[25F] Experiencing right lower abdominal pain and intermittent nausea

Patient Description

A 25-year-old female reports right lower abdominal pain near the ovary, described as a dull, intermittent pain that sometimes radiates to the lower back. The patient also experiences nausea, which is triggered by certain smells and sights, and rates it as moderate in severity. The nausea has been present for approximately one week and is worse in the car and when the patient becomes full quickly after eating. The patient has been urinating more frequently and has noticed occasional white to light yellow vaginal discharge, as well as a one-time light brown discharge. The patient has not used contraception and has been sexually active, with unprotected intercourse occurring during the ovulation period. No fever, blood in urine, or sudden worsening of pain has been reported. The patient does not have any known allergies or adverse reactions to medications and is not currently on any medication. There is no known pre-existing condition or chronic illness.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Pregnancy: Given your recent unprotected sexual activity, nausea, increased urination, and light brown discharge, you may be experiencing early signs of pregnancy. Pregnancy can cause a variety of symptoms, including nausea (commonly referred to as morning sickness), frequent urination, and changes in vaginal discharge. The right lower quadrant pain could be related to an ectopic pregnancy, which is a medical emergency and requires immediate attention.

    • A home pregnancy test can help confirm if you are pregnant. If positive, you should see a healthcare provider as soon as possible for prenatal care. If you have severe pain or bleeding, seek emergency medical attention.
  • Ovarian Cyst: An ovarian cyst is a fluid-filled sac that forms on or inside an ovary. This can cause pain on one side of the lower abdomen, along with nausea and increased urination.

    • Treatment may include monitoring the cyst, birth control pills, or surgery.
  • Urinary Tract Infection (UTI): UTIs can cause lower abdominal pain, increased urination, and sometimes changes in vaginal discharge. However, nausea is not a common symptom of a UTI.

    • Treatment typically involves antibiotics.

What you can do

  1. Take a home pregnancy test to rule out pregnancy. If the test is positive or your symptoms worsen, seek medical attention immediately.
  2. If the pregnancy test is negative and your symptoms persist or worsen, see a healthcare provider. They may need to perform additional tests to determine the cause of your symptoms.
  3. Drink plenty of fluids and avoid irritating substances (like spicy or fatty foods) that might worsen your nausea.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Heavy vaginal bleeding
  • Fever or chills
  • Persistent or worsening symptoms

Remember, 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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10 mo ago

People Also Ask


What are the early signs of pregnancy?

Early signs of pregnancy can include missed periods, nausea (often called morning sickness), increased urination, fatigue, and changes in vaginal discharge. A home pregnancy test can help confirm pregnancy.


What symptoms might indicate an ovarian cyst?

Symptoms of an ovarian cyst can include dull or sharp pain on one side of the lower abdomen, bloating, nausea, and changes in urination. Some cysts may cause no symptoms and are found during routine exams.


How can I differentiate between a urinary tract infection and other conditions with similar symptoms?

A urinary tract infection typically causes symptoms like a burning sensation during urination, frequent urge to urinate, cloudy or strong-smelling urine, and lower abdominal pain. Nausea is less common with UTIs. A urine test can help diagnose a UTI.


What should I do if I suspect an ectopic pregnancy?

If you suspect an ectopic pregnancy, which can cause severe abdominal pain and light vaginal bleeding, seek immediate medical attention. An ectopic pregnancy is a medical emergency and requires prompt treatment to prevent serious complications.


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