[51M] Experiencing abdominal pain with bloating

Patient Description

A 51-year-old male reports a week-long history of burning and stabbing pain in the right abdomen, spreading from behind the ribs down to the hip. The pain is rated as moderate (5/10) and is accompanied by bloating, particularly after eating. The patient also experiences slight burning during urination, though urine color remains normal. Bowel movements occur as of this morning, with the stool described as narrow but otherwise normal. There is no relief from the abdominal pain reported. There is a recent history of rectal cancer treatment, but no current medications are being taken, and there are no known drug allergies. No family history of gastrointestinal diseases is reported, and there are no other symptoms such as fever, chills, blood in urine or stool, or significant nausea and vomiting.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the upper right abdomen and back, especially after eating a fatty meal. The pain can be sharp and may come and go. Gallstones can also cause bloating, nausea, and an increase in gas.

    • Treatment typically involves surgery to remove the gallbladder, especially if the stones are causing symptoms. In some cases, medications may be used to dissolve the stones.
  • 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, and may spread to the lower abdomen and groin. The pain may come in waves and fluctuate in intensity. You might also experience pain during urination.

    • Treatment for kidney stones varies depending on the size of the stone and its location. Small stones with minimal symptoms can be managed with pain relief and drinking lots of water to help pass the stone. Larger stones may require more invasive treatments.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms include abdominal pain, bloating, nausea, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be needed if bacteria or parasites are the cause.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare provider for a proper evaluation.

What you can do

  1. Drink plenty of water: This can help with hydration, especially if you're experiencing any diarrhea.
  2. Over-the-counter pain relief: Non-prescription medications like acetaminophen can help manage the pain.
  3. Rest: Try to get plenty of rest to help your body recover.
  4. Diet: Try to eat light, bland foods (like rice, bananas, or toast) until your symptoms improve.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe pain that stops you from living your normal life
  • Blood in your stool or urine
  • High fever (temperature over 100.4°F)
  • Rapid heartbeat
  • Shortness of breath
  • Persistent vomiting or inability to keep down fluids
  • Yellowing of the skin or eyes (jaundice)

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important to consult with a healthcare provider for a proper evaluation.

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10 mo ago

People Also Ask


What are the common symptoms of gallstones?

Common symptoms of gallstones include sharp pain in the upper right abdomen or back, especially after eating fatty meals, bloating, nausea, and increased gas. The pain may come and go.


How can kidney stones be treated at home?

For small kidney stones, treatment at home includes drinking plenty of water to help pass the stone, taking over-the-counter pain relief like ibuprofen or acetaminophen, and possibly using a heating pad to ease discomfort.


What dietary changes can help alleviate bloating and abdominal pain?

To alleviate bloating and abdominal pain, try eating light, bland foods such as rice, bananas, or toast. Avoid fatty, spicy, or greasy foods, and consider eating smaller, more frequent meals.


When should I seek immediate medical attention for abdominal pain?

Seek immediate medical attention if you experience severe pain that disrupts daily activities, blood in stool or urine, high fever, rapid heartbeat, shortness of breath, persistent vomiting, or jaundice.


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