[28F] Experiencing lower right abdominal pain

Patient Description

A 28-year-old female is experiencing dull and cramp-like pain in the lower right abdomen, which worsens with coughing, sneezing, or moving into certain positions. The pain has been present for 2 days and is rated as a 6 out of 10 in intensity. The patient has not found any relief from changes in activity or position. The patient's last bowel movement was normal, and there have been no changes in appetite, nausea, vomiting, or presence of blood in stool. The patient also reports feeling tired. Past medical history includes two C-sections in 2015 and 2016, with a complication of wound dehiscence following one surgery, which was repaired. The patient is currently on birth control and has no known drug allergies or other medications.

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Arora's Assessment

What might be happening

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

  • Appendicitis: This is an inflammation of the appendix, a small pouch located in the lower right abdomen. Symptoms typically include a dull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen, which is what you're experiencing. This is usually accompanied by other symptoms like loss of appetite, nausea, vomiting, and fever, but not always.

    • If it's appendicitis, you would need medical attention immediately. Treatment typically involves surgery to remove the appendix.
  • Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Symptoms can include abdominal bloating or swelling, painful bowel movements, pelvic pain before or during the menstrual cycle, painful intercourse, pain in the lower back or thighs, breast tenderness, and nausea and vomiting.

    • Treatment can range from monitoring the cyst to surgical removal, depending on its size and whether it's causing symptoms.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus or bacteria. Symptoms can include abdominal pain and cramping, diarrhea, nausea, and vomiting.

    • Treatment typically involves rest, hydration, and over-the-counter remedies.

What you can do

Given the severity and location of your pain, it's important to seek immediate medical attention. Appendicitis is a medical emergency that needs to be ruled out.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Increased intensity of your abdominal pain
  • Fever
  • Nausea and vomiting
  • Diarrhea
  • Painful urination
  • Unusual vaginal discharge

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional who can evaluate your symptoms and condition.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include a dull pain near the navel or upper abdomen that becomes sharp as it moves to the lower right abdomen, loss of appetite, nausea, vomiting, and sometimes fever. However, not all symptoms may be present.


How can an ovarian cyst be diagnosed and treated?

An ovarian cyst can be diagnosed through a pelvic exam, ultrasound, or other imaging tests. Treatment depends on the size and symptoms of the cyst and can range from monitoring to surgical removal if necessary.


What are the typical symptoms of gastroenteritis?

Typical symptoms of gastroenteritis include abdominal pain and cramping, diarrhea, nausea, and vomiting. It is often caused by a viral or bacterial infection.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe, persistent, or accompanied by symptoms such as fever, nausea, vomiting, diarrhea, painful urination, or unusual vaginal discharge.


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