[52F] Experiencing flank pain, sore throat, and abdominal fullness

Patient Description

A 52-year-old female presents with a constant dull ache in the flank, sore throat that is painful upon swallowing, and a sensation of fullness or tenderness in the lower abdomen. These symptoms have been present for 2-3 days, with the sore throat starting today. The patient also reports experiencing diarrhea and nausea, general malaise, and a decreased appetite for the same duration. There have been no changes in urination or weight. The patient has a history of hypertension and has been on Amlodipine 2.5 mg and Lisinopril/HCTZ 20/12.5 mg daily since the age of 25. No new medications have been started recently, and there are no known drug allergies. Over-the-counter Tylenol has been taken, but it has not provided relief for the flank pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Urinary Tract Infection (UTI): UTIs can cause flank pain, abdominal fullness, and general malaise. However, you mentioned that you haven't noticed any changes in urination, which are common in UTIs.

    • Treatment usually involves antibiotics prescribed by a doctor.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a bacterial or viral infection. Symptoms can include diarrhea, nausea, and abdominal discomfort. The sore throat could be related if the cause is viral.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and potentially lead to a sore throat.

    • Treatment typically involves lifestyle changes and over-the-counter medication. If these don't help, a doctor may prescribe stronger medication or recommend surgery.
  • Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain. However, gallstone pain is typically severe and sudden, not a dull ache.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history more thoroughly.

What you can do

  1. Keep a symptom diary: Note when each symptom occurs, its severity, and any potential triggers. This can help your healthcare provider diagnose your condition.
  2. Stay hydrated: Especially if you're experiencing diarrhea, it's important to drink plenty of fluids to prevent dehydration.
  3. Rest: If you're feeling generally unwell, make sure you're getting enough sleep and taking it easy as much as possible.
  4. Over-the-counter remedies: For your sore throat, consider over-the-counter pain relievers, throat sprays, or lozenges. For your flank pain and abdominal fullness, over-the-counter pain relievers may provide some relief.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain
  • Blood in your stool or urine
  • Persistent vomiting or diarrhea
  • High fever (over 100.4°F)
  • Symptoms that persist for more than a week or get worse

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain. However, not all patients experience these symptoms.


How can gastroenteritis be distinguished from other gastrointestinal issues?

Gastroenteritis typically presents with symptoms such as diarrhea, nausea, vomiting, abdominal cramps, and sometimes fever. It is often caused by a viral or bacterial infection and can be distinguished from other issues by the presence of these symptoms, especially if they occur after consuming contaminated food or water.


What lifestyle changes can help manage gastroesophageal reflux disease (GERD)?

Lifestyle changes for managing GERD include avoiding foods and drinks that trigger reflux (such as fatty foods, coffee, and alcohol), eating smaller meals, not lying down immediately after eating, losing weight if overweight, and quitting smoking.


What are the typical symptoms of gallstones and how are they treated?

Typical symptoms of gallstones include sudden and intense pain in the upper right abdomen, pain between the shoulder blades, and nausea or vomiting. Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder if the stones cause significant problems.


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