[23F] Experiencing severe nausea and sharp, constant lower abdominal pain

Patient Description

A 23-year-old female presents with a 4-month history of severe nausea rated 10/10 in intensity, which occurs spontaneously. The patient reports that the nausea is somewhat alleviated by bringing her legs to her stomach and breathing deeply. Additionally, she is experiencing sharp and constant lower abdominal pain, though the exact location within the lower abdomen is not specified. The patient also reports fatigue, loss of appetite, and pelvic pain. She has not indicated any specific activities or situations that exacerbate the nausea, and there is no mention of any other accompanying symptoms or relevant medical history.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral, bacterial, or parasitic infection. Symptoms typically include abdominal pain, nausea, and loss of appetite.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to alleviate symptoms.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. It can cause lower abdominal pain, fatigue, and loss of appetite.

    • Treatment typically involves antibiotics to clear the infection.
  • Ovarian cysts: These are fluid-filled sacs that can form in the ovaries. They can cause pelvic pain, nausea, and loss of appetite.

    • Treatment can range from watchful waiting to surgical removal, depending on the size and type of the cyst.
  • Endometriosis: This is a condition where tissue similar to the lining inside the uterus grows outside of the uterus, causing pain and other symptoms.

    • Treatment can involve pain relief medication, hormonal treatments, or surgery.

What you can do

  1. Rest and stay hydrated. This can help your body recover if you're dealing with an infection or other illness.
  2. Over-the-counter pain relievers may help with your abdominal pain. However, it's important not to rely on these long-term without seeking medical advice.
  3. Keep a symptom diary. Note down when your symptoms occur, what you're doing at the time, and anything that makes them better or worse. This can help your doctor diagnose you.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have a high fever
  • You start vomiting and can't keep fluids down
  • You notice blood in your stool or vomit

Please remember that while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and treatment plan.

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10 mo ago

People Also Ask


What are the common causes of severe nausea and lower abdominal pain in young women?

Common causes of severe nausea and lower abdominal pain in young women include gastroenteritis, pelvic inflammatory disease, ovarian cysts, and endometriosis. Each condition has distinct characteristics, but they can share overlapping symptoms.


How can I differentiate between gastroenteritis and pelvic inflammatory disease based on symptoms?

Gastroenteritis often presents with nausea, vomiting, diarrhea, and abdominal pain, usually following a viral or bacterial infection. Pelvic inflammatory disease may include lower abdominal pain, fever, unusual discharge, and pain during intercourse, often linked to a sexually transmitted infection. A healthcare provider can perform tests to differentiate between these conditions.


What are the treatment options for ovarian cysts and how do they vary based on the type of cyst?

Treatment options for ovarian cysts depend on the size and type of the cyst. Functional cysts often resolve on their own and may only require monitoring. Larger or persistent cysts might need hormonal treatments or surgical removal, especially if they cause significant symptoms or complications.


What lifestyle changes can help manage symptoms of endometriosis?

Lifestyle changes that can help manage endometriosis symptoms include regular exercise, a balanced diet, stress management techniques, and avoiding foods that trigger inflammation. Some women find relief with heat therapy or acupuncture. It's important to work with a healthcare provider to develop a comprehensive management plan.


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