[51F] Experiencing upper right abdominal and back pain

Patient Description

A 51-year-old female is presenting with pain in the upper right region of the abdomen and the back. The patient is not pregnant and has not provided any additional details regarding the onset, duration, intensity, or nature of the pain. Further information on any associated symptoms, medical history, or potential exacerbating/relieving factors is not available at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Gallstones: These are hard deposits in your gallbladder that can cause upper abdominal pain. The pain is often severe and may radiate to the back.

    • Treatment often involves surgery to remove the gallbladder. In some cases, medications may be used to dissolve gallstones.
  • Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen that radiates to the back.

    • Treatment usually involves hospitalization, where you'll be given fluids and nutrition through a vein (intravenously) until your pancreas recovers.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs.

    • Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.
  • Peptic ulcer: This is a sore on the lining of your stomach, upper small intestine or esophagus. Pain is usually felt in the upper abdomen.

    • Treatment typically involves medications to decrease stomach acid. If an infection with a bacterium called H. pylori is causing the ulcer, you'll need to take antibiotics.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

While waiting for your appointment with a healthcare professional, you can:

  1. Apply a warm compress to your abdomen to help alleviate pain.
  2. Avoid eating fatty, greasy or spicy foods as these can exacerbate symptoms related to gallstones and peptic ulcers.
  3. Stay hydrated and avoid alcohol, which can worsen pancreatitis and kidney stones.
  4. Over-the-counter pain relievers can help manage pain, but they should be used sparingly and only as directed.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable.
  • You develop a fever or chills.
  • You start vomiting or feel nauseous.
  • Your skin or the whites of your eyes turn yellow (jaundice).
  • You have difficulty breathing.

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

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11 mo ago

People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include sudden and intense pain in the upper right abdomen, pain that radiates to the back or right shoulder, nausea, vomiting, and sometimes jaundice if a bile duct is blocked.


How is pancreatitis diagnosed and treated?

Pancreatitis is diagnosed through blood tests that show elevated levels of pancreatic enzymes, imaging tests like CT scans or ultrasounds, and sometimes MRI. Treatment typically involves hospitalization, fasting to rest the pancreas, pain management, and IV fluids.


What lifestyle changes can help prevent kidney stones?

To help prevent kidney stones, it's recommended to drink plenty of water, reduce salt intake, limit foods high in oxalates (like spinach and nuts), and maintain a diet low in animal protein. Staying active and maintaining a healthy weight can also help.


What are the signs that a peptic ulcer might be present?

Signs of a peptic ulcer include burning stomach pain, bloating, heartburn, nausea, and in severe cases, vomiting blood or having black, tarry stools. Pain often occurs between meals or at night and may be temporarily relieved by eating or taking antacids.


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