[26F] Experiencing severe lower abdominal and back pain with pressure

What might be happening

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

• Appendicitis: This is an inflammation of the appendix, a small pouch located on the lower right side of your abdomen. The main symptom is often pain that begins around your belly button and then shifts to your lower right abdomen. Other symptoms can include loss of appetite, nausea, vomiting, and fever. Appendicitis is a medical emergency that almost always requires prompt surgery to remove the appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious materials into the abdominal cavity.

• Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, and other symptoms. Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required to remove or break up larger stones.

• Gynecological issues: Conditions such as ovarian cysts or endometriosis can cause lower abdominal and back pain. These conditions can often be managed with medications, but sometimes require surgical intervention.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention immediately. The conditions mentioned above can be serious and may require urgent treatment. In the meantime, try to rest and stay hydrated. Over-the-counter pain relievers may help, but it's important not to rely on them for relief, as they can mask symptoms that could help your doctor make a diagnosis.

What you should look out for

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

• Severe pain
• Fever
• Nausea and vomiting
• Difficulty passing urine or changes in bowel movements
• Any other symptoms that are causing you concern

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.