[21F] Experiencing sharp lower left abdominal pain and nausea

Patient Description

A 21-year-old female is experiencing sharp, localized pain in the lower left side of the abdomen with a severity rated at 7 out of 10. The pain has been present for 2 days and is exacerbated by certain positions. There is no relief from the pain reported. The patient also experiences nausea but no vomiting. Bowel movements were last reported as normal with no blood in the stool. The patient has a history of ovarian torsion, which has been ruled out as the cause of the current symptoms. There is no fever, chills, unusual vaginal discharge, or bleeding. The patient denies the use of recreational drugs, alcohol, or unprescribed medications. There are no known allergies or adverse reactions to medications, and the patient is not currently on any medications. There is no other significant past medical history or family history of gastrointestinal or gynecological conditions.

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Arora's Assessment

What might be happening

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

  • Appendicitis: This condition involves inflammation of the appendix, a small organ attached to the large intestine. It typically causes severe pain in the lower right abdomen, but in some cases, it can cause lower left abdominal pain.

    • Treatment usually involves surgical removal of the appendix.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually comes in waves. It can be felt in the back or lower abdomen.

    • Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required to remove or break up larger stones.
  • Diverticulitis: This is inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The formation of these pouches is known as diverticulosis.

    • Treatment includes antibiotics, pain relievers, and a liquid diet until your bowel has healed. Surgery may be needed if complications develop or if you have recurrent episodes of diverticulitis.
  • Ovarian Cysts: These are fluid-filled sacs or pockets in an ovary or on its surface. Many women have ovarian cysts at some time. Most ovarian cysts present little or no discomfort and are harmless.

    • Treatment can range from monitoring the cysts to surgical removal.

Please note that these are potential explanations for your symptoms, but there may be other causes. It's important to see a healthcare provider for a definitive diagnosis.

What you can do

You should seek immediate medical attention, especially since your symptoms are worsening. It's important to get a proper diagnosis and appropriate treatment.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Severe or worsening pain
  • High fever
  • Vomiting
  • Blood in your stool
  • Signs of shock, such as cold and sweaty skin, rapid heart rate, or fainting

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sudden pain that begins on the right side of the lower abdomen, pain that worsens with movement, coughing, or sneezing, nausea, vomiting, loss of appetite, and fever. In some cases, the pain can be felt on the left side.


How are kidney stones diagnosed and treated?

Kidney stones are typically diagnosed through imaging tests such as a CT scan or ultrasound. Treatment may include drinking plenty of water to help pass the stone, pain relievers, and medical procedures to break up or remove larger stones.


What lifestyle changes can help prevent diverticulitis?

To help prevent diverticulitis, it is recommended to eat a high-fiber diet, stay hydrated, exercise regularly, and avoid smoking. These lifestyle changes can help maintain bowel health and reduce the risk of developing diverticula.


What are the potential complications of untreated ovarian cysts?

Untreated ovarian cysts can lead to complications such as rupture, which can cause severe pain and internal bleeding, or ovarian torsion, which can cut off blood supply to the ovary. In rare cases, cysts can be cancerous, so monitoring and treatment are important.


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