[40F] Experiencing severe abdominal pain and neurological symptoms

Patient Description

A 40-year-old female presents with severe, sharp stabbing pain in the right lower abdomen, rated 8 out of 10 in severity, persisting for six days. The pain is localized 4-5 inches right of the belly button and 1 inch from the pelvis bone. The patient also reports a burning sensation in the torso, labored breathing, difficulty speaking, and difficulty walking, requiring assistance. Muscle spasms in the legs and arms are severe, rated 10 out of 10. These symptoms began following a 22-hour vomiting episode due to a stomach bug. The patient has a history of cyclic vomiting syndrome, diagnosed in July 2023, and is allergic to Penicillin. Surgical history includes gallbladder removal and total hysterectomy with ovary removal. Chronic constipation and diarrhea have been present since the gallbladder surgery. Current medications include Nortriptyline, Promethazine, Zofran, Scopolamine, an estrogen patch, multivitamin, Black Cohosh, Estroven, Potassium, and Trazadone. The patient emphasizes the necessity to continue daily activities due to parental responsibilities.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically presents with sharp pain in the lower right abdomen. However, appendicitis usually presents with more acute symptoms and is considered a medical emergency.

  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can cause severe pain in the abdomen and difficulty walking. However, they usually also cause pain in the back and sides, as well as changes in urination.

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as a stomach flu. This could explain the vomiting, diarrhea, and abdominal pain.

  • Musculoskeletal issues: This could explain the muscle spasms and difficulty walking. However, these symptoms are usually associated with an injury or a chronic condition like arthritis.

  • Neurological issues: Difficulty speaking and numbness could be symptoms of a neurological condition. However, these symptoms are usually associated with other symptoms like confusion, changes in vision, or difficulty moving.

What you can do

Given the severity of your symptoms, it's important that you seek medical attention immediately. Please go to the emergency room or call an ambulance if you're unable to transport yourself safely.

What you should look out for

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

  • Increased severity of abdominal pain
  • Blood in your stool or urine
  • High fever (temperature over 100.4°F)
  • Persistent vomiting or inability to keep down fluids
  • Increased difficulty breathing or shortness of breath
  • Increased difficulty walking or inability to move your legs
  • Increased severity or frequency of muscle spasms
  • Any changes in your level of consciousness, such as feeling faint or confused

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important that you seek care from a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain in the lower right abdomen, nausea, vomiting, loss of appetite, fever, and abdominal swelling. The pain often starts near the belly button and then moves to the lower right side.


How can kidney stones cause abdominal pain?

Kidney stones can cause severe abdominal pain when they move into the ureter, causing a blockage. This pain is often felt in the back and sides, below the ribs, and can radiate to the lower abdomen and groin. It may also be accompanied by nausea, vomiting, and changes in urination.


What are the typical symptoms of gastroenteritis?

Typical symptoms of gastroenteritis include diarrhea, vomiting, stomach cramps, nausea, and sometimes fever. It is often caused by a viral or bacterial infection and is commonly referred to as the stomach flu.


What could cause severe muscle spasms and difficulty walking?

Severe muscle spasms and difficulty walking can be caused by a variety of factors, including dehydration, electrolyte imbalances, neurological conditions, or musculoskeletal issues. It is important to seek medical evaluation to determine the underlying cause.


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