[48F] Experiencing gastrointestinal and neurological symptoms

Patient Description

A 48-year-old female presents with a constellation of symptoms including cream-colored, milky stool, nausea, vomiting, and right side pain that has been persistent for 3-4 days. The patient describes the pain as a constant dull ache with occasional sharp, stabbing sensations, rating the severity as 7 out of 10. This pain is localized below the ribs on the right side and radiates to the back. Vomiting episodes vary, occurring 1-6 times a day, often as violent dry heaves without specific triggers. The patient also reports confusion and has a medical history significant for lupus diagnosed over 20 years ago, possible early onset dementia noted last year, and multiple hospitalizations due to liver issues. The patient's biological father had liver disease, and she had her gallbladder removed 25 years ago. Currently, she is on Celexa, Buspirone, Dramamine, and Promethazine for months without noted side effects. The patient has allergies to penicillin, tramadol, and experiences issues with morphine. She does not take Tylenol or ibuprofen due to liver concerns and is a gastric sleeve patient.

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Arora's Assessment

What might be happening

Based on the symptoms and medical history you've provided, the following conditions could be considered:

  • Gallstones or Biliary Disease: Given your history of gallbladder removal, it's possible you could be experiencing complications related to this, such as a bile duct obstruction. Symptoms can include right-sided abdominal pain, nausea, vomiting, and changes in stool and urine color.

    • Treatment often involves managing the symptoms and, in some cases, surgery to remove the obstruction.

  • Liver Disease: You mentioned a history of liver failure and your biological father had liver disease. Symptoms of liver disease can include right-sided abdominal pain, changes in stool and urine color, and confusion.

    • Treatment depends on the specific type and stage of liver disease and can range from lifestyle changes to medication to liver transplant.

  • Pancreatitis: Inflammation of the pancreas can cause abdominal pain, nausea, vomiting, and changes in stool color.

    • Treatment often involves hospitalization for pain management and fluid replacement, and avoiding eating or drinking until inflammation subsides.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. It's important to consult with a healthcare professional for a formal diagnosis.

What you can do

  1. Seek immediate medical attention: Given the severity of your symptoms and your medical history, it's important to seek medical help as soon as possible.

  2. Keep track of your symptoms: Note down when your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider make a diagnosis.

  3. Stay hydrated: Vomiting can cause dehydration, so try to drink plenty of fluids.

What you should look out for

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

  • Increased severity or frequency of pain
  • Blood in your stool or vomit
  • Yellowing of your skin or eyes
  • Increased confusion or changes in consciousness
  • Difficulty breathing

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago

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People Also Ask

What could cause cream-colored, milky stool and right-sided abdominal pain?

Cream-colored, milky stool and right-sided abdominal pain can be indicative of biliary issues such as bile duct obstruction, liver disease, or pancreatitis. These conditions can affect bile production and flow, leading to changes in stool color and abdominal pain.

How does a history of gallbladder removal affect current digestive symptoms?

After gallbladder removal, some individuals may experience bile duct complications, such as stones or strictures, which can cause symptoms like abdominal pain, nausea, and changes in stool color. It's important to monitor these symptoms and consult a healthcare provider.

What are the potential complications of liver disease given a family history?

A family history of liver disease can increase the risk of developing similar conditions. Complications can include cirrhosis, liver failure, and increased susceptibility to infections. Regular monitoring and lifestyle modifications are crucial for managing liver health.

How can pancreatitis be identified and treated?

Pancreatitis is characterized by inflammation of the pancreas, leading to symptoms like abdominal pain, nausea, and vomiting. Diagnosis typically involves blood tests and imaging studies. Treatment often requires hospitalization for pain management, fluid replacement, and dietary restrictions until inflammation subsides.

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1 Comments

lexi#4038

9 mo ago

Cream-colored stool with right sided pain might mean you have an issue with secreting bile into your digestive tract. Probably related to liver issues. My sister had similar problems she was an alcoholic and messed up her liver. I think you probably should go to the ER and get the appropriate tests like a CT and ultrasound.

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