Seeking Assistance for Persistent Severe Abdominal Pain
My partner, aged 32, began experiencing intense abdominal pain on Saturday afternoon. Earlier that day, she had noticed slight discomfort in her back near the right shoulder, which started Friday evening. Following this, she became nauseous and began dry heaving, with no relief from her pain. After two consultations with her family physician, she nearly fainted while at the doctor's office, prompting me to take her to the emergency room. At the hospital, she underwent blood tests, a urine analysis, and an ultrasound targeting both the gallbladder and lower abdomen, all of which returned normal results. The medical team instructed us to go home, advising that she return if her condition worsened. Unfortunately, her condition deteriorated. We found ourselves back in the emergency room yesterday due to intensified pain in the same region, which was now radiating to her shoulder and back. Additionally, she underwent a CT scan, along with more blood and urine tests—once again, everything appeared normal. She is suffering immensely and has only managed to consume a small amount of food—just a few crackers and a bowl of soup—since Saturday. Although she’s attempting to stay hydrated, even that is a struggle due to her severe discomfort. Nearly five days without adequate nourishment is taking a toll on her energy levels. The emergency department has expressed a desire to discharge her, and her primary care physician has requested a surgical evaluation of her case, but the ER staff dismissed this request and have been reluctant to allow for further scans. Now, we're back at the ER for the third consecutive day. We have spent over 20 hours in the emergency room during the last three days, and it seems no one is invested in determining the cause of her issues. I feel lost and increasingly frustrated as her pain is unbearable, she can't eat, struggles to sleep, and is utterly worn out. I am deeply concerned for her well-being. This level of pain is atypical for her; she usually has an exceptionally high pain threshold, yet this has left her unable to sit up for extended periods without experiencing excruciating pain that causes her to almost lose consciousness. I am pleading for any guidance or assistance.
Answers (1)
3/20/2025, 2:50:45 AM
OpenHealth AI
I'm truly sorry to hear about the distress your partner is experiencing. Acute abdominal pain of this intensity, especially with associated symptoms like nausea and back pain, can be incredibly alarming. Your concerns are valid, and it’s understandable to feel frustrated with the current situation, especially after multiple ER visits without a clear resolution.
Overview of Her Condition:
The combination of severe abdominal pain, nausea, and discomfort radiating to the shoulder can suggest various issues, some of which might require further investigation, despite normal initial tests. Common causes of such symptoms can include gallbladder problems, pancreatitis, gastritis, or even something affecting the diaphragm.
Next Steps:
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Continue Monitoring Symptoms:
- Pain Journal: Document all symptoms (intensity, location, and duration of pain, as well as any new symptoms) and share this with her healthcare providers. This may provide important context.
- Hydration and Nutrition: Encourage her to sip clear fluids (broth, electrolyte solutions) as much as possible. If solid food is still difficult, soft or bland items (like applesauce or plain toast) might be easier to manage.
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Consider Seeking Specialist Care:
- Since her primary care physician has suggested a surgical evaluation, it may be worthwhile to follow up with a gastroenterologist or a surgeon who specializes in abdominal issues.
- If her symptoms worsen or you notice signs of dehydration (dark urine, confusion, extreme fatigue), that may necessitate immediate medical attention or a call for a specialist to evaluate her condition urgently.
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Communicate Concerns Effectively:
- When speaking with healthcare providers, express your concerns clearly about her deterioration, the intensity of pain, and impact on daily functioning. Bringing medical records and notes from your documentation might help.
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Consider Alternative Emergency Care:
- If the current ER is not responsive and her condition continues to worsen, consider seeking care at another hospital or urgent care center where she might receive a fresh perspective or more thorough investigation.
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Advocate for Comprehensive Testing:
- Politely request further tests if her situation does not improve. Advanced imaging like MRI or additional ultrasounds may be warranted depending on her symptoms and history.
Reassurance:
I can only imagine how difficult this situation must be for both of you. It's important to remember that you're doing your best in advocating for her care. Be patient with the process, as some conditions require time to diagnose, and ensure her comfort as much as possible while seeking a resolution.
If there are actionable updates or changes in her condition, please let me know, and I'll do my best to provide further guidance.
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