[21F] Experiencing sharp right-sided abdominal pain with tenderness

Patient Description

A 21-year-old female has been experiencing sharp, non-radiating abdominal pain on the right side for approximately one week, with a pain severity of 4 out of 10. The pain is not alleviated by any measures, and the patient has noticed tenderness upon releasing pressure in the lower right abdomen. She also reports experiencing chills. The patient's last bowel movement was liquid due to laxative use, and there have been no changes in urine or occurrences of nausea or vomiting. The patient has a history of anxiety and depression, diagnosed 4 years ago, and is currently taking Famotidine, although the dosage is uncertain. No known drug allergies or other medications are reported. No family history of gastrointestinal or gynecological conditions is noted.

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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 condition occurs when the appendix, a small organ attached to the large intestine, becomes inflamed and filled with pus. The main symptom is pain in the lower right abdomen. The pain usually starts as a dull ache around the navel and then moves to the lower right side. Other symptoms can include loss of appetite, nausea, vomiting, and fever.

    • Treatment for appendicitis usually involves surgery to remove the appendix (appendectomy). In some cases, a course of antibiotics may be tried first.
  • Ovarian Cyst: This condition occurs when a fluid-filled sac forms on or inside an ovary. Most ovarian cysts are harmless and go away without treatment in a few months. However, a large or ruptured ovarian cyst can cause symptoms such as abdominal pain, bloating, and an urgent need to urinate.

    • Treatment for an ovarian cyst depends on the size and type of the cyst, as well as whether you're experiencing symptoms. Treatment can range from watchful waiting to surgery.
  • Gastroenteritis: This condition, also known as stomach flu, is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include abdominal pain, diarrhea, nausea, vomiting, and fever.

    • Treatment for gastroenteritis usually involves rest, hydration, and over-the-counter medications to help with symptoms.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. If your symptoms are due to appendicitis, this is a medical emergency that requires immediate treatment.

In the meantime, try to stay hydrated and avoid eating foods that may worsen your symptoms. Over-the-counter pain relievers may help with the pain, but avoid taking aspirin, ibuprofen, or other nonsteroidal anti-inflammatory drugs if you suspect you have appendicitis, as these medications can increase the risk of bleeding.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • High fever
  • Vomiting
  • Rapid heart rate
  • Fainting or feeling faint
  • Abdominal swelling

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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9 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 as a dull ache around the navel, loss of appetite, nausea, vomiting, and fever. The pain often worsens with movement or pressure.


How can an ovarian cyst cause abdominal pain?

An ovarian cyst can cause abdominal pain if it becomes large, ruptures, or causes the ovary to twist. This pain is usually felt on one side of the lower abdomen and may be accompanied by bloating or a feeling of fullness.


What are the typical symptoms of gastroenteritis?

Typical symptoms of gastroenteritis include abdominal pain, diarrhea, nausea, vomiting, and sometimes fever. It is often caused by a viral or bacterial infection and can lead to dehydration if not managed properly.


When should someone seek medical attention for abdominal pain?

Medical attention should be sought for abdominal pain if it is severe, worsening, or accompanied by symptoms such as high fever, vomiting, rapid heart rate, fainting, or abdominal swelling. These could indicate a serious condition requiring urgent care.


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