[54F] Experiencing abdominal pain and burning thigh

Patient Description

A 54-year-old female presents with a constant burning sensation and tenderness in the abdomen, particularly in the right flank and under the right bottom ribcage, which she has been experiencing for 2.5 years. The pain is described as a constant burn with sharpness and is rated 7 out of 10 in severity. The abdominal discomfort has changed in character over the last few weeks. Additionally, the patient reports a burning sensation in the right thigh. No relief measures have been identified, and bowel movements are described as normal. There is no report of fever or chills. The patient is not currently pregnant.

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Arora's Assessment

What might be happening

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

  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. The pain is often described as a dull ache or sharp, cramping pain in the right upper abdomen, and it can sometimes radiate to the right shoulder or back.

    • Treatment often involves surgery to remove the gallbladder, especially if the pain is severe or recurrent.
  • Peptic Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine or esophagus. Pain is usually felt anywhere from the navel up to the breastbone, can be worse when the stomach is empty, and might be temporarily relieved by eating certain foods that buffer stomach acid.

    • Treatment usually involves medication to decrease stomach acid.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where 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 cause heartburn.

    • Treatment usually involves lifestyle changes and over-the-counter medications.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

    • Treatment focuses on long-term management of symptoms.

What you can do

You should definitely see a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Eat smaller, more frequent meals instead of three large meals.
  2. Avoid foods that trigger your symptoms. These might include fatty and spicy foods, caffeine, and alcohol.
  3. Stay hydrated and maintain a balanced diet.
  4. Over-the-counter antacids may provide some relief from heartburn or mild abdominal pain.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or unbearable.
  • If you notice blood in your stool or vomit.
  • If you develop a fever (temperature over >100.4°F) or chills.
  • If your symptoms worsen or do not improve after a few days.

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.

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11 mo ago

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People Also Ask


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

Common symptoms of gallstones include a dull ache or sharp, cramping pain in the right upper abdomen, which can radiate to the right shoulder or back. Treatment often involves surgery to remove the gallbladder, especially if the pain is severe or recurrent.


How can I differentiate between a peptic ulcer and GERD based on symptoms?

A peptic ulcer typically causes pain anywhere from the navel up to the breastbone, which can be worse when the stomach is empty and might be relieved by eating certain foods. GERD, on the other hand, involves frequent acid reflux causing heartburn and irritation in the esophagus. A healthcare provider can help differentiate between the two with appropriate tests.


What lifestyle changes can help manage symptoms of GERD?

Lifestyle changes to manage GERD include eating smaller, more frequent meals, avoiding trigger foods like fatty and spicy foods, caffeine, and alcohol, staying hydrated, and maintaining a balanced diet. Over-the-counter antacids may also provide relief.


When should I seek urgent medical attention for abdominal pain?

You should seek urgent medical attention if your abdominal pain becomes severe or unbearable, if you notice blood in your stool or vomit, if you develop a fever over 100.4°F or chills, or if your symptoms worsen or do not improve after a few days.


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