[41F] Experiencing stomach cramps and bloating
Patient Description
A 41-year-old female presents with stomach cramps and pain in the upper right and middle abdomen, accompanied by bloating, for the past 4 to 5 days. The pain is described as cramping and constant, worsening with food or drink intake. The patient has observed a small amount of orangeish mucus in stools, with a recent change in bowel habits including hard stools followed by loose stools. There is no reported fever, chills, jaundice, nausea, vomiting, or unexplained weight loss. The patient has a history of Inflammatory Bowel Disease (IBD) diagnosed 16 years ago, migraines since age 7, seasonal allergies since her teenage years, and a minor back surgery in November. Family history includes Crohn's disease and IBS. The patient is a non-user of tobacco, alcohol, or recreational drugs. Current medications include Omeprazole 20mg, Qulipta 50mg, Zyrtec 10mg, Singulair 10mg, and Tri-Sprintec birth control. The patient started Qulipta about a week ago, having previously taken it with a period of discontinuation, and has noticed stomach pains since resuming the medication.
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Arora's Assessment
What might be happening
Based on the information you've provided, the following conditions could be causing your symptoms:
- Gastroesophageal Reflux Disease (GERD): This condition occurs when 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. Symptoms include an uncomfortable burning feeling in your chest, bloating, and stomach discomfort. Omeprazole, which you're taking, is often used to treat GERD.
- Gallstones: These are hardened deposits in the gallbladder that can cause pain in the upper right abdomen. The pain may be associated with meals.
- Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.
- Side effects of medications: Some medications can cause stomach discomfort and bloating. Qulipta, which you recently started taking, can cause stomach pain as a side effect.
What you can do
- Continue taking your prescribed medications as directed by your doctor.
- Try to identify any food or drink that may worsen your symptoms and avoid them.
- Maintain a balanced diet and drink plenty of fluids.
- Regular physical activity can often help reduce feelings of bloating and discomfort.
- Over-the-counter antacids may help with temporary relief of some of your symptoms, but they should not be used long-term without speaking to a healthcare provider.
What you should look out for
You should seek immediate medical attention if you experience any of the following:
- Severe abdominal pain
- Blood in your stool or black, tarry stools
- High fever (over 101°F)
- Persistent or worsening symptoms despite home treatment
Please remember that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.
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11 mo ago
