ETHOS

I haven't had a bowel movement for 5 days and my abdomen is swollen.

Patient

Hi, I was hoping you could help me with a medical issue I've been experiencing. Can you ask me a few questions to better understand my situation?

Triage Assistant

Sure, where does it hurt?

Patient

It's mainly my abdomen.

Triage Assistant

Does the pain shoot anywhere else (e.g., chest, back)?

Patient

No, it's confined to my abdomen.

Triage Assistant

When did the pain begin (minutes, hours, or days ago)?

Patient

The pain started a few days ago.

Triage Assistant

Was the onset of the pain gradual or sudden?

Patient

The onset was gradual.

Triage Assistant

Does the pain come and go, or is it constant?

Patient

The pain is pretty constant.

Triage Assistant

Is the pain getting better, staying the same, or getting worse?

Patient

It's been getting worse over the past few days.

Triage Assistant

On a scale of 1 to 10, how would you rate the severity of your pain (1-3: mild, 4-7: moderate, 8-10: severe)?

Patient

I would rate it around a 6 or 7, so it's definitely moderate and sometimes edging toward severe.

Triage Assistant

Have you ever had this type of stomach pain before? If yes, when was the last time and what happened that time?

Patient

No, I haven't had this type of stomach pain before. This is the first time it's been this persistent and severe.

Triage Assistant

What do you think is causing the stomach pain?

Patient

I'm not entirely sure what might be causing it, but it's been really uncomfortable and seems different from any usual discomfort I've had in the past.

Triage Assistant

What makes the pain better or worse (e.g., antacids, bending or twisting motion, bowel movement)?

Dispositions

  • See More Appropriate Protocol

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Within 3 Days

  • See in Office Within 2 Weeks

  • Home Care

  • Triage result should be See in Office Today.

  • First aid is not applicable.

  • Some assessment questions asked.