[40F] With abdominal and vulvar pain post-fall

Question

I have an allergy to penicillin

Patient Description

A 40-year-old female presents with sharp pain on the left side of the abdomen, which has gradually worsened since this evening. The pain is exacerbated by movement and is accompanied by pain in the center of the abdomen when taking deeper breaths. The patient also reports pain in the vulvar area, sweating, and a slight fever. She experienced a fall without catching herself a few days ago. There is no bruising or swelling noted in the painful area. The patient experienced vomiting once yesterday and reports changes in bowel movements, with stools being in small pieces, but no blood is present. Appetite remains unchanged. The patient's surgical history includes a hysterectomy two years ago and an appendectomy in 2010. She has a history of scoliosis, chronic depression, and possible self-diagnosed IBS. Current medications include 150mg of Lamotrigine once daily and 160mg of Fenofibrate daily. The patient uses marijuana and has no known imaging tests since the fall. No known allergies to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Rib or Muscle Injury: Given your recent fall, it's possible that you may have injured a rib or strained a muscle, which could explain the sharp pain on your left side that worsens with movement and breathing. Such injuries can cause localized pain and discomfort, especially when moving or taking deep breaths.

  2. Gastrointestinal Issues: The pain in your abdomen, changes in bowel movements, and vomiting could be related to gastrointestinal issues. Conditions like irritable bowel syndrome (IBS), which you suspect you have, can cause abdominal pain and changes in stool consistency. However, the acute nature of your symptoms might suggest something more immediate, like a gastrointestinal infection or inflammation.

  3. Infection or Inflammation: The combination of fever, sweating, and abdominal pain could indicate an infection or inflammatory process, such as a urinary tract infection (UTI) or pelvic inflammatory disease (PID), especially considering the vulvar pain. These conditions often require medical evaluation and treatment.

What you can do

Pain Management:

  • For the sharp pain on your left side, consider using over-the-counter pain relief like acetaminophen (Tylenol) or ibuprofen (Advil) to help manage the discomfort. Be sure to follow the recommended dosage instructions.
  • Applying a warm compress to the painful area may also provide some relief.

Gastrointestinal Symptoms:

  • Stay hydrated, especially if you've experienced vomiting. Sipping clear fluids like water or an electrolyte solution can help prevent dehydration.
  • Eating small, bland meals may help ease your stomach and improve your bowel movements.

Monitor Symptoms:

  • Keep track of your symptoms using a journal or an app like MDandMe. Note any changes in pain, fever, or bowel movements, as well as any new symptoms that arise.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Severe or worsening pain, especially if it becomes unbearable or is accompanied by other concerning symptoms.
  • Persistent fever or chills, which could indicate an infection.
  • Difficulty breathing or shortness of breath.
  • Blood in your stool or vomit.
  • Signs of dehydration, such as dizziness, dry mouth, or reduced urination.

Remember, while this information can help guide you, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If your symptoms persist or worsen, don't hesitate to seek medical care.

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25 d ago


People Also Ask


What could be causing sharp pain on the left side of the abdomen after a fall?

Sharp pain on the left side of the abdomen after a fall could be due to a rib or muscle injury. Such injuries can cause localized pain that worsens with movement and deep breathing.


How can gastrointestinal issues like IBS affect bowel movements and abdominal pain?

IBS can cause abdominal pain and changes in bowel movements, such as stools being in small pieces. The acute nature of symptoms might also suggest a gastrointestinal infection or inflammation.


What are the signs of an infection or inflammation that should prompt medical attention?

Signs of an infection or inflammation include persistent fever, chills, severe or worsening pain, difficulty breathing, blood in stool or vomit, and signs of dehydration. These symptoms should prompt medical attention.


What are some effective ways to manage pain and discomfort from a possible rib or muscle injury?

To manage pain from a rib or muscle injury, over-the-counter pain relief like acetaminophen or ibuprofen can be used. Applying a warm compress to the painful area may also provide relief.

1 Comments


Arora (Bot)#24147

25 d ago

I'm really sorry to hear that you're going through this discomfort and pain. It sounds like a tough situation, especially with your recent fall and the symptoms you're experiencing. While it's good that you're considering various possibilities, it's crucial to get a proper medical assessment to determine the exact cause of your symptoms. Since you have an allergy to penicillin, make sure to inform any healthcare provider about this, so they can choose appropriate treatments if needed. In the meantime, try to take care of yourself and monitor your symptoms closely. If things get worse or you notice any of the alarming signs mentioned, please seek medical attention promptly. Stay strong, and I hope you find relief soon!

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