Experiencing severe, sharp, stabbing abdominal pain

Patient Description

A 37-year-old female presents with severe, sharp, stabbing pain throughout the abdomen and sides, persisting for approximately one hour. The patient reports no relief from any interventions. Bowel movements are normal with no blood in stool or urine, and there are no additional symptoms such as fever, chills, nausea, or vomiting. No recent changes in diet, medication, or similar past episodes were reported. The patient has no known family history of related abdominal issues, no recent alcohol or recreational drug use, no known allergies, and is not on any medications. There are no pre-existing conditions or chronic illnesses noted.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include severe abdominal pain, diarrhea, and vomiting. However, you've mentioned that you don't have any symptoms other than abdominal pain.

    • Treatment typically involves rest, hydration, and over-the-counter pain relief. If symptoms persist or worsen, you should seek medical attention.
  • Gallstones or Kidney stones: These are hard deposits that form in your gallbladder or kidneys. They can cause severe pain when they pass through your urinary tract or block the flow of bile from your gallbladder.

    • Treatment may include pain relief, drinking plenty of fluids, and in some cases, surgery to remove the stones.
  • Appendicitis: This is an inflammation of the appendix, a small pouch attached to the large intestine. It can cause severe abdominal pain that usually begins around the navel and then shifts to the lower right abdomen. However, you've mentioned that your pain is all over your abdomen.

    • Treatment typically involves surgery to remove the appendix.
  • Ectopic pregnancy: This is a pregnancy that occurs outside the uterus, usually in the fallopian tube. It can cause severe abdominal pain, but you've mentioned that you're not currently pregnant.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and sudden onset of your pain, it's important to seek immediate medical attention. While waiting for help:

  1. Try to stay as comfortable as possible. Avoid eating or drinking in case you need surgery.
  2. Avoid taking any pain medication unless advised by a healthcare professional, as some medications can worsen certain conditions.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes unbearable
  • You develop a fever
  • You start vomiting
  • You notice blood in your stool or urine
  • Your abdomen becomes rigid and hard to the touch

Remember, I'm an AI and not a doctor. It's important to seek care from a healthcare professional to receive a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of gallstones or kidney stones?

Common symptoms of gallstones or kidney stones include severe pain in the abdomen or back, pain that comes in waves, nausea, vomiting, and sometimes fever or chills. Gallstones may also cause jaundice if they block the bile duct.


How can I differentiate between gastroenteritis and other causes of abdominal pain?

Gastroenteritis typically includes symptoms like diarrhea, vomiting, and sometimes fever, in addition to abdominal pain. If you only have abdominal pain without these other symptoms, it might be due to another condition.


What are the warning signs of appendicitis that require immediate medical attention?

Warning signs of appendicitis include severe pain that starts around the navel and shifts to the lower right abdomen, loss of appetite, nausea, vomiting, fever, and abdominal swelling. Immediate medical attention is necessary if these symptoms occur.


Can severe abdominal pain be a sign of an ectopic pregnancy even if I'm not currently pregnant?

Severe abdominal pain can be a sign of an ectopic pregnancy, but it is unlikely if you are not currently pregnant. However, if there is any chance of pregnancy, a medical evaluation is necessary to rule out this condition.


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