[21F] Experiencing sudden abdominal pain and urinary frequency

Patient Description

A 21-year-old female presents with sudden onset of abdominal pain, rated 7/10 in severity, described as crampy and sharp, located near the kidney and bladder. The pain started yesterday and is relieved by painkillers. The patient also reports nausea, increased urinary frequency with reduced volume, and no dysuria. Additionally, there has been the presence of green stools with occasional drops of blood upon wiping but not within the stool itself. The patient's last menstrual cycle was notably heavier with significant pain and nausea. She has a history of hypothyroidism, diagnosed in March of the previous year, and is currently on 100 milligrams of Levothyroxine daily. She takes Senna, 75 milligrams, as needed for constipation. No known drug allergies. The patient is not sexually active and has no known family history of kidney stones or gastrointestinal diseases.

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Arora's Assessment

What might be happening

Based on your symptoms, possible diagnoses include:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, and frequent urination.

    • Treatment typically involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required if the stone is too large.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Symptoms can include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, and lower abdominal pain.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include diarrhea, abdominal cramps, nausea, and vomiting.

    • Treatment usually involves rest, hydration, and over-the-counter medications to help with symptoms.
  • Menstrual Cramps: These are throbbing or cramping pains in the lower abdomen that occur before and during a menstrual period. The pain can range from mild to severe, can start 1-2 days before your period and last for a few days.

    • Treatment can involve over-the-counter pain relievers and heat therapy.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment typically involves long-term management of diet, lifestyle changes, and stress.

Please note that these are possible conditions and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide a proper diagnosis.

What you can do

  1. Drink plenty of fluids to stay hydrated, especially water.
  2. Try over-the-counter pain relievers to help with the abdominal pain and headache.
  3. Rest as much as possible to help your body recover.
  4. Monitor your symptoms and note any changes or worsening of symptoms.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe pain that prevents you from sitting still or finding a comfortable position
  • Blood in your urine or severe nausea and vomiting
  • Fever or chills
  • Abdominal pain that is severe and sudden in onset, or accompanied by other concerning symptoms like vomiting or fever

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 kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain during urination, frequent urination, and sometimes blood in the urine.


How can I differentiate between a urinary tract infection and other abdominal issues?

A urinary tract infection often presents with a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, and lower abdominal pain. These symptoms can help differentiate it from other abdominal issues like kidney stones or gastrointestinal problems.


What could cause green stools with occasional blood?

Green stools can be caused by a variety of factors, including diet (such as eating a lot of green leafy vegetables), food coloring, or a rapid transit time through the intestines. Occasional blood upon wiping could be due to hemorrhoids or minor tears in the anal area.


How does hypothyroidism affect menstrual cycles?

Hypothyroidism can affect menstrual cycles by causing heavier, more painful periods, or irregular cycles. This is due to the thyroid hormone's role in regulating the menstrual cycle and overall hormonal balance.


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