[38F] Experiencing severe sharp abdominal pain with nausea and slight fever

Patient Description

A 38-year-old female presented with severe, sharp abdominal pain that started today and has been worsening. The pain is centered in the middle of the abdomen and is rated 9/10 in severity. Application of heat provides minimal relief. Accompanying symptoms include nausea and a slight fever. The patient has vomited but has not been eating much. Bowel movements are reported as normal, with no blood in the stool or severe vomiting. The patient denies any recent weight changes, allergies, or medication use, and has no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and vomiting and often comes on very suddenly. Fever, and abdominal pain are also common symptoms.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if a bacterial cause is identified.
  • Gastritis: This is an inflammation of the stomach lining. It can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, or infection with bacteria such as Helicobacter pylori.

    • Treatment typically involves medications to decrease stomach acid, which may help relieve symptoms and promote healing.
  • Peptic Ulcer: These are sores that develop on the lining of the stomach, upper small intestine or esophagus. The most common symptom of a peptic ulcer is stomach pain.

    • Treatment typically involves medications to decrease stomach acid, which may help relieve symptoms and promote healing.
  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause sharp, intense pain in the upper-right part of the abdomen.

    • Treatment typically involves surgery to remove the gallbladder.
  • Pancreatitis: This is inflammation of the pancreas. It can cause severe abdominal pain and is often associated with nausea and vomiting.

    • Treatment typically involves hospitalization for intravenous fluids, pain control, and sometimes surgery.

What you can do

Given the severity of your pain, you should seek immediate medical attention. The cause of your symptoms could be a serious condition that requires urgent treatment.

What you should look out for

Reasons to seek immediate medical attention:

  • If your pain becomes unbearable
  • If you have a high fever (over 101°F)
  • If you start vomiting blood or have blood in your stool
  • If your abdomen becomes distended or hard
  • If you have difficulty breathing

Please remember that while I strive to provide accurate information, I am 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 gastroenteritis and how is it treated?

Common symptoms of gastroenteritis include diarrhea, vomiting, abdominal pain, and fever. Treatment typically involves rest, staying hydrated, and using over-the-counter remedies. If a bacterial cause is identified, antibiotics may be necessary.


How can gastritis be diagnosed and what are the treatment options?

Gastritis can be diagnosed through a medical history review, physical examination, and tests such as endoscopy or breath tests for H. pylori. Treatment often involves medications to reduce stomach acid, which can help relieve symptoms and promote healing.


What are the signs of a peptic ulcer and how is it managed?

Signs of a peptic ulcer include stomach pain, bloating, and indigestion. Management usually involves medications to decrease stomach acid, which can help relieve symptoms and promote healing. In some cases, antibiotics may be needed if H. pylori infection is present.


What are the symptoms of pancreatitis and when should one seek medical attention?

Symptoms of pancreatitis include severe abdominal pain, nausea, and vomiting. One should seek medical attention if the pain is severe, if there is a high fever, or if there are signs of complications such as difficulty breathing or a distended abdomen.


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