[23F] Experiencing abdominal pain and found a new lump on lower back

Patient Description

A 23-year-old female presents with crampy abdominal pain, predominantly on the right lower side, rated as a 4 on the pain scale. The pain is relieved by heat. She has a history of acid reflux, which has been present for several years. Her last bowel movement was the day before yesterday, with a brown stool. She reports no fever or chills. Additionally, she has discovered a small, mobile lump on the lower back near the hip area, which was noticed today. There is no known recent injury or trauma to the area. The patient has not mentioned any other symptoms such as nausea, vomiting, or changes in bowel habits.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Appendicitis: This is an inflammation of the appendix, a small organ on the lower right side of the abdomen. It typically causes severe pain that starts around the belly button and moves to the lower right side, but in some cases, it may cause milder, crampy pain. It does not typically cause lumps in the lower back, however.

    • Treatment typically involves surgery to remove the appendix.

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause pain on one side of the back or abdomen, and sometimes a lump can be felt if the stone is large enough and close to the skin.

    • Treatment can range from pain management and drinking lots of water to help pass the stone, to medical procedures to break up or remove the stone.

  • Lipoma: This is a common benign (non-cancerous) tumor made of fat tissue. They are usually soft, movable lumps under the skin. They can occur anywhere on the body where there are fat cells, including the lower back. They are typically not painful unless they press on nerves or have a supply of blood vessels.

    • Treatment is typically not necessary unless the lipoma is bothersome, in which case it can be removed surgically.

What you can do

You should definitely see a healthcare professional to get a proper diagnosis. In the meantime, here are some things you can do:

  1. Keep a symptom diary: Note down when your abdominal pain occurs, its severity, and any triggers you can identify. This will be helpful information for your doctor.
  2. Stay hydrated: Drink plenty of fluids, especially if you're experiencing any changes in your bowel habits.
  3. Over-the-counter pain relief: Non-prescription pain relievers like acetaminophen can help with your abdominal pain. Be sure to follow the package instructions.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe or worsening pain
  • Fever or chills
  • Nausea and vomiting
  • Blood in your urine or stool
  • Sudden weight loss

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago

People Also Ask

What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sudden pain that begins on the right side of the lower abdomen, pain that worsens with movement, nausea, vomiting, loss of appetite, and sometimes fever. If you suspect appendicitis, seek medical attention immediately.

How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment options include drinking plenty of water to help pass the stone, pain management with medications, and medical procedures like lithotripsy to break up larger stones.

What is a lipoma and when should it be removed?

A lipoma is a benign tumor made of fat tissue that is usually soft and movable under the skin. It typically does not require treatment unless it becomes painful, grows rapidly, or causes cosmetic concerns, in which case it can be surgically removed.

What are some home remedies for managing mild abdominal pain?

Home remedies for managing mild abdominal pain include applying heat to the affected area, staying hydrated, eating a bland diet, and using over-the-counter pain relievers like acetaminophen. However, if the pain persists or worsens, consult a healthcare professional.

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