[22F] Experiencing sharp, constant lower right abdominal pain

Patient Description

A 22-year-old female presents with a sharp, constant pain in the lower right abdomen that started this morning. The pain is described as a 7 out of 10 in severity and is somewhat alleviated by applying a little pressure. The patient has not found any other means of relief. Accompanying symptoms include lower back pain and nausea, with the patient reporting vomiting of bile due to an empty stomach but is able to keep down water. Bowel movements occurred today and were a bit soft but otherwise normal. There is no fever, chills, or changes in urination, such as blood or burning. The pain sometimes radiates but is mostly localized to one specific area in the lower right abdomen, with a slight rebound tenderness noted.

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Arora's Assessment

What might be happening

Based on the information you've provided, the possible causes of your symptoms include:

  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically presents with sharp pain in the lower right abdomen, nausea, and sometimes vomiting. The pain can sometimes radiate to other parts of the abdomen or back.

    • Treatment typically involves surgical removal of the appendix (appendectomy).
  • Ovarian Cyst: This is a fluid-filled sac that forms on or in an ovary. It can cause lower abdominal pain, which can radiate to the lower back. Nausea and vomiting can also occur, especially if the cyst is large or causes the ovary to twist (known as ovarian torsion).

    • Treatment can range from monitoring to surgery, depending on the size and effects of the cyst.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain is typically severe and can occur in the back or lower abdomen, and can radiate to the groin. Nausea and vomiting can also occur.

    • Treatment can involve pain relief, drinking lots of fluids, and sometimes medical procedures to remove or break up the stones.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include abdominal pain, nausea, vomiting, and diarrhea.

    • Treatment typically involves rest, hydration, and over-the-counter remedies.

What you can do

Given the severity and location of your pain, it's important to seek medical attention immediately. Appendicitis is a medical emergency and requires prompt treatment.

In the meantime, try to stay hydrated, especially since you've been vomiting. Avoid eating or drinking anything that makes your symptoms worse.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop a fever
  • You're unable to keep down fluids
  • You notice blood in your vomit or stool

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional 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 sharp pain in the lower right abdomen, nausea, vomiting, and sometimes fever. The pain often starts near the belly button and then moves to the lower right side.


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 (ovarian torsion). This pain is often sharp and can radiate to the lower back, accompanied by nausea and vomiting.


What are the typical signs of kidney stones?

Typical signs of kidney stones include severe pain in the back or lower abdomen that can radiate to the groin, nausea, vomiting, and sometimes blood in the urine. The pain often comes in waves and can be very intense.


How is gastroenteritis different from other abdominal conditions?

Gastroenteritis is characterized by inflammation of the intestines, leading to symptoms like abdominal pain, nausea, vomiting, and diarrhea. Unlike appendicitis or kidney stones, it often involves diarrhea and is usually caused by infections.


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