[50F] Experiencing acute upper right side pain

Patient Description

A 50-year-old female is reporting acute pain on the upper right side between the shoulder and hip. The pain is described as sensitive to touch and has been present for 2 days. The severity of the pain is rated as an 8 out of 10. The patient has not mentioned any recent injuries, accidents, or other symptoms that could be associated with the pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible causes for your pain:

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. Pain from gallstones is usually felt in the upper right abdomen and can be severe.

    • Treatment options can range from lifestyle changes to medications to dissolve the gallstones, to surgery in more severe cases.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain from kidney stones can occur in the area between the ribs and hips.

    • Treatment can include pain relievers, drinking lots of water, and in some cases, medical procedures.
  • Musculoskeletal pain: This could be due to a muscle strain or other injury. The pain would typically worsen with movement or pressure.

    • Treatment usually involves rest, ice, and over-the-counter pain relievers.

Please remember, these are just possibilities and not a definitive diagnosis.

What you can do

Given the severity of your pain, it's important to seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor. They can perform a physical examination and potentially order tests like an ultrasound or CT scan to help determine the cause of your pain.
  2. In the meantime, over-the-counter pain relievers may help manage your pain. However, these should be used sparingly and only as directed on the label.
  3. Rest and avoid any strenuous activities that may exacerbate your pain.

What you should look out for

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

  • Fever
  • Nausea or vomiting
  • Yellowing of the skin or eyes (jaundice)
  • Pain that spreads to your back or below the right shoulder blade
  • Changes in the color of your urine or bowel movements

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

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11 mo ago

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People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include severe pain in the upper right abdomen, pain that may spread to the right shoulder or back, nausea, vomiting, and sometimes jaundice. The pain often occurs after eating a fatty meal.


How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment may include drinking plenty of water to help pass the stone, pain relievers, and in some cases, medical procedures like lithotripsy to break up the stones.


What are some home remedies for managing musculoskeletal pain?

Home remedies for managing musculoskeletal pain include resting the affected area, applying ice to reduce swelling, using over-the-counter pain relievers like ibuprofen or acetaminophen, and gentle stretching exercises once the pain begins to subside.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if it is severe and persistent, if you experience fever, nausea, vomiting, jaundice, or if the pain spreads to your back or below the right shoulder blade. Changes in urine or bowel movements also warrant urgent care.


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