[41F] Experiencing persistent abdominal pain and weight loss

Patient Description

A 41-year-old female presents with a 10-day history of persistent abdominal pain. The pain is described as a pressure sensation located in the center of the stomach, with an intensity described as 19, although the scale typically ranges from 1 to 10. The patient reports that the pain is not relieved by any measures. Stool is described as soft, and there are no accompanying symptoms of fever or chills. The patient also notes experiencing weight loss. There is no mention of the pain being related to specific times of the day or after eating certain foods. No other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you're experiencing abdominal pain and weight loss. Here are a few possibilities:

  • Gastritis: This is inflammation of the stomach lining, which can cause a gnawing or burning ache in your upper abdomen. It can be caused by factors such as long-term use of aspirin or other nonsteroidal anti-inflammatory drugs, infections with bacteria such as H. pylori, or excessive alcohol use.

    • Treatment typically involves medications to decrease stomach acid, which can help speed the healing of the stomach lining.
  • Peptic Ulcer: These are sores that develop on the inside lining of your stomach. They can cause a burning sensation or pain in the middle or upper stomach between meals or at night. They can also lead to weight loss.

    • Treatment often involves medications to reduce stomach acid and antibiotics to kill H. pylori bacteria if they're present.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. It can cause abdominal pain and weight loss, among other symptoms.

    • Treatment usually involves rest, hydration, and over-the-counter medications.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing pain and potentially leading to weight loss.

    • Treatment typically involves lifestyle changes and over-the-counter medications.

Please remember that this is not an exhaustive list and other conditions could also be responsible for your symptoms.

What you can do

Given the duration and intensity of your symptoms, it's important to seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your healthcare provider. They can perform a physical examination and may order tests such as blood work, an endoscopy, or imaging to help determine the cause of your symptoms.
  2. Keep a symptom diary. Note when your abdominal pain occurs, its severity, and any potential triggers (like certain foods or stress). This can help your healthcare provider in their evaluation.
  3. Stay hydrated and maintain a balanced diet. This can help manage your symptoms and prevent further weight loss.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or increasing abdominal pain
  • Blood in your stool or vomit
  • High fever (temperature over 100.4°F)
  • Symptoms of dehydration, such as dry mouth, extreme thirst, little to no urination, or dizziness when standing up

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with 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 causes of persistent abdominal pain?

Persistent abdominal pain can be caused by a variety of conditions including gastritis, peptic ulcers, gastroenteritis, and gastroesophageal reflux disease (GERD). Other potential causes could include gallstones, pancreatitis, or irritable bowel syndrome (IBS). It's important to consult a healthcare provider for an accurate diagnosis.


How can weight loss be related to abdominal pain?

Weight loss can be related to abdominal pain if the pain affects appetite or the ability to eat. Conditions like peptic ulcers or GERD can cause discomfort that leads to reduced food intake. Additionally, some gastrointestinal conditions may affect nutrient absorption, contributing to weight loss.


What are the typical treatments for gastritis and peptic ulcers?

Gastritis is typically treated with medications that reduce stomach acid, such as proton pump inhibitors or H2 blockers, and sometimes antibiotics if an H. pylori infection is present. Peptic ulcers are treated similarly, with acid-reducing medications and antibiotics if H. pylori is involved. Lifestyle changes, such as avoiding NSAIDs and alcohol, may also be recommended.


When should someone with abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if abdominal pain is severe or worsening, if there is blood in the stool or vomit, if a high fever is present, or if there are symptoms of dehydration such as dry mouth, extreme thirst, or dizziness when standing up.


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