[41M] Experiencing sharp, intermittent abdominal pain with rectal bleeding

Patient Description

A 41-year-old male presents with sharp, intermittent abdominal pain that is located above the belly button and below the ribs. The pain, which started today, is severe, rated 8 out of 10, and is alleviated somewhat by breathing in, but worsens significantly upon breathing out. The patient also reports diarrhea with a bowel movement occurring approximately 4 hours ago, featuring mixed textures. Additionally, there is a history of rectal bleeding for the past 4 days, with bright red blood noted on the tissue, although this symptom is improving today. The patient has an adverse reaction to Biaxin but is not currently on any medications and reports no known allergies. There are no other chronic illnesses or pre-existing conditions, and no fever or chills have been reported.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause diarrhea, abdominal pain, and sometimes rectal bleeding, especially if the diarrhea is severe.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if a bacterial infection is suspected.
  • Gastric ulcers or Gastritis: These are sores or inflammation in the lining of the stomach. They can cause sharp, intermittent abdominal pain and sometimes rectal bleeding.

    • Treatment usually involves medications to reduce stomach acid and protect the stomach lining. In some cases, antibiotics may be needed.
  • Diverticulitis: This is inflammation or infection of small pouches called diverticula that can develop along the walls of the intestines. It can cause sharp abdominal pain and changes in bowel habits.

    • Treatment usually involves antibiotics and a temporary change to a low fiber diet.
  • Gastrointestinal bleeding: This could be due to a variety of conditions, including hemorrhoids, anal fissures, diverticulosis, or more serious conditions like colorectal cancer. The bright red blood on the tissue suggests the bleeding is coming from the lower part of your digestive tract.

    • Treatment depends on the underlying cause.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Stay hydrated: Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol and caffeine, which can make dehydration worse.
  2. Rest: Your body needs energy to fight off the infection. Getting rest can help.
  3. Over-the-counter remedies: There are over-the-counter medications that can help manage diarrhea and abdominal pain. However, you should consult with a healthcare provider before starting any new medication.
  4. Monitor your symptoms: Keep track of any changes in your symptoms, as this can be helpful information for your healthcare provider.

What you should look out for

Seek immediate medical attention if:

  • Your abdominal pain becomes severe or unbearable
  • You see a large amount of blood or clots in your stool
  • You have a fever of 100.4°F (38°C) or higher
  • You have signs of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness
  • Your symptoms persist for more than a few days or worsen over time

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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11 mo ago

People Also Ask


What are the common causes of sharp, intermittent abdominal pain?

Common causes of sharp, intermittent abdominal pain include gastroenteritis, gastritis, gastric ulcers, diverticulitis, and gastrointestinal bleeding. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between gastroenteritis and gastritis based on symptoms?

Gastroenteritis often presents with diarrhea, vomiting, and abdominal cramps, while gastritis typically involves upper abdominal pain, nausea, and sometimes vomiting. Both can cause abdominal pain, but gastroenteritis is more likely to include diarrhea.


What should I do if I notice bright red blood in my stool?

If you notice bright red blood in your stool, it could be due to hemorrhoids, anal fissures, or other lower gastrointestinal issues. It's important to monitor the amount and frequency of bleeding and consult a healthcare provider, especially if it persists or is accompanied by other symptoms.


How can I manage diarrhea and prevent dehydration at home?

To manage diarrhea and prevent dehydration, drink plenty of fluids like water, oral rehydration solutions, or clear broths. Avoid caffeine and alcohol. Rest and consider over-the-counter remedies for diarrhea, but consult a healthcare provider before starting any new medication.


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