[46F] Experiencing acute abdominal pain and persistent diarrhea

Patient Description

A 46-year-old female presents with acute abdominal pain located above the uterus, described as sharp and stabbing, with episodes of pain that come and go. The onset of abdominal pain was this morning, and it has been accompanied by persistent watery diarrhea throughout the day. The patient has been unable to eat and has been trying to manage the pain with water and bitters. She has also experienced a headache for the past three days, neck and shoulder stiffness, and episodes of feeling extremely cold, which improve with warmth from a blanket. The patient is currently taking Lexapro and has no known allergies or pre-existing conditions. There is no reported confusion, dizziness, or decrease in urination.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the digestive tract, typically resulting from a viral, bacterial, or parasitic infection. Common symptoms include abdominal pain, diarrhea, and sometimes fever and chills. Dehydration is a concern with diarrhea, so be sure to stay hydrated.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics or antiparasitics may be prescribed if a specific organism is identified.
  • Migraine: Your description of a headache that starts at the back of the neck and extends to the head and temples is consistent with a common type of migraine. Migraines can sometimes be accompanied by other symptoms such as nausea, vomiting, and sensitivity to light.

    • Treatment usually involves rest, hydration, and over-the-counter or prescription pain relievers. Some people find that avoiding certain triggers can help prevent migraines.
  • Tension headache: This is a common type of headache characterized by a dull, aching sensation all around the head. It is often described as a feeling of a tight band or dull ache around the head or behind the eyes. These headaches are often related to stress, depression, or anxiety.

    • Over-the-counter pain relievers such as ibuprofen or aspirin can be effective. Lifestyle modifications, such as stress management and improved posture, can also help.

Please note that these are possibilities based on the symptoms you've described. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids to replace those lost from diarrhea. Water is good, but adding broth, juice, or oral rehydration solutions can also help replace lost electrolytes.

  2. Rest: Your body needs energy to fight off the virus. Getting extra sleep can help.

  3. Over-the-counter remedies: Over-the-counter pain relievers can help with the headache and abdominal pain. Over-the-counter remedies can also help with diarrhea.

  4. Avoid triggers: If you notice that certain foods or activities make your symptoms worse, try to avoid them.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Blood in your stool or black, tarry stools
  • High fever (above 101.3°F)
  • Symptoms of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness
  • Symptoms that last longer than a week

Please remember that while I strive to provide accurate and helpful health information, this is not a substitute for professional medical advice.

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11 mo ago

People Also Ask


What are the common causes of acute abdominal pain with diarrhea?

Common causes of acute abdominal pain with diarrhea include gastroenteritis, food poisoning, irritable bowel syndrome, and infections. It's important to monitor symptoms and consult a healthcare professional for an accurate diagnosis.


How can I differentiate between a migraine and a tension headache?

Migraines often present with a throbbing headache, sensitivity to light, and nausea, while tension headaches are characterized by a dull, aching sensation around the head, often described as a tight band. Identifying triggers and symptom patterns can help differentiate them.


What are the signs of dehydration to watch out for when experiencing diarrhea?

Signs of dehydration include dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, and lightheadedness. It's crucial to stay hydrated, especially when experiencing diarrhea.


What over-the-counter remedies can help alleviate symptoms of gastroenteritis?

Over-the-counter remedies for gastroenteritis symptoms include pain relievers like ibuprofen for headaches and abdominal pain, and anti-diarrheal medications like loperamide. It's important to stay hydrated and consult a healthcare professional if symptoms persist.


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