[22F] Experiencing abdominal cramping, nausea, lightheadedness, and spotting

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 on the right side of your abdomen. It typically starts with a pain around your navel that later shifts to your lower right abdomen. However, you mentioned that the pain did not start around your navel, which makes this less likely.

  • Treatment typically involves surgical removal of the appendix.

• Ovarian Cyst: Given your history of PCOS, you are at increased risk of developing ovarian cysts. These can cause abdominal pain, bloating, and changes in menstrual bleeding. If a cyst ruptures, it can cause sudden, severe pain.

  • Treatment can range from monitoring to medication or surgery, depending on the size and type of cyst.

• Ectopic Pregnancy: This is a pregnancy that occurs outside the uterus, most commonly in the fallopian tubes. It can cause abdominal pain, vaginal bleeding, and symptoms of pregnancy. However, you did not mention any symptoms of pregnancy.

  • Treatment typically involves medication or surgery.

What you can do

Given the severity and duration of your symptoms, it's important to seek immediate medical attention. This will allow a healthcare professional to evaluate your symptoms, perform a physical examination, and possibly order tests such as blood tests, urine tests, or imaging studies to help determine the cause of your symptoms.

What you should look out for

If your symptoms worsen, or if you develop new symptoms such as fever, vomiting, or severe abdominal pain, seek immediate medical attention. These could be signs of a serious condition that requires urgent treatment.

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.