[23F] Experiencing sudden right-sided lower abdominal pain

Patient Description

A 23-year-old female presents with a sudden onset of dull right-sided lower abdominal pain that has persisted for 3 hours, rated at a 6.5 in severity. The pain is localized and radiates towards the hip, with a sensation of fullness in the affected area. The patient has not found relief from the pain despite taking 3 doses of 650mg Tylenol approximately an hour ago. She reports slight nausea but no vomiting, fever, chills, or changes in urination. The patient's last bowel movement included diarrhea and soft stool. She is currently menstruating and has a history of mild PCOS and low thyroid function, for which she is taking Levothyroxine and Metformin. Her medical history also includes a cholecystectomy. No known drug allergies.

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Arora's Assessment

What might be happening

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

  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It's typically characterized by a sharp pain in the lower right abdomen, which can be sudden and severe. The pain may also worsen with movement, deep breaths, coughing, or sneezing.

    • Diagnosis typically involves a physical exam, blood tests, and imaging tests like an ultrasound or CT scan. Treatment usually involves surgery to remove the appendix.
  • Ovarian Cyst: Given your history of PCOS, it's possible that you have an ovarian cyst. These are fluid-filled sacs that can form in the ovaries. They're common in women with PCOS and can cause pain if they rupture or twist.

    • Diagnosis typically involves a pelvic exam and imaging tests like an ultrasound. Treatment can range from watchful waiting to surgery, depending on the size and type of the cyst.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can cause abdominal pain, diarrhea, and nausea.

    • Diagnosis typically involves a physical exam and sometimes stool tests. Treatment usually involves rest, hydration, and over-the-counter remedies.

What you can do

Given the severity and location of your pain, it's important to seek immediate medical attention. Appendicitis is a medical emergency that requires prompt treatment. If you're unable to reach your doctor, go to the nearest emergency room or urgent care center.

What you should look out for

Watch out for symptoms that could indicate a more serious condition, such as:

  • Increasing pain
  • Fever
  • Vomiting
  • The inability to pass gas
  • A rapid or irregular heartbeat
  • Signs of shock, such as cold and clammy skin, rapid breathing, and lightheadedness

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.

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11 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, deep breaths, coughing, or sneezing, nausea, vomiting, loss of appetite, and sometimes fever.


How can an ovarian cyst cause abdominal pain?

An ovarian cyst can cause abdominal pain if it ruptures or twists, leading to sudden, severe pain. This is more common in women with PCOS, as they are more prone to developing cysts.


What are the typical symptoms of gastroenteritis?

Typical symptoms of gastroenteritis include abdominal pain, diarrhea, nausea, vomiting, and sometimes fever. It is often caused by a viral or bacterial infection.


What should I do if over-the-counter pain relief doesn't help my abdominal pain?

If over-the-counter pain relief doesn't help your abdominal pain, it's important to seek medical attention, especially if the pain is severe or accompanied by other symptoms like fever, vomiting, or inability to pass gas. These could be signs of a more serious condition that requires prompt treatment.


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