[45F] Experiencing abdominal and back pain with gas and bloating

Patient Description

A 45-year-old female presents with a 3-day history of throbbing, burning, and sometimes sharp pain below the left ribs, rib tenderness, and pain in the upper back on the left side. The pain, rated 5-6 on a scale of 10, radiates to the back left side, ribs on the left side, and side. The patient also reports gas and bloating but is unsure if specific foods exacerbate these symptoms. The patient has experienced gas before but has not noticed any black or bloody stools, nor any sudden sharp increases in pain. There is no nausea, vomiting, fever, or unexplained weight loss. The patient has no known allergies, adverse reactions to medications, pre-existing conditions, or chronic illnesses, and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information provided, the following conditions could be causing your symptoms:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and vomiting but can also cause bloating and abdominal pain.

    • Treatment: Rest and rehydration are usually sufficient, but in severe cases, medical attention may be required.
  • Gastritis: This is an inflammation of the stomach lining. It can cause upper abdominal pain, bloating, and gas. It can be caused by excessive alcohol use, chronic vomiting, stress, or the use of certain medications such as aspirin or other anti-inflammatory drugs.

    • Treatment: Over-the-counter antacids can help reduce symptoms. If gastritis is caused by an infection, a doctor may prescribe antibiotics.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right abdomen or in the back. The pain can sometimes be felt in the upper left abdomen as well.

    • Treatment: If gallstones are not causing symptoms, treatment is usually not needed. If they are causing symptoms, surgery to remove the gallbladder may be needed.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can cause severe pain in the side and back, below the ribs.

    • Treatment: Drinking water can help a stone pass naturally. Pain medication can help manage the pain. In some cases, surgery may be needed to remove the stone.
  • Pancreatitis: This is inflammation of the pancreas. It can cause pain in the upper abdomen that radiates to the back.

    • Treatment: Treatment usually involves hospitalization, where you'll receive fluids intravenously, and medications to control pain.

Please note that these are potential causes and you should consult a healthcare professional for a formal diagnosis.

What you can do

  • Drink plenty of fluids to stay hydrated, especially if the pain is accompanied by vomiting or diarrhea.
  • Try over-the-counter remedies for gas and bloating.
  • Avoid foods that make your symptoms worse.
  • Rest and avoid strenuous activities as they may make abdominal pain worse.

What you should look out for

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

  • Severe or worsening abdominal pain
  • Blood in your stool or vomit
  • High fever (over 101°F)
  • Unexplained weight loss
  • Yellowing of the skin or eyes (jaundice)
  • Persistent nausea or vomiting
  • Difficulty breathing or chest pain

Remember, I'm an AI and this advice is based on the information you provided. It's always a good idea 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 gastritis and how is it treated?

Common symptoms of gastritis include upper abdominal pain, bloating, gas, nausea, and sometimes vomiting. Treatment often involves over-the-counter antacids to reduce stomach acid, and if caused by an infection, antibiotics may be prescribed by a doctor.


How can I differentiate between pain caused by kidney stones and gallstones?

Pain from kidney stones is typically severe and located in the side and back, below the ribs, and may radiate to the lower abdomen and groin. Gallstone pain is usually in the upper right abdomen but can sometimes be felt in the upper left abdomen or back. Both conditions can cause nausea and vomiting, but the location and nature of the pain can help differentiate them.


What lifestyle changes can help manage symptoms of gastroenteritis?

To manage symptoms of gastroenteritis, it is important to stay hydrated by drinking plenty of fluids, rest, and avoid foods that can irritate the stomach, such as dairy, caffeine, and spicy foods. Eating small, bland meals can also help.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe or worsening, if you experience blood in your stool or vomit, have a high fever, unexplained weight loss, jaundice, persistent nausea or vomiting, or difficulty breathing or chest pain.


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