[18F] Experiencing severe abdominal cramps and nausea with fever

Patient Description

An 18-year-old female is experiencing severe abdominal cramps described as feeling like 'period cramps times ten' and centered in the lower abdomen but also affecting the entire abdominal area. The pain has been present for a week and has been increasing in intensity, currently rated as 7 out of 10. Accompanying symptoms include nausea, lower back pain, and sweating, with the sweating becoming more pronounced with the escalation of pain, although not to the extent of soaking through clothes. The patient also reports green, liquid stools from the last bowel movement, which occurred the previous day. Additionally, there is a fever present with the body feeling heated and sweating. The patient has noted relief when sitting on the toilet. The patient's last menstrual period began on February 22, and there is unexpected bleeding post-period. The patient is not aware of any current pregnancy.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's often caused by sexually transmitted infections that spread from the vagina to the uterus, fallopian tubes or ovaries. Symptoms include lower abdominal pain, fever, unusual discharge, pain or bleeding during sex, and irregular menstrual bleeding.

    • Treatment typically involves antibiotics to clear the infection.
  • Endometriosis: This is a condition where tissue similar to the lining of the uterus is found outside the uterus. It can cause severe menstrual cramps, long-term lower-back and pelvic pain, and periods lasting longer than seven days.

    • Treatment may include pain relievers, hormone therapy, and in some cases, surgery.
  • Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Symptoms can include pelvic pain, bloating, and nausea.

    • Treatment may include monitoring the cyst, birth control pills, or surgery.

Please note that these are possibilities based on the symptoms you've shared, and not a definitive diagnosis.

What you can do

  1. Seek immediate medical attention. The symptoms you're experiencing need to be evaluated by a healthcare professional as soon as possible.
  2. Avoid sexual intercourse until you've been evaluated by a healthcare professional, especially if you're experiencing unusual discharge.
  3. Over-the-counter pain relievers may help with the pain, but they are not a substitute for medical evaluation and treatment.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You experience fainting or dizziness
  • Your fever rises above 100.4°F
  • You notice an unusual vaginal discharge

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of Pelvic Inflammatory Disease (PID)?

Common symptoms of Pelvic Inflammatory Disease (PID) include lower abdominal pain, fever, unusual vaginal discharge, pain or bleeding during intercourse, and irregular menstrual bleeding.


How is endometriosis typically treated?

Endometriosis is typically treated with pain relievers, hormone therapy to reduce or eliminate menstruation, and in some cases, surgery to remove endometrial tissue.


What are the signs that an ovarian cyst might require medical attention?

Signs that an ovarian cyst might require medical attention include severe or sudden pelvic pain, pain accompanied by fever or vomiting, and symptoms of shock such as cold, clammy skin, rapid breathing, and lightheadedness.


What should I do if I experience severe abdominal pain and unusual bleeding?

If you experience severe abdominal pain and unusual bleeding, it is important to seek immediate medical attention to determine the cause and receive appropriate treatment.


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