[54F] Severe right-sided abdominal pain with dizziness and near syncope

What might be happening

Based on the information you have provided, possible diagnoses include:

• Gallstones or Gallbladder Disease: The location and nature of your pain suggest it could be related to your gallbladder. Gallstones can block the bile ducts and cause sharp pain in the upper right abdomen, often radiating to the back or right shoulder. Nausea and chills can also occur.

  • Treatment typically involves pain management, dietary modifications, and in some cases, surgery to remove the gallbladder.

• 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, radiating to the lower abdomen and groin.

  • Treatment includes pain relief and drinking lots of fluids to help pass the stone. Medical procedures may be required if the stone is too large.

• Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that radiates to the back. It can be associated with nausea and vomiting.

  • Treatment usually involves hospitalization for pain management and fluid therapy.

Please note that these are potential explanations for your symptoms based on the information you've provided, but they are not definitive. It's important to consult with a healthcare professional who can evaluate your symptoms in person and provide a formal diagnosis.

What you can do

Given the severity and duration of your symptoms, it's important to seek immediate medical attention. The conditions mentioned above can be serious and require timely treatment.

What you should look out for

Reasons to seek immediate medical attention:

• If your pain becomes more severe or constant
• If you develop a fever (temperature over 100.4°F)
• If you start vomiting or can't keep down fluids
• If you notice blood in your urine or stool
• If your skin or eyes become yellow (jaundice)
• If you experience persistent dizziness or fainting

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can evaluate your symptoms in person and provide a formal diagnosis.