[78F] Experiencing severe left flank to stomach pain

Patient Description

A 78-year-old female presents with a sharp, continuous pain that radiates from the left flank into the stomach, persisting for over a week. The pain is severe, rated 10/10, and described as ranging from sharp to needle-like with constant skin sensitivity and a throbbing sensation. The patient has a history of fibromyalgia, diabetes, and has a pacemaker installed due to a previous episode of syncope. She has undergone multiple surgeries, including for gall bladder and kidney stones. The patient is allergic to Penicillin and cannot take steroids. Current medications include Bisoprolol, Crestor, Jardiance, Levoxyl, Rapatha, Metformin, Plavix, Allopurinol, Furosemide, Pantoprazole, Hydralazine, Align, Dicyclomine, Losartan, Sodium Bicarbonate, and various vitamins. No recent changes in bowel movements, urine, or episodes of fever, chills, nausea, or vomiting have been reported.

Arora's Assessment

What might be happening

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

Kidney Stones: Given your history of kidney stones and the location of your pain, it's possible that you might have another kidney stone. Kidney stones can cause severe pain in the flank and stomach area.
- Treatment for kidney stones usually involves pain management and drinking lots of fluids to help pass the stone. In some cases, medical procedures may be required to remove or break up larger stones.
Gastritis: This is inflammation of the stomach lining, which can cause severe stomach pain. Your history of fibromyalgia could potentially make you more sensitive to this pain.
- Treatment usually involves medications to reduce stomach acid and inflammation.
Pancreatitis: This is inflammation of the pancreas, which can cause severe pain in the upper abdomen that radiates to the back. It's less likely given your symptoms, but still a possibility.
- Treatment usually involves fasting to rest the pancreas, pain management, and treating the underlying cause.
Shingles: This is a viral infection that causes a painful rash and can occur in older adults. It could potentially explain your skin sensitivity and itching.
- Treatment usually involves antiviral medications and pain management.

Please note that these are possibilities based on your symptoms and should not be taken as a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your condition and provide appropriate treatment.

What you can do

Seek immediate medical attention: Given the severity and duration of your pain, it's important to get evaluated by a healthcare professional as soon as possible. They can provide a more accurate diagnosis and appropriate treatment.
Pain management: Over-the-counter pain relievers may help alleviate your pain in the short term, but it's important to consult with a healthcare professional for long-term pain management.
Stay hydrated: Drinking plenty of fluids can help if you have a kidney stone.

What you should look out for

If your pain becomes unbearable
If you develop a fever
If you start vomiting
If you notice blood in your urine
If your skin becomes red, swollen, or develops a rash

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

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