[18F] With severe lower right side pain and leg numbness

Patient Description

An 18-year-old female presents with severe pain on the lower right side that started suddenly this morning. The pain is intermittently stabbing and causes her leg to feel weak and numb. She also experiences nausea but has not vomited. The pain is localized to the front of her lower right side and sometimes throbs when she urinates. She denies any fever, chills, vomiting, changes in bowel movements, or changes in the frequency or urgency of urination. She has no history of kidney stones or urinary tract infections. Her menstrual periods are regular, with the last period occurring a week ago. She has not eaten anything unusual or been exposed to anyone with similar symptoms recently. She also has not experienced any loss of appetite or difficulty eating. She is currently taking 15 milligrams of Abilify every night for mental health and is not on any other medications.

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Arora's Assessment

What might be happening

Based on the information you’ve provided, there are a few serious conditions that could be causing your symptoms:

  1. Appendicitis: This is an inflammation of the appendix and can cause severe pain in the lower right side of the abdomen. The pain can come on suddenly and may be accompanied by nausea. If left untreated, appendicitis can lead to a ruptured appendix, which is a medical emergency.

  2. Kidney Stones: Although you mentioned no history of kidney stones, the severe pain and throbbing sensation when you urinate could indicate the presence of a kidney stone. Kidney stones can cause sharp, severe pain that radiates to the lower abdomen and groin.

  3. Ovarian Cyst or Torsion: Given your age and menstrual history, an ovarian cyst or torsion could be a possibility. This can cause sudden, severe pain on one side of the lower abdomen and may also lead to nausea.

  4. Hernia: A hernia can cause severe pain in the lower abdomen, especially if it becomes strangulated. This is a condition where part of the intestine gets trapped, cutting off its blood supply, and requires immediate medical attention.

What you can do

Given the severity and sudden onset of your symptoms, it is crucial to seek immediate medical attention. Here are the steps you should take:

  1. Go to the Emergency Room: The symptoms you are experiencing could indicate a serious condition that requires prompt medical evaluation and treatment. Please go to the nearest emergency room as soon as possible.

  2. Call 911: If the pain becomes unbearable, you feel light-headed, or your symptoms worsen, call 911 for an ambulance. Do not drive yourself if you are in severe pain or feel weak.

  3. Have Someone Drive You: If possible, have a family member or friend drive you to the hospital. This will ensure you get there safely and can focus on managing your pain.

  4. Avoid Eating or Drinking: Until you are evaluated by a healthcare professional, avoid eating or drinking anything, as some conditions may require surgery, and having an empty stomach is important.

Remember, I am not a doctor, and this advice is based on the information you have provided. It is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.

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3 mo ago


People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sudden pain that begins on the right side of the lower abdomen, nausea, vomiting, loss of appetite, and sometimes a low-grade fever. The pain often worsens with movement, coughing, or sneezing.


Can kidney stones cause pain without a history of them?

Yes, kidney stones can cause severe pain even if you have no prior history. The pain is typically sharp and may radiate to the lower abdomen and groin. It can also be accompanied by nausea and changes in urination.


What are the signs of an ovarian cyst or torsion?

Signs of an ovarian cyst or torsion include sudden, severe pain on one side of the lower abdomen, nausea, vomiting, and sometimes changes in menstrual cycles. Ovarian torsion is a medical emergency and requires immediate attention.


How can a hernia cause severe abdominal pain?

A hernia can cause severe abdominal pain if it becomes strangulated, meaning part of the intestine gets trapped and its blood supply is cut off. This can lead to intense pain, nausea, and vomiting, and requires urgent medical intervention.


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Archie#3960

3 mo ago

Did it get better?

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