[46F] Experiencing abdominal pain, diarrhea, hives, and joint pain

Patient Description

A 46-year-old female presents with sharp abdominal pain localized behind the left ribs, associated with nausea and exacerbated by the ingestion of food or drink. The pain has been present for weeks and is temporarily relieved by bowel movements. The patient also reports frequent, very liquid diarrhea, occurring 5-10 times daily for several months, which is unaffected by the type of food or drink consumed. Additionally, the patient has developed an itchy rash consistent with hives on the arms, legs, neck, and back over the past week. Joint pain is described as constant and of moderate severity. The patient has a history of migraines and hypoglycemia, with no other pre-existing conditions or chronic illnesses reported. The patient is currently taking Buspar and has a known allergy to penicillin, which causes hives. There is also a report of black, tarry stools and significant unintentional weight loss, indicating a need for immediate medical evaluation.

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Arora's Assessment

What might be happening

Based on your symptoms, several conditions could be causing your discomfort:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include stomach pain, diarrhea, and nausea. However, this condition usually resolves within a few days and doesn't typically cause a rash or joint pain.

  • Food Allergy or Intolerance: Given your symptoms occur after eating or drinking, a food allergy or intolerance could be a possibility. However, these typically cause immediate symptoms and wouldn't explain your joint pain.

  • Gastritis or Peptic Ulcer Disease: These conditions involve inflammation or damage to the lining of the stomach or upper small intestine. They can cause stomach pain, nausea, and black, tarry stools. However, they don't typically cause diarrhea, hives, or joint pain.

  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right or middle abdomen, especially after eating. However, gallstones don't usually cause diarrhea, hives, or joint pain.

  • Autoimmune conditions: Some autoimmune conditions, such as lupus or celiac disease, can cause a variety of symptoms including stomach pain, diarrhea, rash, and joint pain. Celiac disease can cause symptoms after eating, especially foods containing gluten.

  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause abdominal pain, diarrhea, and sometimes extraintestinal symptoms like skin rash and joint pain.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention. Your doctor may want to perform tests such as blood tests, stool tests, or imaging studies to help determine the cause of your symptoms. In the meantime, try to stay hydrated, especially since you're experiencing frequent diarrhea. Over-the-counter antidiarrheal medication may also be helpful.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unintentional weight loss
  • Fever or chills
  • Difficulty breathing or swallowing
  • Symptoms that persist or worsen

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

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People Also Ask


What could be causing sharp abdominal pain behind the left ribs?

Sharp abdominal pain behind the left ribs could be caused by conditions such as gastritis, peptic ulcer disease, or pancreatitis. It may also be related to issues with the spleen or left kidney. It's important to consult a healthcare provider for an accurate diagnosis.


Why might someone experience frequent, very liquid diarrhea for several months?

Frequent, very liquid diarrhea for several months could be due to chronic conditions like inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), or infections. It could also be related to food intolerances or allergies. A medical evaluation is necessary to determine the exact cause.


What are potential causes of an itchy rash that appears suddenly?

An itchy rash that appears suddenly could be due to an allergic reaction, such as to a medication or food. It could also be a symptom of an autoimmune condition or a skin condition like eczema or psoriasis. Identifying the trigger is crucial for treatment.


How can joint pain be related to gastrointestinal symptoms?

Joint pain related to gastrointestinal symptoms could indicate an autoimmune condition like lupus or inflammatory bowel disease (IBD), where the immune system attacks the body's own tissues, causing inflammation in multiple areas, including the joints and digestive tract.


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