[44M] Experiencing intense vomiting and severe lower right abdominal and back pain

Patient Description

A 44-year-old male presents with intense vomiting, having vomited 9 times in the past hour and a half. The vomit is described as yellow and green, without the presence of blood or material resembling coffee grounds. Accompanying the vomiting is a severe dull and pressurized pain in the lower right abdomen, rated 8 out of 10 in intensity, which has been persistent for a few hours and is not relieved by any measures. The patient also reports a dull pain in the lower right back, rated 6 out of 10, which has been occurring for the same duration as the abdominal pain. The patient's last bowel movement was earlier today, described as regular and brown in color. There are no reported fever or chills. The patient has not specified any activities that exacerbate the back pain.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Appendicitis: This is an inflammation of the appendix, a small tube connected to the large intestine. It's located in the lower right abdomen, which matches the location of your pain. Symptoms typically include a dull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen, as well as nausea and vomiting.

    • Treatment typically involves surgical removal of the appendix. Antibiotics may also be given before the surgery to fight possible peritonitis.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the side and back, below the ribs. It may also spread to the lower abdomen and groin. Nausea and vomiting can also occur.

    • Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus or bacteria. Symptoms include abdominal pain, vomiting, and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter medications. Antibiotics may be needed if bacteria are the cause.

Please remember that these are possibilities and not a definitive diagnosis.

What you can do

You should seek immediate medical attention. The combination of severe abdominal pain and frequent vomiting is concerning and should be evaluated by a healthcare professional as soon as possible.

What you should look out for

  • If your pain becomes more severe or localized
  • If you develop a fever
  • If you are unable to keep down fluids
  • If you notice blood in your vomit or stool

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include a dull pain near the navel or upper abdomen that becomes sharp as it moves to the lower right abdomen, nausea, vomiting, loss of appetite, and sometimes fever.


How can kidney stones cause abdominal and back pain?

Kidney stones can cause severe pain as they move through the urinary tract. This pain often starts in the side and back, below the ribs, and can spread to the lower abdomen and groin. The movement of the stones can also cause nausea and vomiting.


What are the typical treatments for gastroenteritis?

Typical treatments for gastroenteritis include rest, staying hydrated by drinking plenty of fluids, and taking over-the-counter medications to relieve symptoms. If the cause is bacterial, antibiotics may be prescribed.


When should someone seek medical attention for vomiting and abdominal pain?

Medical attention should be sought if there is severe abdominal pain, frequent vomiting, inability to keep down fluids, or if there is blood in the vomit or stool. These symptoms can indicate a serious condition that requires prompt evaluation by a healthcare professional.


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