[37F] Experiencing upper abdominal pain and gastrointestinal symptoms

Patient Description

A 37-year-old female presents with a 4-day history of dull, constant upper abdominal pain that worsens postprandially, particularly after eating, and is accompanied by built-up gas. The pain is severe, rated at 7/10, located at the top of the stomach just below the rib cage and slightly to the left. The patient also reports a recent fever of 101.4°F that has returned twice, body aches in the lower back and hips, and constipation with missed bowel movements for 3 days. When bowel movements occur, the stool is described as very dark and thick, resembling peanut butter, and the urine is very yellow. The patient is currently taking Semaglutide and has no known allergies or adverse reactions to medications. No recent injuries, weight changes, or pre-existing conditions were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or erosion of the stomach lining, which can cause upper abdominal pain. The pain can sometimes feel worse after eating. Other symptoms can include nausea, vomiting, and dark stools.

    • Treatment typically involves medications to reduce stomach acid and, in some cases, antibiotics to treat a bacterial infection.
  • Gallbladder Disease: Your gallbladder is located on the right side of your abdomen, just below your liver. Conditions such as gallstones can cause pain in this area, especially after eating. Dark urine and light-colored stools can be symptoms of a blocked bile duct, which can occur with gallbladder disease.

    • Treatment can range from dietary changes to surgery, depending on the severity and cause of the gallbladder disease.
  • Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that may feel worse after eating. Other symptoms can include fever, nausea, and vomiting.

    • Treatment usually involves hospitalization for pain control and fluid replacement, and in some cases, surgery.

What you can do

You should seek immediate medical attention given the severity of your symptoms and the potential for serious conditions. In the meantime, try to stay hydrated and avoid foods that seem to worsen your symptoms.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You vomit blood or have blood in your stool
  • You become jaundiced (yellowing of the skin or eyes)
  • You experience shortness of breath or chest pain

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can evaluate your symptoms in person.

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11 mo ago

People Also Ask


What are the common symptoms of gastritis or peptic ulcer disease?

Common symptoms of gastritis or peptic ulcer disease include upper abdominal pain, especially after eating, nausea, vomiting, and dark stools. These conditions involve inflammation or erosion of the stomach lining.


How can gallbladder disease affect digestion and what are its symptoms?

Gallbladder disease can cause pain in the upper right abdomen, especially after eating fatty foods. Symptoms may include dark urine, light-colored stools, nausea, and vomiting, often due to gallstones or a blocked bile duct.


What are the signs and symptoms of pancreatitis?

Pancreatitis is characterized by upper abdominal pain that may worsen after eating, fever, nausea, and vomiting. It involves inflammation of the pancreas and can be serious, requiring medical treatment.


Why is it important to seek medical attention for severe abdominal pain?

Severe abdominal pain can be a sign of serious conditions like pancreatitis, gallbladder disease, or peptic ulcers. Immediate medical attention is crucial to prevent complications and receive appropriate treatment.


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