[20F] Experiencing abdominal pain, headaches, and menstrual irregularities

Patient Description

A 20-year-old female presents with intermittent right lower abdominal pain described as a crushing sensation, which began 3 days ago following deep intercourse. Pain relief is temporarily achieved with over-the-counter analgesics. She reports associated nausea, particularly after consuming dairy, and vomiting induced by the taste of toothpaste. The patient also describes a year-long history of severe headaches with nausea, blurry vision, and a sensation of pressure, which are worse upon standing and improve with rest. Additionally, she experiences breast tenderness, particularly around the nipples, and has been missing periods with heavy flow when present. The patient has a history of a severe UTI leading to kidney infection, iron deficiency anemia diagnosed in November 2023, and pre-diabetes diagnosed on June 16, 2023. She has taken multiple negative pregnancy tests in the past 2 months despite regular unprotected intercourse. No current medications reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. Symptoms can include abdominal pain, nausea, vomiting, and diarrhea. Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the right side of the abdomen. Treatment may involve medication to dissolve the stones or surgery to remove the gallbladder.
  • Appendicitis: This is an inflammation of the appendix, a small organ on the right side of the abdomen. Symptoms can include pain in the right lower abdomen, nausea, vomiting, and loss of appetite. This is a medical emergency and requires immediate treatment, usually surgery to remove the appendix.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, pain on urination, pink, red or brown urine, cloudy or foul-smelling urine, nausea and vomiting, persistent need to urinate, urinating more often than usual, fever and chills if an infection is present, urinating small amounts of urine. Treatment involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required to remove or break up larger stones.
  • Pregnancy: Given your history of unprotected intercourse, missed periods, tender breasts, and nausea, it's possible that you could be pregnant. Home pregnancy tests can sometimes give false negatives, so you might want to consider getting a blood test or ultrasound for a more definitive answer.

What you can do

  1. Seek immediate medical attention: Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. If you don't have a family doctor, consider going to an urgent care clinic or emergency room.
  2. Stay hydrated: Drink plenty of fluids to prevent dehydration, especially if you're vomiting or have diarrhea.
  3. Rest: Try to get plenty of rest to help your body recover.
  4. Avoid triggers: If certain foods or activities seem to make your symptoms worse, try to avoid them.

What you should look out for

  • Worsening symptoms: If your symptoms get worse or don't improve, seek medical attention immediately.
  • Fever or chills: These could be signs of an infection, which would require immediate medical attention.
  • Blood in your stool or urine: This could be a sign of a more serious condition and should be evaluated by a healthcare provider as soon as possible.

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

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9 mo ago


People Also Ask


What could be causing my right lower abdominal pain after intercourse?

Right lower abdominal pain after intercourse could be due to several reasons, including appendicitis, ovarian cysts, or pelvic inflammatory disease. It's important to consult a healthcare provider for a proper diagnosis.


Why do I feel nauseous after consuming dairy products?

Nausea after consuming dairy products could indicate lactose intolerance, where the body is unable to properly digest lactose, a sugar found in milk and dairy products.


What might be the reason for my severe headaches with nausea and blurry vision?

Severe headaches with nausea and blurry vision could be symptoms of migraines or other conditions like intracranial hypertension. It's important to seek medical evaluation to determine the cause.


Could I be pregnant despite negative home pregnancy tests?

Home pregnancy tests can sometimes give false negatives, especially if taken too early. A blood test or ultrasound performed by a healthcare provider can provide a more definitive answer regarding pregnancy.

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