[51F] With severe left-sided rib pain and neurological symptoms

Patient Description

A 51-year-old female presents with severe, sharp, knife-like pain on the left side near the ribs, which has gradually worsened over a few hours. The pain is constant but ebbs and flows. The patient has also experienced vomiting three times today. Additional symptoms include a migraine, dizziness, and the onset of double vision today. There is no history of recent injury or physical strain, and no difficulty breathing has been noted. The patient reports no relief from the double vision and no specific triggers for the migraine have been identified.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

  1. Migraine with Aura: Your ongoing migraine, along with dizziness and double vision, could be part of a migraine with aura. This type of migraine can cause visual disturbances and other neurological symptoms. However, the addition of severe left-sided rib pain and vomiting is unusual for a typical migraine.

  2. Serious Condition: The combination of severe, sharp pain near your ribs, vomiting, dizziness, and double vision could indicate a more serious condition, such as a neurological issue or even a cardiovascular event. It's important to rule out conditions like a stroke or other urgent medical issues.

  3. Gastrointestinal or Musculoskeletal Issue: The sharp, knife-like pain near your ribs could also be related to a gastrointestinal issue, such as pancreatitis, or a musculoskeletal problem, like a rib fracture or muscle strain, although you mentioned no recent injuries.

What you can do

Given the severity and combination of your symptoms, I strongly recommend seeking immediate medical attention. Here are some steps you can take:

  • Visit an Emergency Room: It's crucial to have a healthcare professional evaluate your symptoms in person to provide the appropriate care. They may perform tests such as imaging or blood work to determine the cause of your symptoms.

  • Call 911: If you feel that your symptoms are worsening, or if you experience any new symptoms like difficulty breathing or loss of consciousness, please call 911 or have someone take you to the hospital immediately.

  • Keep Track of Symptoms: While waiting for medical attention, try to keep track of any changes in your symptoms, as this information can be helpful for healthcare providers.

Please take care and prioritize getting medical attention as soon as possible. Your health and safety are important, and a healthcare professional can provide the best guidance and treatment.

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5 mo ago

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People Also Ask


What could cause severe, sharp pain near the ribs along with vomiting?

Severe, sharp pain near the ribs along with vomiting could be caused by a variety of conditions, including gastrointestinal issues like pancreatitis, or musculoskeletal problems such as a rib fracture. However, it's important to seek medical attention to rule out more serious conditions.


Can migraines cause symptoms like dizziness and double vision?

Yes, migraines can cause symptoms like dizziness and double vision, especially if it's a migraine with aura. However, these symptoms combined with severe rib pain and vomiting are unusual for a typical migraine, and further evaluation is needed.


What are the potential serious conditions associated with these symptoms?

The combination of severe rib pain, vomiting, dizziness, and double vision could indicate serious conditions such as a neurological issue or a cardiovascular event like a stroke. It's important to seek immediate medical evaluation to rule out these possibilities.


What should I do if I experience these symptoms?

If you experience these symptoms, it's crucial to seek immediate medical attention. Visit an emergency room or call 911 if symptoms worsen or new symptoms like difficulty breathing occur. Keeping track of symptom changes can also be helpful for healthcare providers.


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