[41F] Experiencing severe abdominal pain and additional symptoms

Patient Description

A 41-year-old female presents with severe, persistent abdominal pain described as a burning, gnawing sensation. The pain, which has been present for 8 days, intensifies upon eating or drinking. Accompanying symptoms include fatigue, morning nausea, and occasional sharp chest pain that correlates with the severity of the abdominal pain. The patient also reports mild swelling on the tops of her feet and hands, primarily in the morning. The patient's surgical history includes cholecystectomy, appendectomy, and hysterectomy due to severe endometriosis. No known allergies or chronic conditions are reported, and the patient is not currently on any medications. Previous surgeries were performed in 2003 and 2005. No relief has been found for the current symptoms, and the patient has rated the abdominal pain as 10 out of 10 in severity.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or damage to the lining of the stomach or upper small intestine, respectively. They can cause abdominal pain, nausea, and sometimes changes in bowel habits. The pain is often described as a burning or gnawing sensation and can be worse after eating or drinking.

    • Treatment typically involves medications to reduce stomach acid and possibly antibiotics if a bacteria called H. pylori is involved.
  • Pancreatitis: Inflammation of the pancreas can cause severe abdominal pain, nausea, and changes in bowel habits. The pain can sometimes radiate to the back or chest.

    • Treatment usually involves fasting to rest the pancreas, pain management, and treating the underlying cause.
  • Gastroesophageal Reflux Disease (GERD): This condition is characterized by stomach acid frequently flowing back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause chest pain.

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

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis.

What you can do

  1. Make an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may want to perform tests or refer you to a specialist.
  2. In the meantime, try to avoid foods and drinks that can irritate your stomach, such as spicy foods, alcohol, and caffeine.
  3. Over-the-counter antacids may provide some temporary relief, but they are not a long-term solution.
  4. Rest and stay hydrated.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You vomit blood or have blood in your stool
  • You become lightheaded, dizzy, or faint
  • Your symptoms continue to worsen

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of gastritis or peptic ulcer disease?

Common symptoms of gastritis or peptic ulcer disease include a burning or gnawing abdominal pain, nausea, vomiting, bloating, and sometimes changes in bowel habits. The pain often worsens after eating or drinking.


How is pancreatitis diagnosed and treated?

Pancreatitis is diagnosed through blood tests to check for elevated levels of pancreatic enzymes, imaging tests like CT scans or ultrasounds, and sometimes MRI. Treatment involves fasting to rest the pancreas, pain management, and addressing the underlying cause, such as gallstones or alcohol use.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes to manage GERD symptoms include avoiding foods and drinks that trigger reflux (such as spicy foods, alcohol, and caffeine), eating smaller meals, not lying down immediately after eating, losing weight if overweight, and elevating the head of the bed.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if it becomes severe or unbearable, if you vomit blood or have blood in your stool, if you become lightheaded, dizzy, or faint, or if your symptoms continue to worsen.


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