[42F] With abdominal pain, nausea, and fever post-gallbladder surgery

Patient Description

A 42-year-old female presents with sharp, stingy pain localized to the right side of her belly button, rated 8 out of 10 in severity, and persisting all day. She also reports nausea, body aches that are dull but become throbbing with movement (also rated 8 out of 10), and a fever of 100.4°F since yesterday, which has been managed with cool showers and 800mg ibuprofen taken twice today. The patient has a history of gallbladder surgery in September 2023, a hysterectomy, and liver enlargement diagnosed five years ago (from 14cm to 28cm). She also experienced a severe sunburn on June 25th, which was red, painful, and blistering, and is now itchy and peeling. She has had changes in bowel movements but no vomiting, and she feels that the upper right side of her belly is swollen. There are no known drug allergies and she is not currently taking any other medications.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, there are several potential conditions that could explain your symptoms:

  1. Appendicitis: The sharp, stingy pain near your belly button, especially on the right side, combined with fever and nausea, could indicate appendicitis. This condition requires urgent medical attention.

    • Treatment: Typically involves surgical removal of the appendix. Immediate medical evaluation is crucial.
  2. Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by infection. Symptoms include nausea, pain, fever, and body aches.

    • Treatment: Usually involves staying hydrated, rest, and sometimes antibiotics if a bacterial infection is suspected.
  3. Gallbladder Issues: Given your recent gallbladder surgery, complications such as bile duct issues or infections could be causing your symptoms.

    • Treatment: May require antibiotics, pain management, or further surgical intervention. Follow-up with your surgeon is recommended.
  4. Liver Issues: Your history of liver enlargement could be related to your current symptoms, especially if the liver is inflamed or infected.

    • Treatment: Depends on the underlying cause but may involve medications, lifestyle changes, or further diagnostic tests.
  5. Sunburn Complications: Severe sunburn can sometimes lead to systemic symptoms like fever and body aches.

    • Treatment: Includes pain relief, hydration, and topical treatments for the skin.

What you can do

  1. Seek Immediate Medical Attention: Given the severity of your symptoms, especially the sharp pain and fever, it is important to see a healthcare provider as soon as possible. Appendicitis and other serious conditions need prompt evaluation.
  2. Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you have a fever.
  3. Pain Management: Continue taking ibuprofen as directed, but do not exceed the recommended dosage. It may help to manage your fever and pain.
  4. Rest: Ensure you get plenty of rest to help your body recover.

What you should look out for

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

  • Worsening Pain: If the pain becomes more severe or spreads.
  • High Fever: If your fever rises above 101.4°F or persists despite taking medication.
  • Vomiting: If you start vomiting or cannot keep fluids down.
  • Signs of Infection: Such as increased redness, swelling, or pus from any surgical sites or sunburned areas.
  • Changes in Bowel Movements: If you notice blood in your stool or severe diarrhea.

Remember, while I can provide information based on your symptoms, it is crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

6 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain near the belly button that often shifts to the lower right abdomen, nausea, vomiting, loss of appetite, fever, and abdominal swelling. Immediate medical attention is necessary if appendicitis is suspected.


How can I differentiate between gastroenteritis and other abdominal issues?

Gastroenteritis typically presents with symptoms such as diarrhea, nausea, vomiting, abdominal cramps, and fever. It can be differentiated from other conditions by the presence of diarrhea and the rapid onset of symptoms. However, a healthcare provider should evaluate persistent or severe symptoms to rule out other conditions.


What complications can arise after gallbladder surgery?

Complications after gallbladder surgery can include bile duct injury, infection, bile leakage, and post-cholecystectomy syndrome, which may cause symptoms like abdominal pain and digestive issues. Follow-up with a healthcare provider is important if complications are suspected.


How does liver enlargement affect overall health?

Liver enlargement, or hepatomegaly, can affect overall health by causing symptoms such as abdominal pain, fatigue, jaundice, and swelling. It may indicate underlying conditions like liver disease, heart failure, or cancer, and requires medical evaluation to determine the cause and appropriate treatment.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback