[42M] Experiencing abdominal pain, swelling, fatigue, nausea, hot flashes, and disorientation

Patient Description

A 42-year-old male has been experiencing sharp abdominal pain on both sides, a sensation of swelling and bloating in the lower abdomen, fatigue, nausea without vomiting, hot flashes, and disorientation for the past 3 days. The abdominal discomfort is described as unusual, with a feeling similar to needing to pass gas but being unable to do so. The patient also reports experiencing long-lasting dizziness and occasional chills, but has not measured his temperature to confirm a fever. The symptoms of nausea and hot flashes have been persistent throughout the day without any identified triggers. The patient has not noticed any recent changes in weight, urination patterns, or stool color, except for a notably dark brown stool the day before. No pre-existing medical conditions or medications were reported. Given the severity and range of symptoms, especially the sharp abdominal pain, swelling, and disorientation, it is advisable for the patient to seek immediate medical attention to rule out serious conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include abdominal pain, bloating, nausea, and fatigue. It usually resolves on its own within a few days.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to alleviate symptoms.
  • Irritable Bowel Syndrome (IBS): This is a chronic disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits. The exact cause of IBS is unknown.

    • Treatment usually focuses on long-term management of symptoms and may include dietary changes, medication, and stress management.
  • Gastritis: This is an inflammation of the stomach lining, often caused by a bacterial infection or prolonged use of certain medications like NSAIDs. Symptoms can include abdominal pain, bloating, nausea, and fatigue.

    • Treatment typically involves medication to reduce stomach acid and possibly antibiotics if a bacterial infection is present.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain if they block the bile ducts. Symptoms can include severe abdominal pain, nausea, and fever.

    • Treatment may involve medication to dissolve the stones or surgery to remove the gallbladder.

Please note that these are just possibilities 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: Drink plenty of fluids to avoid dehydration, especially if you're feeling nauseous.
  2. Rest: Make sure you're getting enough sleep and taking it easy as much as possible.
  3. Over-the-counter medication: Consider over-the-counter remedies for gas and bloating, such as simethicone.
  4. Diet: Try to eat small, light meals and avoid foods that are high in fat or spice, which can irritate the digestive system.
  5. Seek medical attention: If your symptoms persist or worsen, seek medical attention.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or vomit
  • High fever (temperature over 100.4°F)
  • Signs of dehydration, such as dark urine, dry mouth, and feeling extremely thirsty
  • Unexplained weight loss

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

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10 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What could be causing sharp abdominal pain and bloating?

Sharp abdominal pain and bloating can be caused by various conditions such as gastroenteritis, irritable bowel syndrome (IBS), gastritis, or gallstones. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between gastroenteritis and irritable bowel syndrome (IBS)?

Gastroenteritis is usually acute and often accompanied by symptoms like diarrhea and vomiting, while IBS is a chronic condition with symptoms like cramping, abdominal pain, and changes in bowel habits. A healthcare provider can help differentiate between the two based on symptoms and medical history.


What are the common symptoms of gallstones?

Common symptoms of gallstones include severe abdominal pain, especially in the upper right or center of the abdomen, nausea, vomiting, and sometimes fever. The pain may occur after eating a fatty meal.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention if you experience severe abdominal pain, blood in your stool or vomit, a high fever, signs of dehydration, or unexplained weight loss.


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1 Comments


Patt#4036

10 mo ago

As someone with a former GI obstruction my doctor told me that if I stop being able to pass gas and stool or notice abormal bloating and pain I should go right to the ER. it doesn't quite sound like that's happening to you yet, but just fyi

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