[20F] Experiencing sharp abdominal pain with shoulder discomfort

Patient Description

A 20-year-old female presented with sharp, stabbing pains below the stomach, predominantly on the right side near the hip bone, which also spread to the front and left sides of the abdomen and right shoulder. The pain intensity decreased from a 6 to a 1 on a scale of 1-10 since onset this morning. The patient reports the pain was exacerbated by movement and breathing. There is no current fever, chills, nausea, vomiting, changes in bowel movements, urine, or menstrual cycle. The patient has an allergy to penicillin but is not on any medications and has no known pre-existing conditions or chronic illnesses. No family history of appendicitis or similar conditions was reported.

Arora's Assessment

What might be happening

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

Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically presents with pain in the lower right abdomen, which can be sharp or stabbing and worsen with movement or breathing. The pain can also spread to other parts of the abdomen or even the shoulder.
- Treatment usually involves surgical removal of the appendix.
Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. It can cause pain in the lower abdomen, especially on one side. The pain can be sharp or dull and can radiate to the lower back or thighs.
- Treatment can range from watchful waiting to medication or surgery, depending on the size and type of the cyst.
Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the side and back, below the ribs, and can radiate to the lower abdomen and groin.
- Treatment can range from pain management and drinking lots of water to medical procedures to remove or break up the stones.

Please note that these are just possibilities and not a definitive diagnosis. You should seek immediate medical attention to get a proper diagnosis and treatment.

What you can do

In the meantime, you can try the following to manage your symptoms:

Rest and avoid any strenuous activities that may worsen your pain.
Over-the-counter pain relievers may help, but avoid taking more than the recommended dose.
Stay hydrated by drinking plenty of water.