[54M] Experiencing acute abdominal pain and leg numbness

Patient Description

A 54-year-old male reports acute, sharp, and throbbing pain in the lower left abdomen, sometimes beginning in the lower right abdomen and radiating to the left and around to the spine. This pain has been occurring intermittently for 12 months, with the current episode lasting one hour and rated at a severity of 10 out of 10. The patient has not found any relief for this pain. Accompanying symptoms include tingling and numbness in the legs described as feeling like 'small bubbles traveling up and down,' which occurs for several minutes following the abdominal pain. The patient also experiences difficulty standing erect and trouble breathing when standing. For the past few days, the patient has noticed a taste of dried blood in the mouth, specifically on the tongue, occurring daily. The patient has a history of a heart stent placed 16 months ago, has been a smoker for 30 years, and has recently noticed unexplained weight loss and blood in the stool several days ago. Current medications include over-the-counter acetaminophen taken twice daily, Gas-X, and a stool softener. The patient has an allergy to Davacet. No recent injuries, fever, chills, loss of bowel or bladder control, or significant family history of bowel disease were reported.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your abdomen and back, and may also cause blood in your urine.

    • Treatment typically involves pain relievers and drinking lots of water to help pass the stone. In some cases, surgery may be required.
  • Diverticulitis: This is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The formation of these pouches is known as diverticulosis.

    • Treatment usually involves antibiotics, pain relievers, and a temporary change to a liquid diet. More severe cases may require hospitalization or surgery.
  • Sciatica: This is pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. It usually affects only one side of your body and could explain the tingling and numbness in your legs.

    • Treatment typically involves physical therapy and exercises to correct your posture, strengthen the muscles supporting your back and improve flexibility.
  • Peripheral Neuropathy: This results from damage to your peripheral nerves, and often causes weakness, numbness and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment typically involves managing the condition causing your neuropathy. In some cases, medications or physical therapy may help.
  • Gastrointestinal Bleeding: This refers to any bleeding that occurs in the gastrointestinal tract, from the mouth to the rectum. It could explain the blood you've tasted in your mouth and the blood you've noticed in your stool.

    • Treatment depends on the location and the cause of the bleeding.

Please note that these are potential explanations based on the information you've provided, and not a definitive diagnosis.

What you can do

Given the severity of your pain and the duration of your symptoms, it's important to seek immediate medical attention. Here are some steps you can take:

  1. Go to the emergency department. The combination of severe abdominal pain, blood in your stool, and numbness in your legs warrants immediate medical attention.
  2. Be ready to provide a full account of your symptoms, including when they started, what makes them better or worse, and any associated symptoms.
  3. Make sure to tell your doctor about all the medications you're currently taking, including over-the-counter drugs and supplements.

What you should look out for

Seek immediate medical attention if you:

  • Notice an increase in the amount of blood in your stool or if your stool becomes black and tarry
  • Experience a sudden increase in abdominal pain
  • Develop a fever
  • Start vomiting blood or a substance that looks like coffee grounds
  • Experience a sudden worsening of your leg numbness or weakness, or if you develop loss of bladder or bowel control

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's crucial to consult with a healthcare professional who can provide advice tailored to your specific circumstances.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

Top picked over-the-counter products for Urinary Incontinence: Best Evidence for At-Home Management

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, nausea and vomiting, and blood in the urine.


How is diverticulitis typically treated?

Diverticulitis is typically treated with antibiotics to clear the infection, pain relievers to manage discomfort, and a temporary liquid diet to allow the digestive system to heal. In severe cases, hospitalization or surgery may be necessary.


What causes sciatica and how can it be managed?

Sciatica is caused by irritation, inflammation, pinching, or compression of a nerve in the lower back. It can be managed with physical therapy, exercises to improve posture and flexibility, pain relief medications, and sometimes steroid injections.


What are the potential causes of gastrointestinal bleeding?

Potential causes of gastrointestinal bleeding include peptic ulcers, diverticulosis, inflammatory bowel disease, hemorrhoids, and gastrointestinal cancers. The treatment depends on the underlying cause and location of the bleeding.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback