[48F] Experiencing severe abdominal and back pain with associated symptoms

Patient Description

A 48-year-old female presents with severe throbbing and stabbing pain in the upper left quadrant of the abdomen and back, persistent for 5 days. The pain is rated 7/10 in severity and is not relieved by any measures. Accompanying symptoms include frequent and violent vomiting of yellow watery content, inability to eat, and pale stools. The patient also reports new onset itching, predominantly affecting the hands and legs, which started 3 days ago. Additionally, the patient has experienced lightheadedness, fainting, and shortness of breath. There is no history of recent injuries, environmental irritants, or contact with individuals with similar symptoms. The patient's urine has become darker. No jaundice is observed. The patient has allergies to Penicillin and Sulfa drugs but is not currently on any medications. There is no known history of chronic illnesses or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

  • Gallstones or Cholecystitis: These are stones that form in the gallbladder, which can cause severe abdominal pain, vomiting, and changes in stool and urine color. Cholecystitis is inflammation of the gallbladder, often caused by gallstones, and can present with similar symptoms.

    • Treatment typically involves pain management, dietary changes, and in some cases, surgery to remove the gallbladder.
  • Pancreatitis: This is inflammation of the pancreas, which can cause severe abdominal and back pain, vomiting, and changes in stool color.

    • Treatment typically involves fasting to rest the pancreas, pain management, and treating the underlying cause.
  • Hepatitis: This is inflammation of the liver, which can cause symptoms such as abdominal pain, dark urine, pale stools, and itching.

    • Treatment depends on the type and cause of hepatitis, but can involve antiviral medications, lifestyle changes, or in severe cases, a liver transplant.

Please note that these are potential conditions based on the symptoms you've described, and it's important to see a healthcare professional for a formal diagnosis.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. In the meantime, try to stay hydrated, especially since you've been vomiting.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek immediate medical attention:

  • Intense pain that worsens
  • Blood in your vomit or stool
  • Difficulty breathing
  • Confusion or difficulty staying awake

Remember, I'm an AI and this advice is based on the symptoms you've described. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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10 mo ago

People Also Ask


What are the common symptoms of gallstones or cholecystitis?

Common symptoms of gallstones or cholecystitis include severe abdominal pain, especially in the upper right or middle part of the abdomen, nausea, vomiting, fever, and changes in stool and urine color. The pain may also radiate to the back or right shoulder.


How is pancreatitis diagnosed and treated?

Pancreatitis is diagnosed through a combination of medical history, physical examination, blood tests to check for elevated levels of pancreatic enzymes, and imaging tests like an abdominal ultrasound or CT scan. Treatment typically involves fasting to allow the pancreas to rest, pain management, IV fluids, and addressing the underlying cause.


What are the signs and symptoms of hepatitis?

Signs and symptoms of hepatitis can include fatigue, abdominal pain, dark urine, pale stools, itching, and jaundice (yellowing of the skin and eyes). However, not all patients will exhibit jaundice, especially in the early stages.


What should I do if I experience severe abdominal pain and vomiting?

If you experience severe abdominal pain and vomiting, it's important to seek medical attention immediately. In the meantime, try to stay hydrated by sipping clear fluids, avoid solid foods, and rest. Do not take any medications without consulting a healthcare professional.


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