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#abdominal pain
populationpensive · 1 year
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Abdominal Pain PSA
I've had a run of people admitted to the ICU after have 1-2 weeks of abdominal pain who were struggling to eat or drink that ended up having conditions leading to necrotic bowel. Dead bowel makes people incredibly sick. Like, death's door sick. Anecdotally, I'd say maybe 60% of our patients make it through such an ordeal. Every time I talk with their families, their loved ones say that they looked bad and they tried to get the patient to go get some help. Often, these people wait too long.
So.
PSA: if you're having abdominal pain and can't keep anything down for more than 48 hours (especially in the context of N/V WITHOUT bowel movements), you NEED to go to the ER. Not urgent care. Not your PCP. The ER. Please get checked out. Do not let things sit. If you have known GI disease like diverticulosis, a hernia, etc, even more of a reason to get checked out.
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my-autism-adhd-blog · 10 months
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I can’t tell you how accurate this is….
Sensory Stories by Nicole
Autism
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inter-volve · 4 months
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Source
January 14th 2024
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thechronicpaingame · 8 months
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When does abdominal pain become worthy of being seen? Not appendix, likely IBS but Jesus Christ it's never lasted this long, this severe. I'm very much trying not to be sick from the pain. Feels almost lower than usual tho. Like pelvic? I don't know what's going on but feel like death. Eyes watering, can't focus on anything (I know I'm writing this but I'm not even looking on my phone typing it). Actually fully crying. And I'm usually pretty decent at pain tolerance.
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lyteandronix · 3 months
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Zobie has a tummy ache… he ate too much alien spaghetti for lunch. Quicky takes notice.
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cotton-candy-rat · 29 days
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PAIN REVEAL!
Just had an Ultrasound! About to find out what's been causing my abdominal pain!!
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poppet
Author’s Notes: based on this post
poppet [pop-it] noun: A doll (such as a voodoo doll) made in witchcraft to represent a person, used in casting spells on that person.
                - also a British term of endearment or diminutive, much                                      like the words "dear" or "sweetie."
Content Warnings: tiny whump, faerie whump, magical whump, captivity, manhandling, torture, stomach/abdominal whump, blows to the stomach, pain, bruising, stomach ache, nausea, dizziness, illness, exhaustion, internal bleeding, medicine, painful caretaking
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-day 1-
"He always...commented on my stomach. It wasn't flat enough or whatever."
“I’m so sorry, dear. We could starve him if you like? Or give him nausea?”
“I actually thought...something more external. Punch him in the stomach or - or something.”
The client sits sheepishly on one side of the desk. At the other sits Jade, a witch who has made a living by fulfilling the vengeful wishes of others.
Surrounding Jade on all sides are tables and shelves with an array of items: plants, herbs, spices, jars of liquid, stones, bowls and jars, fabric and string, tools and utensils of all sorts, dozens of books.
And a row of metal birdcages.
Only one is occupied - that is, until the witch plucks Shae from it and lays him out on his back on the surface of the desk. She waves a hand over him and whispers a spell. A tingling sensation fills him, like static in his veins.
“We can do something like that. But we can drag it out, if you like. Since you’ve booked the whole week.”
The client’s eyes glimmer. “Yeah? How?”
“Well, for example...pressure, applied over time.” She puts her thumb on Shae’s bare belly and presses. He jolts even though it doesn’t hurt - yet. “Just uncomfortable at first. Then we increase it - “ She presses and Shae’s breath catches. “And increase it...” Now it hurts. “...until it becomes unbearable.”
The client is nodding along. “And then?”
Jade smiles and removes her thumb. Shae breathes a sigh of relief too soon.
“Then we punch him.”
She demonstrates with several sharp flicks to Shae’s body that make him cry out.
By the third cry the client is already writing a check.
-
Just as promised, the torment is delivered slowly. That same day, the witch and her client simply sit across from each other, leaning over the faerie while Jade presses her thumb to his stomach just enough to make him squirm, releases him long enough for him to catch his breath, and then does it again.
It doesn’t take long for a mild bruise to form on the fragile faerie’s skin. When Jade presses on the print she left, Shae inhales so suddenly that it sends him into a coughing fit.
“I think that’s enough for today,” she decides, removing her hand quickly. “Don’t want it to be over too quickly, do we?”
While the witch sees her client out, Shae rolls onto his side with a groan and loosely wraps his arms around his aching stomach.
-
-day 2-
The next day the client doesn’t come in; Shae is foolish enough to believe he is safe. With a sigh he turns his face away from the light of morning and brushes his fingers over the painful thumbprint. I don’t think I could take anymore...
So it is a jarring, unpleasant surprise when Jade scoops him up. Groggy and stiff, he grumbles out quiet protests as he’s set once again on the desktop. He opens his eyes and looks around for the client.
“I bet you thought you got out of this,” she says with a smile. She has a calm, confident aura about her that would be a comfort if it didn’t hide a cruel streak.
“Wait, not - not again?” he rasps, still struggling to wake.
“No not again.”
He closes his eyes with a sigh of relief. Maybe she’s going to make it better.
“Something else today.”
“H-huh - “
She uncurls his body and pulls his arms away from where they try to shield his injury. She presses them out to his sides with her thumb and pinky, leaving him flat on his back and helpless.
With her other hand she reaches for something beside her - a one pound hand weight. Almost nothing for a human to hold, but the sight of it it sends a chill through the faerie. He knows exactly what that’s for.
“If you don’t move your arms they’ll be trapped,” she warns.
Shae moves them just in the nick of time, saving them but leaving his poor stomach defenseless as she settles handle of the weight across his body. The sudden pressure knocks the air from him. Shae hyperventilates - a big mistake.
“A-AH!”
His movements pull at his bruised skin, now pressed beneath the unyielding weight, indented by the curve of the handle. It hurts, which makes it hard to breathe, which makes it hard to stay still, which makes it hurt and hurt. The faerie pushes uselessly against the object with his little hands; of course, it doesn’t budge.
After a while he is too exhausted to panic anymore. Shae lies there panting with his arms sprawled out. His head droops to one side and he opens his eyes.
Only then, peering through his mop of hair, does he notice that the witch is gone. Instead of her face watching him closely there is a camera set up on top of a stack of books with a red light on.
Shae stares miserably into its dark eye and somehow knows the client is looking back.
Late that evening he weight is finally removed. The unconscious faerie lets out a sigh but doesn’t wake. The witch returns him to his cage, where he spends the night in a fitful sleep.
-
-day 3-
“She liked that one,” is how Jade greets him.
Shae has dragged himself to the back corner of the cage. He is sitting slumped back against one of the bars, staring down at the damage he has sustained - a new band of discolored bruising across his abdomen, slightly darker at the center where it has layered atop the thumbprint bruise. Whimpering, he hovers a hand over the inflamed skin, wanting soothe it, to give himself the comfort no one else will. He can’t bring himself to touch it for fear of worse pain.
Jade has no such qualms. She reaches in and lifts him with a hand around his torso, then lays him on his back on the desk. The camera is on.
The witch examines him carefully, clinically. She takes his pulse and his temperature, gives him droplets of water and juice. Shae gasps and claws at the desk when she rubs a minty-smelling ointment onto the tender bruising.
“We should take it easy today,” she tells the client over the phone. “Or this little guy isn’t going to make it until Friday...yeah, I know, but trust me, it will be worth it...yes, you can see closer.”
Jade holds Shae up, turning him this way and that. When the client is satisfied, they begin a short ‘session’, as the witch calls them. Shae lies there unrestrained but powerless nonetheless while, much like on the first day, Jade presses on various parts of his stomach and he cries and pleads.
-
-day 4-
The client is back. She watches while, at her request, Shae is forced to remain standing. His stomach muscles twinge. His legs wobble. He holds his sore belly and breathes through waves of nausea.
Occasionally he’ll open his teary eyes and peer up at the client, hoping she’ll decide to show mercy. But she is focused, watching him closely, waiting.
Shae holds out longer than the witch or her client expected, but there is only so much one little body can take. He collapses onto the desk.
At the same moment, all the way across town, the client’s ex collapses at work and is rushed to the emergency room.
-
-day 5-
“Last day. Any special requests?”
“What we discussed is perfect.” The client chews on her lip before adding, “I want him to feel like he’s dying, but not actually die.”
“Don’t worry, I’ll be careful. I’ve been doing this for ten years and I have never killed a target.”
The same cannot be said for the faeries who have stood in for her targets. Most she heals and keeps to reuse session after session. However, a few died moments after the spell was lifted, before she had the chance.
Jade retrieves the faerie and lays him out on the desk.
Shae is beyond exhausted from restless nights spent searching for a comfortable position - an impossible task for a badly bruised body lying on the floor of a metal cage. 
His arms remain curled protectively over his stomach but the witch easily moves them out of the way so the client can see the damage that has built over the week.
“There are no breaks, no organ damage,” she assures the client. “Only severe bruising and maybe a fractured rib.”
Reassured, the client writes out a final check.
Shae remains flat on his back with his arms out and his eyes closed. He almost manages to drift off when a shadow falls over him, blocking out the lamp. Fear forces his eyes to open.
The witch’s hand hovers about a foot above him. She is looking right at him and speaking quickly, words Shae doesn’t understand but he tenses with fear all the same.
And he is right to.
No sooner has the last word left Jade’s lips than some invisible force slams into Shae’s tender stomach. It knocks the breath from him.
She speaks the same final word again, and a third time, and a fourth, and each time it is followed by a swift blow. His body spasms with each impact.
When the blows cease Shae is left coughing and wheezing, sparks in his vision. The longer he lies there the worse he feels. This time it doesn’t just hurt; this time something is very wrong.
He feels lightheaded, clammy, nauseous. His little heart is pounding fast. He can hardly breathe. When he holds a trembling hand to his stomach the touch is so excruciating that he almost blacks out.
He feels like he’s dying - but he doesn’t die.
Shae doesn’t remember turning onto his side but somehow finds himself doubled over and coughing until he tastes blood. He’s so sick, so delirious with pain that he doesn’t notice the final conversation between witch and client, nor the satisfied look the client gives him before she leaves.
The next thing he knows he’s being held in a cool hand. A steady voice whispers to him and in an instant the tingling feeling of the spell has disappeared, breaking the faerie’s connection to the human victim. If only the pain would disappear along with it.
Jade lifts a dropper to Shae’s lips and gives him something something bitter and syrupy. He swallows it, coughs raggedly, grimaces at the taste.
“You’ll be good as new by morning,” she promises.
The witch dotes on the faerie methodically, efficiently, but not gently or with care. She rubs more of the mint-smelling ointment onto him, gives him water, even dresses him in new clothes.
She is about to put him back into the cage when, Shae utters a breathless little, “wait.”
To his surprise she stops and looks at him. He is draped over the curve of her thumb and forefinger, half-conscious and limp in her loose grip.
“What is it?”
“Could - could I - “
He has to stop to cough. The witch waits, curious, while he catches his breath.
“C-could I - have a - a blanket - a pillow - anything. Please?” Shae practically sobs the words; he can’t bear another night seeking rest on cold metal.
“Yes, alright. I think you’ve earned it.”
Maybe he shouldn’t feel grateful given what he’s been through, but when a few moments later Shae is settled onto a washcloth, and a second just like it is draped over him, it reduces him to tears. He sinks into the soft, clean cotton; he sighs as the medicine starts to kick in, just a little, dulling the edge of his pain.
He sleeps well for the first time all week. In the morning, just like she promised, he is healed - as though none of it ever happened.
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mcatmemoranda · 5 months
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Have a pt who came in with N/V/D. The pt is positive for COVID. The CT abdomen and pelvis is negative for pancreatitis, even though lipase was somewhat elevated. The pt is an adult, but I still ordered strep test, which came back positive! So I started the pt on ceftriaxone and metronidazole for coverage on intrabdominal infection. Azithromycin covers this, but the pt is on an SSRI and both azithromycin and SSRI increase the QT interval.
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gastroenterologist · 7 months
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Uncover the causes, symptoms, and diagnosis of gastrointestinal bleeding. Learn about this critical medical condition for prompt intervention.
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drmayurdalvi · 1 year
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Percutaneous Nephrolithotomy (PCNL)
 Percutaneous nephrolithotomy (PCNL) is a surgical procedure to remove kidney stones that are too large to pass naturally or by other non-invasive treatments. In this procedure, a small incision is made in the back to create a tunnel through the skin and tissue to access the kidney. Then an endoscope is inserted through the incision to find and remove kidney stones.
  PCNL is usually performed under general anesthesia and requires a short hospital stay of 1-3 days. This procedure has a high success rate and is considered safe and effective in treating large or complex kidney stones. This procedure is recommended for patients with kidney stones larger than 2 cm or located in areas of the kidney that are difficult to access with other non-invasive treatments. PCNL is also used in patients with other medical conditions that make other treatments less safe or effective.
 Prior to the procedure, the patient may need to have imaging tests, such as a CT scan or ultrasound, to locate kidney stones and determine the best method for their removal. Patients are also advised to stop taking blood thinners such as aspirin and warfarin before surgery to reduce the risk of bleeding.
 During surgery, the patient lies on their back and a small incision is made in their back.  A guidewire is then inserted into the kidney through the incision and tunneled with a series of dilators. A nephroscope,  a thin tubular instrument with a camera and light source, is inserted through a tunnel to locate and remove kidney stones. After the stone is removed, a tube called a nephrostomy tube is inserted into the kidney to drain any remaining fluid and debris. 
 After the procedure, patients may experience pain or discomfort in the back or abdomen and may be given pain relievers to manage these symptoms. Patients are also advised to drink plenty of fluids to wash away any remaining stone debris. In some cases, patients may need to undergo additional procedures to completely remove all kidney stones.
  Overall, PCNL is a safe and effective surgical procedure for treating large or complex kidney stones. Patients should discuss the risks and benefits of this procedure with their doctor to determine if this is the best treatment option for their individual needs.
For more information Visit: www.drmayurdalvi.com
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kinggoblin · 1 year
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doctor: ok so where does it hurt
me: what do you mean “where” it just hurts
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faofinn · 2 years
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No. 8 EVERYTHING HURTS AND I’M DYING
@whumptober
@whumptober-archive
Stomach Pain | Head Trauma | Back from the Dead
Part 1 | Part 2 | Part 3 | Part 4
They’d done all that they could for Sheila now, and with surgery finished, they moved her into their little critical care bay. Their work was far from over, though they all wished it was, and Fao stripped out of his gown and gloves to start cleaning down the theatre itself. Equipment needed to be cleaned and sterilised, and put away for the inevitable next case. 
Hopefully it would be the last that involved Sheila.
She did well, thankfully. Especially considering everything she’d been through. They were able to reduce her sedation and extubate her fairly quickly, all things considered, and her obs were very good. She had more blood and fluids and meds to keep her stable, but she was making good progress, and they were able to continue to reduce her sedation and help her to be more with it. They wanted her out of bed soon, and the only way they could do that was less sedation. 
They were all shattered, taking turns to look after her and make sure she stayed stable and comfortable. She’d not been hugely lucid the past couple of days, mainly vague and hazy. 
Fao was sat with her, pen scratching over paper as he caught up on some work. A lot of the more admin focused stuff had been his responsibility anyway, and with Fred away and Sheila out of action, he needed to do more and make sure everything was in order. 
When Sheila woke, it was Fao on babysitting duty, engrossed in writing whatever it was. She couldn't quite figure what was happening, but there was a growing pain in her abdomen that was beginning to get harder to ignore. Everything was fuzzy and distant, but the pain had begun to make things clearer. 
She cleared her throat. "Fao?"
Fao lifted his head, smiling. “Hey, you. Are you alright?” He asked gently, setting his pen down and standing up. 
"No." She shook her head slowly. "It's all wrong…pain?"
He squeezed her shoulder gently. “I’ll go and get you some more painkillers.” He said, his voice soft. 
She nodded, it was pretty much all she could do. "Thank you."
He slipped out of the room to get the meds, returning quickly. “Just need your hand.”
She held it out, hesitant to leave her little cocoon of blankets. "Thank you, Fao."
He gave them carefully, and then kissed her forehead. “You’re welcome. Can I take some obs just quickly?”
"While you've got my arm." She said quietly, though she wanted to refuse and just sleep.
“Yeah, and I’ll let you get all snug again after.” He said, gently wrapping the blood pressure cuff around her arm. “How are you feeling? Other than the pain.”
She thought about it for a moment, the drugs making everything cloudy again. "Shit."
“Anything I can help with?”
"Everything hurts and 'm dying."
He hummed. “I’m sorry. Those painkillers should kick in soon, you’ll feel better.”
"It really hurts." She sniffed, tears threatening to fall.
“Oh, Mum. It’s okay.” He murmured. “It’ll be okay.”
"It's not."
“I know it’s horrid.” He said, finishing his obs and turning away to grab a chair. “I’m right here.”
"I don't like it." She whined.
“I know. It’s not nice at all. Those painkillers will get to work soon, I promise.”
"They've just made me spaced."
“They suck, don’t they?”
She nodded. "I want Fred.”
“He’s gone out. You’ve got me, I know it’s not the same though.”
"He's gonna get himself hurt." She said, the tears finally falling.
“Oh, don’t cry.” Fao said softly. “It’s okay, he’ll be okay.”
"He's an idiot, he's going to do something stupid."
“He’s an adult, I can’t stop him going out.”
"You can. Just tell him I said no."
“I don’t think he’ll listen to me.”
"Make him?"
“Only you have that power. He doesn’t listen to me, you know that.”
"Bring him back and I'll tell him." She murmured, settling back down.
“I’ll do my best.” Fao said, reaching for a tissue for her. “Here, dry those eyes.”
She took the tissue. "Thank you."
“Do you want a hug?”
"Mhmm." She hummed, feeling pathetic. 
He dropped the side of the bed to lean over and hug her gently. “Love you.”
She hugged him close, starting to drift. "Love you too."
“I’m right here if you need anything.”
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chroniclyonline · 2 years
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I drink the poison to stay awake,
hoping the extra venom will fuel my veins.
But minutes later and my stomach aches,
Just can’t get rid of this abdominal pain.
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Abdominal Pain - HJK
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hyeque · 2 years
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i hope you all have a better day than i am feeling right now 💗✊🏾
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vmantras · 2 years
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Home Remedies for Stomach pain
Abdominal pain : Some remedies have been given in Ayurveda for stomach pain due to wrong eating habits or indigestion. If they are used, then the problem of stomach pain can be avoided! However, for this type of stomachache, Ayurvedic prescriptions are still used in our homes and they also provide relief. Some such recipes:- Grind equal quantity of ginger and garlic and take one spoon with…
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jeeperreaper · 2 years
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Hot girls b liek:
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