[52F] With severe lower abdominal pain and vomiting
Question
I am in ER now, teaching hospital. And I was second opinion hunting... thank you.you have been helpful if you still confirmed my worst possible scinerionlo still on the table for conclusion but I'm in right spot .
Patient Description
A 52-year-old female presents with sudden, severe stabbing pain in the lower front right abdomen, approximately 1 inch below the navel. The pain started about 30 to 45 minutes before the onset of vomiting. The patient has vomited 5 to 6 times over the past couple of hours, with the vomit consisting mainly of stomach bile due to an empty stomach. There is no noticeable blood in the vomit. The patient reports a growing sense of unease and panic, concerned that the pain could be life-threatening.
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Arora's Assessment
What might be happening
Based on the symptoms you've described—sudden severe pain in the lower right abdomen and repeated vomiting of stomach bile—there are a few serious conditions that could be causing your symptoms:
- Appendicitis: This is an inflammation of the appendix and is a medical emergency. The pain typically starts near the navel and then moves to the lower right abdomen. Vomiting and severe pain are common symptoms.
- Kidney Stones: These can cause severe pain that radiates to the lower abdomen and groin. Vomiting can also occur.
- Bowel Obstruction: This can cause severe abdominal pain and vomiting. It is a serious condition that requires immediate medical attention.
These conditions require prompt medical evaluation and treatment. Delaying care could lead to complications.
What you can do
- Seek Immediate Medical Attention: Given the severity of your symptoms, you should go to the nearest emergency room as soon as possible. If you are unable to get there yourself, call 911 or have someone drive you.
- Do Not Eat or Drink: Until you are evaluated by a healthcare professional, avoid eating or drinking anything, as this could worsen your condition.
- Stay Calm: Try to stay as calm as possible. Stress and panic can exacerbate your symptoms.
Remember, I am not a doctor, and this information is not a substitute for professional medical advice. Please seek care from a real health professional immediately to receive a formal diagnosis and appropriate treatment.
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5 mo ago