[60F] Experiencing abdominal pain and gastrointestinal symptoms

Patient Description

A 60-year-old female reports crampy abdominal pain rated 3/10, occurring when fasting or post-medication, specifically one hour after taking Rosuvastatin. The pain improves upon eating. The patient has experienced flatulence and bloating, especially after consuming dairy products, for over a year. Additionally, the patient suffers from heartburn when meals are delayed. The patient's medical history includes a laryngeal polyp, lung problems, depression, arthritis, and hypertension, with these conditions being managed for over five years. Current medications include Citalopram, Perphenazine, Hydrochlorothiazide, Carbamazepine, and Rosuvastatin. The patient denies any allergies, recent unexplained weight loss, nausea, vomiting, or blood in stool. Stool appearance was noted as black and hard during the last bowel movement.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastritis: This is inflammation of the stomach lining, which can cause abdominal pain, belching, and a burning sensation in your stomach. It can be caused by various factors, including certain medications, such as Rosuvastatin.

    • Treatment typically involves medications to reduce stomach acid and, if necessary, antibiotics to treat any bacterial infection.
  • Peptic Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine, or lower esophagus. It can cause abdominal pain, especially when your stomach is empty, as well as heartburn and belching.

    • Treatment usually involves medications to reduce stomach acid and, if necessary, antibiotics to treat any bacterial infection.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This acid reflux can irritate the lining of your esophagus, causing heartburn and other symptoms.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Lactose Intolerance: This is a common condition that can cause bloating, abdominal cramps, and excessive gas, especially after consuming dairy products.

    • Treatment typically involves avoiding lactose or taking over-the-counter lactase supplements before eating or drinking foods that contain lactose.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Avoid foods and drinks that trigger your symptoms. These might include spicy foods, alcohol, and caffeinated drinks.
  2. Try to eat smaller, more frequent meals instead of three large meals a day.
  3. Don't lie down or go to bed soon after eating. Wait at least three hours.
  4. Raise the head of your bed if you experience heartburn at night. This can help reduce acid reflux.
  5. Try over-the-counter antacids to neutralize stomach acid.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice blood in your stool or vomit
  • If your abdominal pain becomes severe
  • If you have difficulty swallowing
  • If you're losing weight without trying

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common side effects of Rosuvastatin that could cause abdominal pain?

Common side effects of Rosuvastatin include muscle pain, headache, and abdominal pain. If you experience abdominal pain after taking Rosuvastatin, it may be due to irritation of the stomach lining. It's important to discuss these symptoms with your doctor.


How can lactose intolerance be managed effectively to reduce symptoms like bloating and flatulence?

Lactose intolerance can be managed by avoiding dairy products or using lactose-free alternatives. Taking lactase enzyme supplements before consuming dairy can also help digest lactose and reduce symptoms like bloating and flatulence.


What lifestyle changes can help manage symptoms of GERD and prevent heartburn?

To manage GERD and prevent heartburn, try eating smaller, more frequent meals, avoid lying down soon after eating, and elevate the head of your bed. Avoiding trigger foods such as spicy foods, alcohol, and caffeine can also help.


What could cause black and hard stools, and when should I be concerned?

Black and hard stools can be caused by certain medications, supplements, or gastrointestinal bleeding. If you notice persistent black stools, it's important to consult a doctor to rule out any serious conditions, especially if accompanied by other symptoms like abdominal pain or weight loss.


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