[21F] Experiencing severe sharp lower abdominal pain

Patient Description

A 21-year-old female presents with severe, sharp lower abdominal pain rated 10/10, located above the pelvic bone, that radiates to the lower back. The pain has been persistent for two weeks and is accompanied by chills. The patient reports her bowel movements are pasty but has not found any relief measures for the pain. She denies being pregnant. No other symptoms or medical history were provided.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Appendicitis: This is an inflammation of the appendix, a small tube attached to the large intestine. It typically causes sharp pain in the lower right abdomen, but the pain can also be more generalized. The pain often worsens over time and can be severe.

    • 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 severe and usually starts in the back or side below the ribs, radiating to the lower abdomen and groin.

    • Treatment can involve pain relief, drinking lots of fluids, and in some cases, medical procedures.
  • Gynecological issues: Conditions such as endometriosis, ovarian cysts, or pelvic inflammatory disease can cause lower abdominal pain in women. The pain can be sharp and may radiate to the back.

    • Treatment varies depending on the specific condition and may involve medication or surgery.
  • Gastrointestinal issues: Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or diverticulitis can cause lower abdominal pain. The pain can be sharp and may radiate to the back.

    • Treatment varies depending on the specific condition and may involve dietary changes, medication, or surgery.

What you can do

Given the severity of your pain, it's important to seek immediate medical attention. While waiting for medical help:

  1. Try to rest and avoid any strenuous activities.
  2. Stay hydrated by drinking plenty of water.
  3. Avoid eating any foods that you think may have triggered your symptoms.

What you should look out for

Please seek immediate medical help if you experience any of the following:

  • The pain becomes severe or unbearable.
  • You have a high fever (temperature over 100.4°F).
  • You start vomiting or have blood in your stool.
  • You feel faint or dizzy.

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 appropriate examinations, treatment, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain in the lower right abdomen, nausea, vomiting, loss of appetite, and sometimes fever. 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 include pain relief, increased fluid intake to help pass the stone, and in some cases, medical procedures like lithotripsy or surgery to remove larger stones.


What are some gynecological conditions that can cause severe abdominal pain?

Gynecological conditions that can cause severe abdominal pain include endometriosis, ovarian cysts, and pelvic inflammatory disease. These conditions may also cause symptoms like irregular menstrual cycles, pain during intercourse, and abnormal vaginal discharge.


What dietary changes can help manage gastrointestinal issues like IBS or IBD?

Dietary changes for managing gastrointestinal issues like IBS or IBD may include increasing fiber intake, avoiding trigger foods such as dairy or gluten, eating smaller, more frequent meals, and staying hydrated. It's important to work with a healthcare provider to tailor dietary changes to individual needs.


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