[45F] Experiencing severe abdominal and back pain with skin discoloration

Patient Description

A 45-year-old female presents with severe cramping and stabbing abdominal pain radiating to the middle and left side, as well as stabbing and aching back pain. The pain, rated 8/10 in severity, has been present for 3-4 days and is accompanied by red splotches on the skin with a purple tint that turns yellow upon touch. The patient has also noted dark urine and a low-grade fever for a few days. Bowel movements have been soft and more frequent, occurring about four times today. The patient tested negative for Covid-19 and denies any recent injuries. There is no relief from the pain with any activities, and the pain does not require movement to be severe. The patient has not reported any nausea or vomiting.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, here are a few possible conditions:

  • Gallstones or Cholecystitis: These conditions are caused by hard particles that block the bile ducts, causing severe pain in the right side of the abdomen, back pain, and sometimes fever. The pain can be constant or come and go, and can be severe.

    • Treatment usually involves pain management and sometimes surgery to remove the gallbladder.

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the back and side, pain that radiates to the lower abdomen and groin, pain during urination, and dark urine.

    • Treatment can range from pain management to surgical removal of the stone.

  • Appendicitis: This is an inflammation of the appendix, a small organ on the right side of the abdomen. Symptoms can include severe pain in the lower right side of the abdomen, fever, and sometimes nausea and vomiting.

    • Treatment usually involves surgery to remove the appendix.

The skin discoloration you're experiencing may be related to these conditions, or it could be a separate issue. It's also possible that the discoloration is a symptom of jaundice, which can occur if your liver isn't processing bile properly.

What you can do

Given the severity of your symptoms, it's important to seek medical attention immediately. These conditions can be serious if not treated promptly. In the meantime, try to rest and stay hydrated.

What you should look out for

If your pain becomes unbearable, if you start vomiting, or if your fever gets worse, seek emergency medical help immediately. These could be signs of a more serious condition, like a ruptured appendix or a blocked bile duct.

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 professional who can evaluate your condition and provide a formal diagnosis.

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9 mo ago

People Also Ask

What are the common symptoms of gallstones or cholecystitis?

Common symptoms of gallstones or cholecystitis include severe pain in the right side of the abdomen, back pain, fever, nausea, and vomiting. The pain can be constant or intermittent and is often severe.

How can kidney stones cause dark urine?

Kidney stones can cause dark urine due to the presence of blood, which may occur when the stone irritates the urinary tract. Additionally, dehydration, which is common with kidney stones, can also lead to darker urine.

What are the signs that appendicitis might be worsening?

Signs that appendicitis might be worsening include increased abdominal pain, especially in the lower right side, high fever, nausea, vomiting, and a sudden relief of pain followed by a sharp increase, which could indicate a rupture.

What could cause skin discoloration with a purple tint that turns yellow upon touch?

Skin discoloration with a purple tint that turns yellow upon touch could be due to bruising or a condition affecting blood vessels or the liver. It may also be related to jaundice, which occurs when there is a buildup of bilirubin in the blood, often due to liver dysfunction.

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