[19F] Experiencing lower stomach pain and bloating

Patient Description

A 19-year-old female has been experiencing a full ache in the lower right side of her stomach for approximately one week, with the pain intensifying at night and in the morning, leading to difficulty sleeping. The pain is described as a constant ache, rated 7 out of 10 in severity, and is not noticeably relieved by any measures. The patient also reports bloating and tightness in the same area, which has been present for the same duration. Additionally, she has been experiencing hot and cold flashes. The patient notes constipation and describes her last bowel movement, which occurred the day before, as difficult. No other symptoms such as nausea or vomiting were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Appendicitis: This is an inflammation of the appendix, a small pouch located on the lower right side of your abdomen. This condition typically causes severe pain that starts around your belly button and then shifts to your lower right abdomen. Other symptoms can include loss of appetite, nausea, vomiting, and fever.

    • Treatment typically involves surgical removal of the appendix.
  • Ovarian cyst: This is a fluid-filled sac that forms on or inside an ovary. Most ovarian cysts are harmless and go away without treatment in a few months. However, a large or ruptured ovarian cyst can cause symptoms such as pain, bloating, and feeling full quickly when eating.

    • Treatment may involve monitoring the cyst, birth control pills, or surgery.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits.

    • Treatment typically involves dietary changes, medication, and managing stress.

What you can do

Please seek immediate medical attention, especially if your pain is severe or worsening, as conditions like appendicitis require urgent care. In the meantime, try to stay hydrated and avoid foods that may worsen your bloating.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe or worsening pain
  • Fever or chills
  • Nausea or vomiting
  • Difficulty eating or loss of appetite
  • Changes in bowel movements, especially if you notice blood

Remember, I'm an AI and this advice is based on the information you provided. Always consult with a healthcare professional for a formal diagnosis and treatment options.

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10 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include severe abdominal pain that starts around the belly button and shifts to the lower right abdomen, loss of appetite, nausea, vomiting, and sometimes fever. The pain often worsens with movement or coughing.


How can an ovarian cyst affect my health?

An ovarian cyst can cause symptoms such as pelvic pain, bloating, and a feeling of fullness. While many cysts are harmless and resolve on their own, larger or ruptured cysts can cause significant pain and may require medical intervention.


What lifestyle changes can help manage Irritable Bowel Syndrome (IBS)?

Managing IBS often involves dietary changes such as increasing fiber intake, avoiding trigger foods, and eating smaller, more frequent meals. Stress management techniques and regular exercise can also help alleviate symptoms.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if it is severe or worsening, if you experience fever or chills, nausea or vomiting, difficulty eating, or if there are changes in bowel movements, especially if you notice blood.


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