[25F] With abdominal discomfort and tingling in left leg

Patient Description

A 25-year-old female has been experiencing dull discomfort in the lower left side of her abdomen for the past two days, which started gradually while at work. This discomfort is accompanied by tingling in the left thigh and pins and needles in the left foot. The patient has a history of mild osteoarthritis in the lower back and hips, but no recent injuries, changes in physical activity, back pain, stiffness, or changes in bowel or bladder function. She has not noticed any weakness in the left leg, changes in sensation in other parts of the body, or difficulty walking or maintaining balance. The patient has a history of severe headaches since childhood but is not currently taking any medications for this. She has previously taken Cymbalta, Pristiq, and Sertraline, and currently uses Melatonin and Osteo BiFlex. No known drug allergies or chronic conditions requiring medication management.

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Arora's Assessment

What might be happening

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

  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your legs, becomes compressed or irritated. This can cause pain, tingling, and numbness in the lower back, buttocks, and legs. Given your history of mild osteoarthritis in your lower back and hips, this could be a contributing factor.

    • Treatment: Treatment for sciatica often includes physical therapy, pain relief medications, and sometimes corticosteroid injections. In severe cases, surgery may be considered.
  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves, which can cause tingling, numbness, and pain in the affected areas. It can be caused by various factors, including diabetes, infections, and certain medications.

    • Treatment: Treatment depends on the underlying cause but may include medications to manage pain, physical therapy, and lifestyle changes to address the root cause.
  • Herniated Disc: A herniated disc in the lower spine can press on nearby nerves, causing pain, tingling, and numbness in the lower back and legs.

    • Treatment: Treatment options include physical therapy, pain relief medications, and in some cases, surgery to remove or repair the herniated disc.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

  1. Rest and Avoid Strain: Try to avoid activities that may exacerbate your symptoms, such as heavy lifting or prolonged sitting.
  2. Apply Heat or Cold: Using a heating pad or ice pack on the affected area may help alleviate pain and discomfort.
  3. Over-the-Counter Pain Relief: Non-prescription pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation.
  4. Gentle Stretching and Exercise: Engaging in gentle stretching exercises and low-impact activities like walking or swimming can help improve flexibility and reduce discomfort.
  5. Maintain Good Posture: Ensure that you maintain good posture, especially when sitting or standing for long periods.
  6. Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If your pain becomes severe or continues to worsen despite self-care measures.
  • Loss of Bowel or Bladder Control: This could indicate a more serious condition that requires immediate medical attention.
  • Weakness in the Leg: If you notice any weakness or difficulty moving your leg, seek medical advice promptly.
  • Fever or Signs of Infection: If you develop a fever or notice signs of infection, such as redness or swelling, consult a healthcare professional.

Remember, while these suggestions can help manage your symptoms, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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3 mo ago


People Also Ask


What is sciatica and how is it related to my symptoms?

Sciatica is a condition where the sciatic nerve, which runs from the lower back down to the legs, becomes compressed or irritated. This can cause pain, tingling, and numbness in the lower back, buttocks, and legs. Your history of mild osteoarthritis in the lower back and hips could be contributing to this condition.


Could my symptoms be caused by a herniated disc?

Yes, a herniated disc in the lower spine can press on nearby nerves, causing pain, tingling, and numbness in the lower back and legs. This could potentially explain your symptoms.


What are some common treatments for peripheral neuropathy?

Treatment for peripheral neuropathy depends on the underlying cause but may include medications to manage pain, physical therapy, and lifestyle changes to address the root cause. It's important to consult a healthcare professional for a tailored treatment plan.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience severe or worsening pain, loss of bowel or bladder control, weakness in the leg, or signs of infection such as fever, redness, or swelling. These could indicate more serious conditions that require immediate medical attention.


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