[37M] Experiencing severe abdominal cramps and heavy sweating

Patient Description

A 37-year-old male reports severe abdominal cramps with a pain level of 8 out of 10, located in the lower abdomen and back, predominantly on the right side. The cramps are intermittent and worsened by movement, but some relief is achieved by sitting still. Accompanying the cramps, the patient experiences heavy sweating and an increased heart rate. The sweating is significant enough to wet clothing. There is a slight feeling of nausea, but no vomiting. The patient has not observed any blood in urine, fever, or changes in urination. The patient's medical history includes open heart surgery for aortic replacement and bicuspid valve repair. The patient is allergic to erythromycin and is currently on Lisinopril, Metoprolol, Truvada, Finasteride, and Pristique, along with fiber, probiotic, and multivitamin supplements. Additionally, the patient consumed amyl nitrate and a small amount of THC the previous night.

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Arora's Assessment

What might be happening

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

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, and sweating.

    • Treatment typically involves pain management and drinking lots of fluids to help pass the stone. In some cases, medication or surgery may be required.
  • Appendicitis: This is an inflammation of the appendix, a small organ located on the right side of the abdomen. Symptoms can include aching pain that begins around your navel and often shifts to your lower right abdomen, and can be worsened by moving around.

    • Treatment typically involves surgery to remove the appendix.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. Symptoms can include abdominal cramps, nausea, and sweating.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.

Please note that the use of amyl nitrate and THC can also cause changes in heart rate and blood pressure, which may contribute to your symptoms.

What you can do

Given the severity of your symptoms, it's important to seek immediate medical attention. While waiting for medical help, try to stay as comfortable as possible. Avoid eating or drinking in case you need surgery.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your urine
  • Fever
  • Inability to pass gas
  • Vomiting

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 symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain that comes in waves, nausea, and sweating. Some people may also experience blood in the urine or difficulty urinating.


How can appendicitis be distinguished from other causes of abdominal pain?

Appendicitis often starts with a dull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen. It can be distinguished by the location of the pain, which is typically on the right side, and it may worsen with movement. Other symptoms can include loss of appetite, nausea, and fever.


What are the potential side effects of using amyl nitrate and THC together?

Using amyl nitrate and THC together can lead to changes in heart rate and blood pressure, dizziness, and increased sweating. These substances can also interact with medications, potentially leading to adverse effects.


What should I do if I suspect I have gastroenteritis?

If you suspect you have gastroenteritis, it's important to rest and stay hydrated. Drinking clear fluids and eating bland foods can help manage symptoms. Over-the-counter medications may help with nausea and diarrhea, but if symptoms are severe or persistent, seek medical attention.


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