[38F] Experiencing right upper stomach and back pain

Patient Description

A 38-year-old female presents with a one-week history of constant pain located in the right upper stomach area, beneath the ribs. The pain is described as worsening with movement and after eating, with a severity rating of 5 out of 10. The patient reports that the pain does not improve with any specific interventions. There is no mention of changes in bowel movements or stool characteristics. The patient denies being pregnant and there is no further information provided regarding past medical history, medications, or allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the upper right abdomen, especially after eating a fatty meal. The pain can also spread to the right shoulder or back.

    • Treatment often involves surgery to remove the gallbladder. In some cases, medications may be used to dissolve gallstones.
  • Gastritis: This is inflammation of the stomach lining, which can cause upper abdominal pain, nausea, and vomiting. Pain can worsen after eating.

    • Treatment often involves medications to reduce stomach acid and help protect the stomach lining.
  • Peptic Ulcer: This is a sore on the lining of your stomach or the beginning of your small intestine. It can cause a burning pain in your upper abdomen that may worsen after eating.

    • Treatment often involves medications to reduce stomach acid and help protect the stomach lining.

What you can do

While waiting for your doctor's appointment, you can try the following to alleviate your symptoms:

  1. Eat smaller, more frequent meals instead of three large meals a day.
  2. Avoid foods that trigger your symptoms. Common triggers include fatty, fried, and spicy foods.
  3. Over-the-counter antacids may help relieve your stomach pain. However, they should not be used for more than two weeks without your doctor's approval.
  4. Non-prescription H2 blockers and proton pump inhibitors may reduce stomach acid and potentially alleviate pain. These should only be used as directed on the packaging.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Difficulty swallowing
  • Yellowing of the skin and eyes (jaundice)

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include sudden and intense pain in the upper right abdomen, pain that may spread to the right shoulder or back, nausea, vomiting, and sometimes jaundice if a bile duct is blocked.


How can gastritis be managed at home before seeing a doctor?

Gastritis can be managed at home by eating smaller, more frequent meals, avoiding trigger foods such as spicy and fatty foods, and using over-the-counter antacids or H2 blockers to reduce stomach acid. However, these should not replace professional medical advice.


What are the potential complications of a peptic ulcer if left untreated?

If left untreated, a peptic ulcer can lead to serious complications such as bleeding, perforation of the stomach or intestinal wall, and gastric obstruction. These conditions require immediate medical attention.


When should someone with upper abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if someone experiences severe abdominal pain, blood in stool or vomit, unexplained weight loss, difficulty swallowing, or jaundice, as these could indicate serious underlying conditions.


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