[20F] With lower right abdominal pain and urinary frequency

Patient Description

A 20-year-old female reports experiencing mild, sharp pain in the lower right abdomen for a couple of days, particularly when pressing on the area near the pelvic bone. The pain developed gradually and is accompanied by an increased frequency of urination. There are no changes in stool, burning sensation during urination, nausea, vomiting, fever, or chills. The patient skipped a menstrual cycle but tested negative for pregnancy. There is no unusual vaginal discharge or odor. The patient has no history of urinary tract infections or ovarian cysts, no recent travel, and no known allergies or medications. She reports being generally healthy with no pre-existing conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Appendicitis: This is an inflammation of the appendix, often causing sharp pain in the lower right abdomen. It usually worsens over time and can be accompanied by nausea or fever. If the pain becomes severe or constant, seek medical attention immediately.

  • Urinary Tract Infection (UTI): Frequent urination can be a sign of a UTI, even without burning. It's less likely without other symptoms, but still possible.

  • Ovarian Cyst: These are fluid-filled sacs on the ovary that can cause pain, especially if they rupture or become large.

  • Muscle Strain: Given recent activities, a strain could cause localized pain, especially when pressing on the area.

What you can do

  • Monitor Symptoms: Keep track of any changes in your symptoms, especially if the pain worsens or new symptoms appear.

  • Stay Hydrated: Drink plenty of water, which can help if there's any irritation in your urinary tract.

  • Rest: Avoid activities that may strain your abdomen further.

  • Use MDandMe: Journal your symptoms and track any changes. This can help provide insights and is useful information to share with your healthcare provider.

What you should look out for

  • Seek Medical Attention: If you experience severe pain, fever, nausea, or vomiting, see a doctor promptly.

  • Changes in Symptoms: If you notice any new symptoms like blood in urine, persistent pain, or changes in your menstrual cycle, consult a healthcare professional.

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment.

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3 mo ago

People Also Ask

What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain in the lower right abdomen, which may start near the belly button and move to the lower right side. It can be accompanied by nausea, vomiting, loss of appetite, fever, and abdominal swelling. If you suspect appendicitis, seek medical attention immediately.

Can you have a urinary tract infection without experiencing a burning sensation during urination?

Yes, it is possible to have a urinary tract infection without the classic symptom of a burning sensation during urination. Other symptoms can include frequent urination, urgency, cloudy or strong-smelling urine, and pelvic pain. A urine test can help diagnose a UTI.

What are the signs of an ovarian cyst, and how are they diagnosed?

Signs of an ovarian cyst can include pelvic pain, bloating, and changes in menstrual cycles. Some cysts may cause no symptoms and are found during routine exams. Diagnosis typically involves a pelvic exam and imaging tests like an ultrasound.

How can you differentiate between muscle strain and other abdominal pain causes?

Muscle strain pain is often localized and may worsen with movement or pressure on the affected area. It usually improves with rest and over-the-counter pain relief. In contrast, other causes of abdominal pain, like appendicitis or ovarian cysts, may have additional symptoms such as fever, nausea, or changes in urination or menstruation. A healthcare provider can help differentiate these conditions.

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