[55F] Experiencing chronic abdominal cramping and bloating

Patient Description

A 55-year-old female presents with chronic lower abdominal and back cramping described as deep, labor-like pain, which worsens with activity and is alleviated by rest. She reports the pain has been persistent for about a year, associated with chronic UTI infections. The patient also experiences bloating, with a noticeable bulge in the lower abdomen that feels tight and heavy, persisting for several weeks. Nausea, predominantly in the mornings, has been occurring on and off for a couple of weeks, with a self-rated severity of 4 out of 10. No changes in urinary habits, fever, chills, sudden increase in abdominal size, or vaginal bleeding have been reported. The patient's medication regimen includes Lisinopril, Metoprolol, Bupropion, Claritin, and a recently completed course of Macrobid. There is no known history of allergies or adverse reactions to medications, and no other pre-existing conditions or chronic illnesses were reported.

Show More

Arora's Assessment

What might be happening

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

  • Pelvic Inflammatory Disease (PID): This condition is often caused by sexually transmitted infections that have spread to the uterus and other reproductive organs. It can cause lower abdominal pain, back pain, and a heavy feeling in the lower abdomen. However, you haven't reported any vaginal discharge, which is a common symptom of PID.

  • Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They can cause a range of symptoms, including abdominal bloating, a feeling of fullness or heaviness in the abdomen, and pelvic pain. However, ovarian cysts often don't cause symptoms unless they rupture or become twisted.

  • Uterine Fibroids: These are noncancerous growths in the uterus that can cause a range of symptoms, including heavy menstrual bleeding, pelvic pressure or pain, and frequent urination. However, you haven't reported any changes in your menstrual cycle or urinary habits.

  • Endometriosis: This is a condition where the tissue that normally lines the inside of the uterus grows outside the uterus. It can cause severe abdominal and pelvic pain, especially during menstrual periods. However, you haven't reported any changes in your menstrual cycle.

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, and changes in bowel habits. However, you haven't reported any changes in your bowel habits.

Please note that these are possibilities based on the information you have provided, and they are not definitive diagnoses. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

  1. Seek medical attention: Given the severity and duration of your symptoms, it's important to consult with a healthcare professional as soon as possible. They can conduct a physical examination, order tests, and provide a definitive diagnosis.

  2. Monitor your symptoms: Keep track of your symptoms, including when they occur, how long they last, and any factors that seem to make them better or worse. This information can be helpful for your healthcare provider.

  3. Stay hydrated and eat a balanced diet: This can help to alleviate some of your symptoms and support your overall health.

What you should look out for

Seek immediate medical attention if you experience any of the following symptoms:

  • Severe abdominal or pelvic pain
  • Vaginal bleeding that is not part of your normal menstrual cycle
  • Fever or chills
  • Nausea or vomiting that prevents you from eating or drinking
  • Signs of a urinary tract infection, such as pain during urination, frequent urination, or blood in your urine

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

1 yr ago

Top picked over-the-counter products for Painful Periods (Dysmenorrhea)

People Also Ask


What are the common symptoms of ovarian cysts?

Common symptoms of ovarian cysts include abdominal bloating, a feeling of fullness or heaviness in the abdomen, pelvic pain, and sometimes pain during intercourse or irregular menstrual cycles. However, many ovarian cysts are asymptomatic and are discovered during routine examinations.


How can chronic UTIs affect abdominal pain?

Chronic UTIs can lead to persistent abdominal pain due to inflammation and irritation of the urinary tract. This can sometimes cause referred pain to the lower back and abdomen, and if left untreated, can lead to more serious kidney infections.


What lifestyle changes can help manage symptoms of IBS?

Lifestyle changes that can help manage IBS symptoms include eating a balanced diet rich in fiber, avoiding trigger foods, staying hydrated, managing stress through techniques like yoga or meditation, and maintaining regular physical activity. It's also helpful to keep a food diary to identify and avoid foods that worsen symptoms.


When should someone with pelvic pain seek immediate medical attention?

Immediate medical attention should be sought if someone with pelvic pain experiences severe abdominal or pelvic pain, vaginal bleeding outside of their normal menstrual cycle, fever or chills, nausea or vomiting that prevents eating or drinking, or signs of a urinary tract infection such as pain during urination, frequent urination, or blood in the urine.


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