[23F] Experiencing severe pelvic pain and associated symptoms

Patient Description

A 23-year-old female presents with severe, deep pelvic pain described as an achy feeling that is almost constant and worsens with movement or touch. The pain has been present for approximately 4 days, with the worst episode occurring yesterday, prompting an ER visit where no cause was identified. The pain is centralized and rates at a severity of 10/10. Additionally, the patient reports left-sided pain that started 2 days ago, rating at a severity of 7/10, and is accompanied by chills and lightheadedness during severe pain episodes. There is also a report of mild nausea, fatigue, a change in appetite characterized by periods of no hunger followed by sudden hunger, and bloating in both the upper and lower abdomen for the past 3 days. The patient has a medical history of high cholesterol diagnosed in 2024, ADHD diagnosed around 2007/2008, sensory processing disorder diagnosed in 2020, anxiety diagnosed in 2023, depression diagnosed in 2019, and an allergy to codeine. Current medications include Fluoxetine, Methylphenidate, and Cetirizine.

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Arora's Assessment

What might be happening

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

  • Pelvic Inflammatory Disease (PID): PID is an infection of the female reproductive organs. It's usually caused by a sexually transmitted infection. Symptoms might include pelvic pain, fever, chills, and nausea.

    • Treatment typically involves antibiotics to clear the infection.
  • Ovarian Cyst: These are fluid-filled sacs in or on the surface of an ovary. They're common and usually form during ovulation. Symptoms can include pelvic pain, bloating, and changes in appetite.

    • Treatment may involve monitoring the cyst, birth control pills, or surgery in severe cases.
  • Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside the uterus. It can cause pelvic pain, fatigue, and changes in appetite.

    • Treatment can involve pain relievers, hormone therapy, or surgery.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include bloating, abdominal pain, and changes in bowel habits.

    • Treatment can involve dietary changes, medication, and managing stress.

Please note that these are potential explanations for your symptoms, but there could be other causes. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Schedule an appointment with a healthcare provider: They can provide a formal assessment and order relevant tests if necessary.

  2. Over-the-counter pain relievers: Non-prescription medication like ibuprofen or acetaminophen may help alleviate your pain in the short term. However, they should not be used as a long-term solution without consulting a healthcare provider.

  3. Rest and hydration: Ensure you're getting enough rest and staying hydrated. This can help your body recover and manage symptoms.

What you should look out for

Reasons to seek immediate medical attention:

  • If your pain becomes severe or unbearable
  • If you develop a high fever (temperature over 100.4°F)
  • If you experience sudden or severe bloating
  • If you notice blood in your stool or urine

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of Pelvic Inflammatory Disease (PID)?

Common symptoms of Pelvic Inflammatory Disease (PID) include pelvic pain, fever, chills, nausea, and sometimes abnormal vaginal discharge. It is often caused by a sexually transmitted infection.


How can an ovarian cyst cause pelvic pain?

An ovarian cyst can cause pelvic pain because it may put pressure on surrounding tissues or organs, especially if it is large or ruptures. This can lead to discomfort, bloating, and changes in appetite.


What are the treatment options for endometriosis?

Treatment options for endometriosis include pain relievers, hormone therapy to reduce or eliminate menstruation, and surgery to remove endometrial tissue. The choice of treatment depends on the severity of symptoms and whether the patient wishes to become pregnant.


How does Irritable Bowel Syndrome (IBS) affect the digestive system?

Irritable Bowel Syndrome (IBS) affects the digestive system by causing symptoms such as bloating, abdominal pain, and changes in bowel habits, including diarrhea or constipation. It is a chronic condition that can be managed with dietary changes, medication, and stress management.


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