[28F] Experiencing intermittent sharp abdominal pain

Patient Description

A 28-year-old female presents with sharp, intermittent abdominal pain localized on the left side, which started 20 minutes prior to the encounter. The pain is described as sudden, with a severity of 5 out of 10, and fades away after a few seconds without any identified relief measures. The patient's bowel movements were reported as normal today, with no accompanying fever, chills, nausea, vomiting, or radiation of pain. There is no change in bowel or urinary habits, no recent injuries, and no additional symptoms. The patient has a medical history of Polycystic Ovary Syndrome (PCOS) diagnosed in 2023 and Attention Deficit Hyperactivity Disorder (ADHD) diagnosed in 2020. Current medications include 15mg Adderall IR taken twice daily, Levothyroxine, and compound Tirzepatide. The patient also reports regular marijuana use. There are no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gastrointestinal Spasm: Sudden, sharp pain in the abdomen that comes and goes could be due to spasms in the gastrointestinal tract. This can be caused by various factors, including stress, certain foods, or medications.

    • Treatment typically involves lifestyle changes, such as dietary modifications, stress management, and over-the-counter medications to help manage the pain.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be sharp and intense, and usually comes in waves.

    • Treatment may involve pain relievers and drinking lots of water to help pass the stone. In some cases, medical procedures may be needed to remove or break up larger stones.
  • Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that may radiate to the back. However, this is usually accompanied by other symptoms such as nausea and vomiting.

    • Treatment often involves hospitalization for intravenous fluids, medications to relieve pain, and sometimes surgery.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Try to rest and stay hydrated. This can sometimes help with abdominal pain.
  2. Over-the-counter pain relievers may help, but it's important to use these as directed and not exceed the recommended dose.
  3. Keep track of your symptoms. Note when the pain occurs, how long it lasts, and any potential triggers. This information can be helpful for your healthcare provider.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop additional symptoms such as fever, vomiting, or changes in your bowel movements
  • You notice blood in your stool or urine

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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10 mo ago

People Also Ask


What are the common causes of sharp, intermittent abdominal pain on the left side?

Common causes of sharp, intermittent abdominal pain on the left side can include gastrointestinal spasms, kidney stones, and less commonly, conditions like pancreatitis. It's important to consider other symptoms and consult a healthcare provider for an accurate diagnosis.


How can Polycystic Ovary Syndrome (PCOS) affect abdominal pain?

PCOS can sometimes cause abdominal pain due to ovarian cysts, which may rupture or cause discomfort. However, the pain described in this case may not be directly related to PCOS, and other causes should be considered.


What lifestyle changes can help manage gastrointestinal spasms?

Lifestyle changes to manage gastrointestinal spasms include dietary modifications such as avoiding trigger foods, managing stress through relaxation techniques, and staying hydrated. Over-the-counter medications may also help alleviate symptoms.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it becomes severe or unbearable, if you develop additional symptoms like fever or vomiting, or if you notice blood in your stool or urine. These could indicate a more serious condition requiring prompt medical evaluation.


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