[27F] Experiencing lower right abdominal pain

Patient Description

A 27-year-old female presents with pain in the lower right abdomen that has been occurring for about 30 minutes. The pain is intermittent, rated as a 6 out of 10 in severity, and worsens upon releasing pressure from the area. The patient has a history of ovarian cysts diagnosed 3 years ago and is currently taking the birth control pill Junel fe daily. She reports a normal bowel movement 3 hours prior and denies any fever, chills, nausea, vomiting, changes in urination, appetite alterations, or diarrhea. No known drug allergies or use of other medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Appendicitis: This is an inflammation of the appendix, a small tube that branches off the large intestine. This condition often causes pain in the lower right abdomen, especially when pressure is released quickly (rebound tenderness). The pain can be severe and come in waves.

    • If appendicitis is suspected, a doctor will typically order imaging tests (like a CT scan or ultrasound) to confirm the diagnosis. Treatment usually involves surgery to remove the appendix.

  • Ovarian Cyst: You mentioned a history of ovarian cysts. These fluid-filled sacs can form in the ovaries during ovulation. Most cysts are harmless and go away on their own, but some can cause pain, especially if they rupture or twist.

    • Treatment for ovarian cysts can range from watchful waiting to surgery, depending on the size and type of the cyst, as well as the level of pain.

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause abdominal pain, as well as symptoms like nausea, vomiting, and diarrhea (which you have not reported).

    • Treatment for gastroenteritis usually involves rest, hydration, and over-the-counter remedies to manage symptoms.

What you can do

Given the severity and location of your pain, it's important to seek medical attention immediately. Appendicitis is a medical emergency that requires prompt treatment.

  1. Go to the nearest emergency room or urgent care center. If the pain is severe or you can't safely transport yourself, call an ambulance.
  2. Avoid eating or drinking until you've been evaluated by a doctor, in case you need surgery.

What you should look out for

Watch out for these signs of a more serious condition:

  • Increasing pain
  • Fever
  • Nausea or vomiting
  • Inability to pass gas
  • Pain that moves from your belly button to your lower right abdomen

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.

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9 mo ago

People Also Ask

What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sudden pain that begins on the right side of the lower abdomen, pain that worsens with movement or pressure, nausea, vomiting, loss of appetite, and sometimes fever. If you experience these symptoms, seek medical attention immediately.

How can ovarian cysts cause abdominal pain?

Ovarian cysts can cause abdominal pain if they grow large, rupture, or cause the ovary to twist (a condition known as ovarian torsion). This pain is often sharp and may be felt on one side of the lower abdomen.

What should I do if I suspect I have appendicitis?

If you suspect you have appendicitis, it is important to seek medical attention immediately, as it is a medical emergency. Avoid eating or drinking, and go to the nearest emergency room or urgent care center for evaluation.

Can birth control pills affect the development of ovarian cysts?

Birth control pills like Junel fe can sometimes help prevent the formation of new ovarian cysts by regulating the menstrual cycle and preventing ovulation. However, they do not treat existing cysts.

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