[19F] Experiencing pelvic and abdominal pain

Patient Description

A 19-year-old female reports experiencing pelvic and abdominal pain. The pelvic pain, which started as dull and has recently become sharp and aching, began after sexual intercourse. The pain is described as being severe, with a rating of 7 out of 10, and is located throughout the pelvic area with strong aches on the right vaginal lip and left side of the pelvic area. Additionally, the patient describes the abdominal pain as usually dull in the lower area but sharper when radiating to the middle upper abdominal area, with a severity rating of 5 out of 10. Lymphatic massages and passing gas or having a bowel movement provide some relief. The patient's last bowel movement was described as wet and pebble-like. The patient also experiences chills but no fever, nausea, vomiting, dizziness, or fainting. There has been a noted change in menstrual cycle, with the last two cycles being heavier and arriving later than expected.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It often occurs when sexually transmitted bacteria spread from your vagina to your uterus, fallopian tubes or ovaries. Symptoms can include pain in your lower abdomen or pelvis, heavy vaginal discharge with an unpleasant odor, irregular menstrual bleeding, pain during intercourse, fever, and chills.

    • Treatment typically involves antibiotics to clear the infection.
  • Ovarian Cysts: These are fluid-filled sacs or pockets in an ovary or on its surface. They are common and usually form during ovulation. Symptoms can include pelvic pain — a constant or intermittent dull ache that may radiate to your lower back and thighs, and fullness or heaviness in your abdomen.

    • Treatment can range from monitoring the cysts to surgical removal, depending on their size and potential impact on your health.
  • Appendicitis: Inflammation of the appendix, a small tube that is attached to the large intestine. Symptoms can include a dull pain near the upper abdomen that becomes sharp as it moves to the lower right abdomen, loss of appetite, nausea, and sometimes fever.

    • Treatment usually involves surgical removal of the appendix.

What you can do

  1. Schedule an appointment with a healthcare provider as soon as possible. They can perform a physical examination and possibly order imaging tests like an ultrasound or CT scan to get a better understanding of what's causing your symptoms.
  2. Over-the-counter pain relievers, like ibuprofen, can help manage your pain in the meantime. However, avoid taking these if you suspect you might have appendicitis, as they can mask symptoms and make diagnosis more difficult.
  3. Rest and stay hydrated.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop a high fever (over 100.4°F)
  • You experience sudden, severe abdominal pain
  • You have blood in your stool or vomit

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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8 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 or pelvic pain, heavy vaginal discharge with an unpleasant odor, irregular menstrual bleeding, pain during intercourse, fever, and chills.


How are ovarian cysts typically treated?

Ovarian cysts are typically treated based on their size and symptoms. Treatment options range from monitoring the cysts to surgical removal if they are large or causing significant symptoms.


What are the warning signs of appendicitis that require immediate medical attention?

Warning signs of appendicitis that require immediate medical attention include severe abdominal pain that starts near the upper abdomen and moves to the lower right abdomen, loss of appetite, nausea, and sometimes fever.


Can changes in menstrual cycle be related to pelvic or abdominal pain?

Yes, changes in the menstrual cycle, such as heavier or irregular periods, can be related to pelvic or abdominal pain and may indicate underlying conditions like PID or ovarian cysts.


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1 Comments


Daisy#15667

8 mo ago

If the pain doesn't stop soon and you've never had it before, might be good to go get some imaging (like an abdomen/pelvis CT or ultrasound) to rule out appendicitis or ruptured ovarian cyst. How long has this been happening?

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