[26F] With severe abdominal pain and constipation

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

1. Bowel Obstruction: Given the combination of severe abdominal pain, constipation for three weeks, and a family history of colon cancer, a bowel obstruction could be a concern. This occurs when there is a blockage in the intestines, preventing the normal movement of contents. It can be serious and requires immediate medical attention. Typical treatments may include hospitalization, imaging tests like an X-ray or CT scan, and possibly surgery.

2. Appendicitis: Although less likely given the duration of symptoms, appendicitis is an inflammation of the appendix that can cause sharp pain in the right side of the abdomen. It usually requires surgical removal of the appendix.

3. Irritable Bowel Syndrome (IBS) or Other Gastrointestinal Disorders: Your history of alternating constipation and diarrhea could suggest a functional bowel disorder like IBS. However, the severity and duration of your current symptoms warrant a more urgent evaluation.

4. Complications from PCOS or Previous Gallbladder Removal: While less likely, hormonal imbalances from PCOS or changes in digestion after gallbladder removal could contribute to gastrointestinal symptoms.

What you can do

1. Seek Immediate Medical Attention: Given the severity and duration of your symptoms, along with your family history of colon cancer, it's crucial to seek medical care immediately. Visit an emergency room or urgent care center to get evaluated. If you feel unable to drive, please call 911 or have someone take you to the hospital.

2. Monitor for Additional Symptoms: While waiting for medical care, keep an eye out for any new symptoms such as fever, vomiting, or changes in the severity of your pain, and report these to the healthcare provider.

3. Avoid Self-Medication: Until you have been evaluated by a healthcare professional, avoid taking any new medications or supplements that could potentially worsen your condition.

Remember, while I can provide information based on your symptoms, only a healthcare professional can offer a formal diagnosis and appropriate treatment. Please prioritize getting medical attention as soon as possible.