[40F] With abdominal and vulvar pain post-fall
Question
Patient Description
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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:
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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.
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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.
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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