Friday, June 21, 2013

Acute Mid-Abdominal Pain

I AGREE TO USE MD STAT FOR EDUCATIONAL PURPOSES ONLY, THAT NO DOCTOR PATIENT RELATIONSHIP IS FORMED BY MY PARTICIPATION IN THIS EXCHANGE, AND I UNDERSTAND THAT MY QUESTION AND ANSWER(S) WILL BE POSTED ON THE WEBSITE AND WILL BE VIEWABLE BY VISITORS TO THE SITE.: Yes, I agree.

I have felt nauseous all day, and about 30 minutes ago I had an intense radiating pain just above my solar plexus and through to the corresponding area of my back. I felt like a couldn't breathe deeply, but I had no trouble breathing. I got dizzy and started to black out. The pain lasted for about 3-5 minutes then slowly went away.  This started today but the drop down box wouldn't recognize that answer.

 Gender: Female
 How tall are you (feet and inches)?: 5' 6"
 What is your weight in pounds?: 140
 How old are you?: 45
 How long has this been going on?: A few days

 Check all symptoms you are currently experiencing:
 Abdominal Pain
 Difficulty Breathing
 Vomiting
 Nausea
 Musculoskeletal Pain

 What have you done so far to remedy this condition? Please include tests and relevant studies here.
 : Laid down.

 Please list any chronic medical problems and also list any prior surgery (lacerations don't count!): D&C 2005, 2 C-sections 2006, 2012

 Check all conditions present in your immediate family... :
 Hypertension
 Please list any medication allergies that you have : : None
 Please list any medications you are currently taking (and dosage if known) :: Chlorthalid 25mg, Wellbutrin 300xl, vitamin D, Motrin
 When was your last menstrual cycle?: Now
 Are you currently using or do you have a history of tobacco use?: No
 Are you currently using or do you have a history of illegal drug use?: No
 Please describe your alcohol consumption :: Never

 What could the pain be from?
______________________________________________

So sorry this question sat for a while. For the benefit of my readers more than you at this point any pain such as you experienced with nausea and near-syncope is not something to ignore or try to sleuth-out on the internet. It is a reason to go directly to the ER.

Many things could cause this; ulcer disease, pancreatitis, Aortic dissection, blood clot in the lung... but first and foremost any pain in or near the chest of the nature you have described and with your history of hypertension should be assumed to be heart related... a heart attack, until proven otherwise. This remains true even if the pain resolves as this pain could be a harbinger of a heart attack.

Again, sorry for the delay in answering, if you are still having this problem please get in with your physician as soon as you possibly can, and if the pain recurs go to the ER.

Be Well

1 comment:

space doc said...

Agree with MD STAT DOC 1 that a cardiac exam (EKG, cardiac enzymes in the blood and M.D. exam) should be done even if the symptoms don't persist.

Certainly gall bladder stones (especially if they lodge even temporarily in the duct that also affects the pancreas) could be a problem.
Tests such an ultrasound of the upper abdomen could screen for gall bladder and pancreatic problems. Blood tests for liver and pancreas would be worthwhile.

Esophagitis, gastritis, and ulcers could cause this sort of pain, but are usually accompanied by 'heart-burn' or indigestion.

Definitely, the heart comes first.

Best of luck! Space Doc.