[23F] Experiencing severe lower stomach pain

Patient Description

A 23-year-old female is reporting severe, dull lower stomach pain for the past 12 hours, rated 8 out of 10 in intensity. The pain spans from the belly button to the waistline and worsens when lying flat but eases when hunched over. The patient experienced nausea coinciding with the onset of pain but has not vomited and can keep down fluids. There is no change in urination frequency or burning sensation, no fever, chills, lightheadedness, fainting, or rapid heartbeat. The last bowel movement was solid without blood. The patient has a 3-year history of Celiac disease but states the pain does not resemble a Celiac reaction. There are no known drug allergies, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): UTIs are common infections that happen when bacteria, often from the skin or rectum, enter the urethra, and infect the urinary tract. The symptoms can include pain in the lower abdomen and an increased urge to urinate.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush out the bacteria.
  • 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 can range from pain relievers and drinking lots of water to pass a small stone to medical procedures if the stone is too large.
  • Gastrointestinal issues: Given your history of Celiac disease, it's possible that this could be a gastrointestinal issue, even if it doesn't feel like a typical Celiac reaction. Other gastrointestinal disorders, such as Irritable Bowel Syndrome (IBS), could also cause lower abdominal pain.

    • Treatment typically involves dietary changes, medication, and stress management.

What you can do

  1. If you suspect a UTI, drink plenty of water and avoid caffeine, alcohol, and spicy foods which could irritate your bladder. Over-the-counter pain medication may also help with the discomfort. However, you should see a doctor as soon as possible as you may need antibiotics.

  2. If you suspect kidney stones, over-the-counter pain relievers can help. However, you should see a doctor as soon as possible for an evaluation.

  3. If you suspect a gastrointestinal issue, try to note any foods that seem to trigger your symptoms and avoid them. Over-the-counter medications may help with the pain. However, you should see a doctor for a proper diagnosis and treatment plan.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have blood in your urine
  • You develop a fever or chills
  • You start vomiting or can't keep down fluids
  • You have unexplained weight loss

Please remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include pain or burning sensation during urination, frequent urge to urinate, cloudy or strong-smelling urine, and pain in the lower abdomen. Some people may also experience fever or chills.


How can kidney stones be treated and what are the symptoms?

Kidney stones can cause severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain during urination, and frequent urination. Treatment can include drinking lots of water to help pass the stone, pain relievers, and in some cases, medical procedures if the stone is too large to pass on its own.


What gastrointestinal issues could cause lower abdominal pain?

Gastrointestinal issues that could cause lower abdominal pain include conditions like Irritable Bowel Syndrome (IBS), Celiac disease, and other food intolerances. Symptoms can vary but often include bloating, gas, diarrhea, or constipation.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention if your abdominal pain becomes severe or unbearable, if you have blood in your urine, develop a fever or chills, start vomiting or can't keep down fluids, or experience unexplained weight loss.


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