[25F] Experiencing sharp right side pain, nausea, and diarrhea

Patient Description

A 25-year-old female presents with sudden onset of sharp pain on the lower right side of her back, radiating to the front, rated at 6.5/10 in severity, and persisting for a full day. She also reports sudden nausea that began an hour ago and has not subsided, followed by an episode of loose diarrhea. The patient feels hot, with cool skin, indicating possible fever. She experiences rebound tenderness in the lower right abdomen, has a reduced appetite, and no vomiting. There are no changes in urination, no recent travel, injuries, or accidents. The patient's medical history is unremarkable, with no chronic illnesses or conditions, except for an allergy to Penicillin. She is currently using Nexplanon for contraception. No other medications or known triggers for her symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Gastroenteritis: This is an inflammation of the digestive tract, usually caused by a virus or bacteria. It can cause nausea, vomiting, diarrhea, and abdominal pain. However, it typically also involves a fever, which you have not reported.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically causes severe pain in the lower right abdomen, nausea, and loss of appetite. Your description of sharp pain in the lower right side, especially with rebound tenderness, is concerning for this condition.

    • Appendicitis is a medical emergency and requires immediate treatment, usually surgical removal of the appendix.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in the back or side below the ribs, nausea, and changes in urination. However, you have not reported any changes in urination.

    • Treatment can involve pain relief, drinking lots of fluids to help pass the stone, or medical procedures to remove or break up larger stones.

What you can do

Given the severity and location of your pain, and the presence of nausea and diarrhea, it is important that you seek immediate medical attention. If you have appendicitis, it is a medical emergency that typically requires surgery.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Increased severity of your pain
  • Fever or chills
  • Vomiting
  • Blood in your stool or urine
  • Inability to pass gas

Remember, I'm an AI and I'm here to help guide you, but I'm not a doctor. Please seek immediate medical attention to get a formal diagnosis and appropriate treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain in the lower right abdomen, nausea, loss of appetite, fever, and rebound tenderness. The pain often starts near the belly button and then moves to the lower right side.


How can I differentiate between kidney stones and appendicitis based on symptoms?

Kidney stones typically cause severe pain in the back or side below the ribs, which may radiate to the lower abdomen and groin. They can also cause nausea and changes in urination, such as blood in the urine. Appendicitis, on the other hand, usually presents with sharp pain in the lower right abdomen, nausea, and loss of appetite, often accompanied by fever.


What should I do if I suspect I have appendicitis?

If you suspect you have appendicitis, seek immediate medical attention. Appendicitis is a medical emergency that usually requires surgical removal of the appendix to prevent complications like rupture.


Can Nexplanon affect the symptoms I'm experiencing?

Nexplanon is a contraceptive implant and is not known to cause symptoms like abdominal pain, nausea, or diarrhea. However, if you have concerns about how it might be affecting your health, it's best to discuss them with a healthcare provider.


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