[18F] Experiencing stabbing pain in lower left abdomen with fever

Patient Description

An 18-year-old female reports a sudden onset of stabbing pain in the lower left center of her body, specifically when lying down. The pain radiates through the uterus and vaginal area upon palpation. The symptom has been present for 2 days and subsides when standing up. The patient also notes a slight fever accompanying the pain. There has been no recent injury that could account for the pain. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms could include:

  • Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They are quite common and often don't cause symptoms. However, if a cyst becomes large or ruptures, it can cause sudden, sharp pain in the lower abdomen. This pain may be more noticeable when you're lying down because of the pressure on the cyst.

    • Treatment: Most ovarian cysts resolve on their own without treatment. However, if the cyst is large, causing severe pain, or if it doesn't go away on its own, you may need to have it removed surgically.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. It can cause lower abdominal pain, fever, and abnormal vaginal discharge.

    • Treatment: PID is usually treated with antibiotics. It's important to treat PID promptly to prevent complications, such as infertility or ectopic pregnancy.
  • Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus. It can cause severe abdominal pain, especially during your period.

    • Treatment: Treatment options for endometriosis include pain relievers, hormonal therapies, and surgery.

What you can do

You should seek medical attention as soon as possible. While waiting for your appointment, you can try over-the-counter pain relievers to help manage your pain. Avoid activities that make your pain worse, such as strenuous exercise or heavy lifting.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop a high fever
  • You have heavy or abnormal vaginal bleeding
  • You have nausea or vomiting

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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People Also Ask


What are the common symptoms of ovarian cysts?

Common symptoms of ovarian cysts include sudden, sharp pain in the lower abdomen, bloating, and sometimes changes in menstrual periods. However, many cysts are asymptomatic and are found during routine exams.


How is Pelvic Inflammatory Disease (PID) diagnosed and treated?

PID is diagnosed through a pelvic exam, analysis of vaginal discharge, and sometimes ultrasound or other imaging tests. It is typically treated with antibiotics to clear the infection.


What are the potential complications of untreated endometriosis?

Untreated endometriosis can lead to complications such as chronic pain, infertility, and the formation of scar tissue and adhesions, which can cause organs to stick together.


When should someone with lower abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if the pain becomes severe or unbearable, if there is a high fever, heavy or abnormal vaginal bleeding, or if nausea or vomiting occurs.


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