[46F] Experiencing sharp upper abdominal pain and constipation

Patient Description

A 46-year-old female presents with sharp upper abdominal pain located just below the bottom left rib, which has been constant and gradually increasing over the past two days. The pain is described as a 'stitch popping' sensation, rated at a severity of 5 out of 10. The patient also reports constipation with no bowel movements in the last two days, although the last bowel movement three days prior was described as normal. The patient has experienced constipation before and is currently feeling dehydrated with some nausea, but no vomiting. There is no recent weight loss, fever, chills, or blood in the stool. The patient's medical history includes bariatric surgery and an allergy to pain medications. The only medication being taken is Ducolax, a stool softener. No other chronic illnesses or medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Constipation: This can cause abdominal pain and discomfort. It can be caused by a variety of factors, including a lack of fiber in the diet, not drinking enough water, or a lack of physical activity. It can also be a side effect of certain medications.

    • Treatment typically involves lifestyle changes such as increasing fiber intake, drinking more water, and increasing physical activity. Over-the-counter laxatives can also be used as a short-term solution.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and constipation or diarrhea, or both.

    • Treatment typically involves long-term management of the condition through diet, lifestyle changes, and stress management. Medications can also be used to manage symptoms.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include diarrhea, abdominal pain, nausea, and dehydration.

    • Treatment typically involves rest and rehydration. Antibiotics may be needed if the cause is bacterial.
  • Diverticulitis: This is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The formation of these pouches is known as diverticulosis. Symptoms can include abdominal pain (usually on the left side), fever, nausea, and a change in bowel habits.

    • Treatment typically involves antibiotics to treat the infection, a temporary liquid diet to allow your colon to heal, and over-the-counter pain relievers. In severe cases, hospitalization or surgery may be required.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  • Increase your intake of fiber and fluids to help alleviate constipation.
  • Try over-the-counter remedies for constipation and abdominal pain.
  • Rest and avoid strenuous activity until you feel better.
  • Monitor your symptoms and seek medical attention if they worsen or persist for more than a few days.

What you should look out for

  • Severe abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Persistent vomiting
  • High fever (temperature over 100.4°F)

These could be signs of a more serious condition that needs immediate medical attention.

Remember, 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

People Also Ask


What are common causes of sharp upper abdominal pain?

Common causes of sharp upper abdominal pain include conditions like constipation, irritable bowel syndrome (IBS), gastroenteritis, and diverticulitis. Other potential causes could be gallstones, pancreatitis, or ulcers. It's important to consult a healthcare provider for an accurate diagnosis.


How can constipation lead to abdominal pain?

Constipation can lead to abdominal pain because the buildup of stool in the intestines can cause bloating and discomfort. The intestines may stretch and contract more forcefully to move the stool, leading to cramping and pain.


What lifestyle changes can help manage constipation?

To manage constipation, increase your intake of dietary fiber by eating more fruits, vegetables, and whole grains. Drink plenty of water to stay hydrated, and engage in regular physical activity to help stimulate bowel movements. Over-the-counter laxatives can be used occasionally, but it's best to consult a healthcare provider for long-term management.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe, persistent, or accompanied by symptoms such as blood in the stool, unexplained weight loss, persistent vomiting, or a high fever. These could be signs of a more serious condition that requires immediate medical evaluation.


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