[21F] Experiencing crampy abdominal and pelvic pain with lightheadedness

Patient Description

A 21-year-old female presents with crampy pain above the pelvis on both sides of the abdomen, radiating to the thighs, chest, arm, and leg. The pain has been present for over two weeks, with a severity rating of 5-8 out of 10, and is alleviated by sleep. The patient also experiences lightheadedness but no fever, chills, or changes in bowel habits, with the last bowel movement being soft. There is no blood in stool or vomit. The patient's menstrual cycle occurred five days ago without any noted changes. She has not engaged in penetrative sex or intercourse. There is no family history of ovarian or gastrointestinal issues, and past medical history includes chest pains deemed muscular cramps. The patient is not on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They are common and often have no symptoms. When symptoms do occur, they can include pelvic pain, bloating, and a loss of appetite.

    • Treatment can range from watchful waiting to medications or surgery, depending on the size and type of the cyst, your age, and your symptoms.
  • Appendicitis: This is an inflammation of the appendix, a small pouch that's attached to the large intestine on the lower right side of the abdomen. This can cause severe pain in the right side of the lower abdomen, which can become worse over time.

    • Treatment typically involves surgery to remove the appendix.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. Symptoms can include abdominal pain, loss of appetite, and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter medications to help manage symptoms.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, typically caused by sexually transmitted bacteria. Symptoms can include pain in the lower abdomen, fever, and an unusual discharge.

    • Treatment typically involves antibiotics to clear the infection.

Please note that these are potential explanations for your symptoms, but they are not exhaustive. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest and stay hydrated: This can help your body fight off any potential infections and manage your symptoms.
  2. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help manage your pain. However, avoid using these for more than a few days without consulting a doctor.
  3. Monitor your symptoms: Keep track of any changes in your symptoms or if they worsen. This information can be helpful when you consult with a healthcare professional.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe pain or pain that gets progressively worse
  • Fever
  • Vomiting
  • Difficulty breathing
  • Signs of shock, such as cold and sweaty skin, rapid heart rate, or lightheadedness

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of ovarian cysts?

Common symptoms of ovarian cysts include pelvic pain, bloating, and a feeling of fullness or heaviness in the abdomen. Some women may also experience irregular menstrual cycles or pain during intercourse.


How can I differentiate between appendicitis and other abdominal pain?

Appendicitis typically presents with sharp pain in the lower right abdomen, which may start near the belly button and move. The pain often worsens with movement, coughing, or sneezing. Other symptoms can include nausea, vomiting, and a low-grade fever.


What are the typical causes and symptoms of gastroenteritis?

Gastroenteritis is usually caused by viral or bacterial infections and is characterized by symptoms such as abdominal pain, diarrhea, vomiting, and sometimes fever. It often resolves on its own with rest and hydration.


What is Pelvic Inflammatory Disease (PID) and how is it treated?

Pelvic Inflammatory Disease (PID) is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. Symptoms include lower abdominal pain, fever, unusual vaginal discharge, and pain during intercourse or urination. Treatment typically involves antibiotics to clear the infection.


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