[55M] Experiencing right-sided abdominal pain and bloating

Patient Description

A 55-year-old male reports an achy pain and bloating on the right side between the hip and ribs, which has been occurring for the past two weeks. The pain is described as coming in waves and is rated at a severity of 5 out of 10. Bloating began approximately 3-4 days ago, is constant, and partially relieved by Gas-X. The patient has not noticed any changes in stool, nor has there been any fever, vomiting, or jaundice. Past medical history includes gallbladder surgery, colon resection, appendectomy, and diagnoses of high blood pressure, high cholesterol, depression, and anxiety since 1994. The patient has allergies to Flagyl and Levaquine. Current medications include Bystolic, Lamictal, Crestor, Losartan, Viibryd, Requip, Ropineral, and Klonopin. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, the following conditions could be causing your symptoms:

  • Gallstones or Biliary Colic: Given your history of gallbladder surgery, it's possible that you could have developed gallstones or biliary colic, which can cause pain in the right upper part of your abdomen.

    • Treatment for gallstones can range from lifestyle changes to medications to dissolve the gallstones, or surgery in more severe cases.

  • Gastroenteritis: Also known as the stomach flu, this condition can cause bloating, abdominal pain, and sometimes diarrhea and vomiting. It's usually caused by a viral or bacterial infection.

    • Treatment for gastroenteritis usually involves rest, hydration, and over-the-counter medications to manage symptoms.

  • 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 for IBS typically involves long-term management of diet, lifestyle changes, and stress.

Please note that this is not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

While waiting for your appointment with your healthcare provider, here are some things you can do to help manage your symptoms:

  1. Maintain a balanced diet: Try to eat small, frequent meals instead of three large meals a day. Avoid foods that are high in fat and sugar, and try to incorporate more fruits, vegetables, and whole grains into your diet.

  2. Stay hydrated: Drink plenty of fluids, especially water, to help prevent dehydration.

  3. Over-the-counter medications: Continue taking Gas-X as it seems to be helping with your bloating. You can also try over-the-counter pain relievers to help manage your abdominal pain.

What you should look out for

If your symptoms worsen or if you experience any of the following, seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Persistent vomiting
  • Yellowing of the skin or eyes (jaundice)

Remember, it's important to consult with a healthcare professional for a definitive diagnosis and treatment.

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11 mo ago

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People Also Ask

What are the common symptoms of gallstones or biliary colic?

Common symptoms of gallstones or biliary colic include sudden and intense pain in the upper right abdomen, pain that may radiate to the back or right shoulder, nausea, and vomiting. The pain often occurs after eating a fatty meal.

How can gastroenteritis be distinguished from other gastrointestinal issues?

Gastroenteritis typically presents with symptoms such as diarrhea, vomiting, stomach cramps, and sometimes fever. It is often distinguished from other gastrointestinal issues by the presence of these symptoms following exposure to contaminated food or water, or contact with an infected person.

What lifestyle changes can help manage Irritable Bowel Syndrome (IBS)?

Lifestyle changes that can help manage IBS include eating a high-fiber diet, avoiding trigger foods, managing stress through techniques like yoga or meditation, and regular physical activity. Keeping a food diary can also help identify foods that worsen symptoms.

What are the potential side effects of taking Gas-X for bloating?

Gas-X, which contains simethicone, is generally well-tolerated. However, potential side effects can include mild diarrhea, nausea, or an allergic reaction. It's important to follow the recommended dosage and consult a healthcare provider if any adverse effects occur.

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