[22F] With lower right abdominal pain and frequent urination

Patient Description

A 22-year-old female presents with dull and sharp pain in the lower right abdomen around the groin area, persisting for 2 days. The pain is rated as a 5 on a severity scale of 1-10 and is exacerbated by movement. The patient reports that the pain is somewhat relieved by not moving. She also experiences frequent urination and constipation. The pain onset was sudden, and she notes abdominal bloating or swelling. There are no associated symptoms of fever, chills, nausea, vomiting, loss of appetite, changes in menstrual cycle, or unusual vaginal discharge. The patient denies any recent injuries, physical activities that might have strained the area, changes in diet or fluid intake, history of gastrointestinal issues, surgeries, or family history of gastrointestinal problems.

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible explanations:

Appendicitis: This is an inflammation of the appendix, which can cause sudden pain that begins on the right side of the lower abdomen. The pain may become sharper with movement. While appendicitis often comes with nausea or fever, it can sometimes present with just pain and changes in bowel habits.
- Typical treatment involves surgical removal of the appendix, and it's important to seek medical attention if appendicitis is suspected.
Constipation: This can cause abdominal pain and bloating, especially if there is a buildup of stool in the intestines. The pain can sometimes be sharp, especially with movement or attempts to have a bowel movement.
- Treatment often includes increasing fiber intake, staying hydrated, and sometimes using over-the-counter laxatives.
Urinary Tract Infection (UTI): While more commonly associated with pain during urination, a UTI can sometimes cause lower abdominal pain and frequent urination.
- Treatment typically involves antibiotics prescribed by a healthcare provider.
Ovarian Cyst: In females, a cyst on the ovary can cause lower abdominal pain, which might be sharp or dull and can vary with movement.
- Treatment depends on the size and type of the cyst and may involve monitoring, medication, or surgery.

What you can do

Monitor Symptoms: Keep track of your symptoms, including any changes in pain, bowel movements, or urination. This information can be helpful for a healthcare provider.
Stay Hydrated: Drink plenty of water, which can help with constipation and overall health.
Dietary Adjustments: Increase your intake of fiber-rich foods like fruits, vegetables, and whole grains to help with bowel movements.
Rest and Avoid Strain: Try to rest and avoid activities that may worsen the pain.
Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

Seek Medical Attention: If the pain worsens, you develop a fever, or you experience nausea or vomiting, it's important to seek medical attention promptly.
Watch for Severe Symptoms: If you notice severe pain, blood in your stool or urine, or any other concerning symptoms, contact a healthcare provider immediately.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

1

Hugs

0

Comments

Save

3 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines