[55F] Experiencing right side pain, lower abdominal discomfort, and diarrhea

Patient Description

A 55-year-old female presents with a 2-day history of gnawing right side pain, rated 5-7 on the pain scale, and watery diarrhea occurring 6-8 times daily. She also reports lower abdominal discomfort described as pressure, persisting for a few weeks and rated 6 on the discomfort scale. Additionally, the patient experiences fatigue but no fever or chills. The patient has a 4-year history of chronic urinary tract infections and is currently taking Hibrex, Vitamin C, Ellura, Metamucil, baby aspirin, fish oil, and magnesium. She has a known allergy to penicillin. There have been no recent injuries, accidents, or travel, and no specific foods have been identified as triggers for the diarrhea.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, nausea, and abdominal discomfort.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. If symptoms persist, a healthcare provider may prescribe antibiotics or antiparasitics.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, diarrhea or constipation, or both.

    • Treatment focuses on long-term management of symptoms and can involve dietary changes, medication, and stress management.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the right side and nausea.

    • Treatment can range from watchful waiting to surgical removal of 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.

    • Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed if the stone is too large.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention. In the meantime, here are some things you can do:

  1. Stay hydrated: Diarrhea can cause dehydration, so make sure to drink plenty of fluids. Avoid caffeine and alcohol as these can worsen dehydration.
  2. Eat a bland diet: Foods like rice, bananas, and toast can help make your stools more solid and less frequent.
  3. Rest: Your body needs energy to fight off an infection. Getting extra sleep can give your body the rest it needs to recover.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain in your abdomen or rectum
  • Blood in your stool or black, tarry stools
  • High fever (above 101.5 F)
  • Signs of dehydration, such as dark urine, dry skin, thirst, and less frequent urination

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common causes of watery diarrhea and how can it be treated?

Watery diarrhea can be caused by infections (viral, bacterial, or parasitic), food intolerances, or digestive disorders. Treatment typically involves staying hydrated, eating a bland diet, and using over-the-counter medications. If symptoms persist, a healthcare provider may prescribe specific treatments.


How can chronic urinary tract infections affect other health conditions?

Chronic urinary tract infections can lead to complications such as kidney infections or increased risk of kidney stones. They may also cause fatigue and discomfort. Managing UTIs involves proper hydration, possibly taking prescribed medications, and addressing any underlying conditions.


What dietary changes can help manage symptoms of Irritable Bowel Syndrome (IBS)?

Dietary changes for managing IBS symptoms include increasing fiber intake, avoiding trigger foods (such as caffeine, alcohol, and certain carbohydrates), eating smaller meals, and staying hydrated. Keeping a food diary can help identify specific triggers.


What are the symptoms and treatment options for gallstones?

Symptoms of gallstones include right-sided abdominal pain, nausea, and sometimes jaundice. Treatment options range from dietary changes and medications to dissolve the stones, to surgical removal of the gallbladder if the stones cause significant problems.


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