[20M] Experiencing intermittent lower right abdominal burning sensation

Patient Description

A 20-year-old male has been experiencing a burning sensation in the lower right abdomen above the hip bone for 2-3 weeks. The pain is intermittent, rated as mild (2/10), and sometimes radiates to the back. The patient has not found any measures that relieve the pain and reports no changes in bowel habits, but does mention frequent urination and a dry mouth. There is no fever, chills, nausea, or blood in urine. The patient has a history of anxiety and ADHD, for which he takes Adderall (30mg once daily) and Lexapro (10mg twice daily). He consumed alcohol and marijuana 5 days ago. There is no known family history of kidney stones or appendicitis, and the patient has no known drug allergies.

Show More

Arora's Assessment

What might be happening

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

  • Appendicitis: This condition occurs when the appendix, a small organ attached to the large intestine, becomes inflamed. It typically presents with pain in the lower right abdomen. However, your pain is not severe and you have not reported other common symptoms such as fever, nausea, and vomiting.

    • Treatment usually involves surgery to remove the appendix.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be in the lower abdomen and back, and may come and go. Increased urination and pain radiating to the back are also symptoms. However, you have not reported blood in the urine which is a common symptom.

    • Treatment can range from pain management and drinking lots of water to pass the stone, to medical procedures to remove or break up larger stones.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. It could explain the frequent urination and lower abdominal pain, but typically also involves pain or a burning sensation during urination, which you have not reported.

    • Treatment typically involves antibiotics to clear the infection.
  • Side effects of medication: Both Adderall and Lexapro can cause stomach pain and dry mouth. Frequent urination is a less common side effect.

    • Treatment would involve discussing these side effects with your doctor, who may adjust your medication regimen.

What you can do

  1. Consult a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary.
  2. Keep a symptom diary, noting when the pain occurs, its severity, and any potential triggers.
  3. Stay hydrated, particularly if you are urinating frequently.

What you should look out for

Reasons to seek immediate medical attention:

  • If your pain becomes severe or constant
  • If you develop a fever, nausea, or vomiting
  • If you notice blood in your urine
  • If your symptoms worsen or do not improve over time

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain in the lower right abdomen, fever, nausea, vomiting, and loss of appetite. The pain often starts near the belly button and then moves to the lower right side.


How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment may involve drinking plenty of water to help pass the stone, pain management, and in some cases, medical procedures to break up or remove larger stones.


What are the typical symptoms of a urinary tract infection (UTI)?

Typical symptoms of a urinary tract infection include a strong, persistent urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and pelvic pain. Some people may also experience fever or chills.


Can Adderall and Lexapro cause abdominal pain and frequent urination?

Yes, both Adderall and Lexapro can cause side effects such as abdominal pain and dry mouth. Frequent urination is a less common side effect. It's important to discuss any side effects with your doctor, who may adjust your medication if necessary.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback