[28F] Experiencing lower left abdominal pain with vaginal symptoms

Patient Description

A 28-year-old female presents with intermittent lower left abdominal and groin pain radiating into the flank and hip area, persisting for approximately 6 months with a severity of 5/10. The pain is described as being located above the hip and in the ovary area, with no specific actions or positions providing relief. Additionally, the patient reports a foul-smelling, very watery vaginal discharge that soaks through underwear, accompanied by an unusual onion-like odor, which has been present for a couple of weeks. The patient also mentions a delayed menstrual period, which was 12 days late and heavier than usual. There has been a weight gain of about 12 pounds over the last 6 months. The patient's bowel movements are described as greenish with normal consistency, and there has been no change in stool consistency. There is no reported fever, chills, or recent changes in sexual partners, and the patient has not experienced these symptoms before.

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Arora's Assessment

What might be happening

Based on your symptoms, several possibilities could be considered:

  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's usually caused by a sexually transmitted infection. Symptoms might include pain in your lower abdomen and pelvis, heavy vaginal discharge with an unpleasant odor, irregular menstrual bleeding, and pain during intercourse.

    • Treatment typically involves antibiotics to clear the infection.
  • Ovarian Cysts: These are fluid-filled sacs that form on the ovaries. They're common and usually form during ovulation. Symptoms can include pelvic pain, bloating, or a dull ache in the lower back and thighs.

    • Treatment can range from monitoring the cysts to surgical removal, depending on their size and whether they're causing symptoms.
  • Bacterial Vaginosis (BV): This is a type of vaginal inflammation caused by the overgrowth of bacteria naturally found in the vagina. Symptoms can include thin, gray, white or green vaginal discharge, foul-smelling "fishy" vaginal odor, vaginal itching and burning during urination.

    • Treatment typically involves antibiotics to restore the normal balance of bacteria in the vagina.
  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. Symptoms can include abdominal pain (usually on the left side), fever, and changes in bowel movements.

    • Treatment can range from rest, fluids and antibiotics to surgery in severe cases.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms and potential treatments.
  2. Try over-the-counter pain relievers for temporary relief of your abdominal pain.
  3. Maintain a balanced diet and stay hydrated.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Fever or chills
  • Nausea or vomiting
  • Difficulty or pain during urination
  • Heavy vaginal bleeding or spotting between periods

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, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common symptoms of Pelvic Inflammatory Disease (PID)?

Common symptoms of Pelvic Inflammatory Disease (PID) include lower abdominal and pelvic pain, heavy vaginal discharge with an unpleasant odor, irregular menstrual bleeding, and pain during intercourse. Treatment usually involves antibiotics to clear the infection.


How are ovarian cysts typically treated?

Ovarian cysts are typically treated based on their size and symptoms. Treatment options range from monitoring the cysts to surgical removal if they are large or causing significant symptoms.


What causes bacterial vaginosis and how is it treated?

Bacterial vaginosis is caused by an overgrowth of bacteria naturally found in the vagina, leading to symptoms like thin, gray, white or green vaginal discharge, a foul-smelling 'fishy' odor, and vaginal itching. It is usually treated with antibiotics to restore the normal balance of bacteria.


What are the symptoms and treatment options for diverticulitis?

Symptoms of diverticulitis include abdominal pain (usually on the left side), fever, and changes in bowel movements. Treatment can range from rest, fluids, and antibiotics to surgery in severe cases.


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