[40M] Experiencing severe localized upper right abdominal pain

Patient Description

A 40-year-old male has been experiencing sharp, severe pain localized to the upper right side of the abdomen for 2 days, with a pain severity rated at 8 out of 10. The pain is described as localized without radiation to the back or shoulder. There is tenderness upon palpation, but no relief measures have been effective. The patient reports a normal bowel movement the previous day and no accompanying symptoms such as fever, chills, or jaundice. The patient has no known chronic illnesses, allergies, or current medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause sharp, upper right abdominal pain especially after eating a fatty meal. The pain can be severe and last from a few minutes to several hours.

    • Treatment options for gallstones can range from lifestyle changes to surgical removal of the gallbladder, depending on the severity and frequency of the symptoms.
  • Peptic Ulcer: These are sores that develop on the inside lining of your stomach, upper small intestine or esophagus. They can cause sharp abdominal pain.

    • Treatment typically involves medication to decrease stomach acid and protect the lining of your stomach and duodenum.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your side and back, below your ribs.

    • Treatment for kidney stones varies, depending on the type of stone and the cause.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen can help manage the pain. However, these should not be used as a long-term solution without consulting a healthcare provider.
  2. Hydration: Drink plenty of fluids, especially water, to help prevent dehydration which can exacerbate abdominal pain.
  3. Rest: Try to rest and avoid any strenuous activities that might worsen the pain.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • The pain becomes severe or unbearable
  • The pain is accompanied by other symptoms such as fever, vomiting, yellowing of the skin or eyes, or changes in bowel movements
  • The pain lasts for more than a few days without improvement

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include sharp pain in the upper right abdomen, especially after eating fatty meals, nausea, vomiting, and sometimes jaundice if a stone blocks the bile duct.


How can peptic ulcers be diagnosed?

Peptic ulcers can be diagnosed through a variety of methods including endoscopy, where a camera is used to view the stomach lining, and tests for H. pylori bacteria, which is a common cause of ulcers.


What are the typical treatments for kidney stones?

Treatment for kidney stones can include drinking plenty of water to help pass the stone, pain relievers, and in some cases, medical procedures like lithotripsy to break up larger stones or surgery if the stone is too large to pass.


When should someone with abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if abdominal pain is severe or unbearable, accompanied by symptoms like fever, vomiting, jaundice, or if there are significant changes in bowel movements, or if the pain persists for more than a few days without improvement.


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