[29F] Experiencing right-sided pain and irregular periods

Patient Description

A 29-year-old female presents with a throbbing pain on the right side near the hip that radiates to the back, persisting for approximately two weeks and worsening over time. The patient has a history of irregular menstrual cycles, with the last period occurring roughly three months ago, and typically experiences around eight periods per year. The patient was diagnosed with Polycystic Ovary Syndrome (PCOS) at the age of 25. No recent weight changes, blood in urine, or other symptoms have been reported. The patient occasionally uses CBD but is not on any other medications or supplements. No known drug allergies. Nausea has been noted, but it appears to be secondary to the pain.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Ovarian Cyst: Given your history of PCOS and the location of your pain, you may have an ovarian cyst. These are fluid-filled sacs that can form in the ovaries. They're common in women with PCOS and can cause irregular periods, pelvic pain, and nausea.

    • Treatment options include pain relievers, hormonal birth control pills to prevent future cysts, or surgery in severe cases.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs, and may radiate to the lower abdomen and groin. Nausea is also common.

    • Treatment options include pain relievers, drinking lots of water to help pass the stone, or medical procedures to remove or break up larger stones.
  • Appendicitis: This is an inflammation of the appendix, a small pouch on the right side of your abdomen. It can cause severe pain that begins around the navel and then shifts to the lower right abdomen. Nausea is also common.

    • Treatment typically involves surgery to remove the appendix.

What you can do

Given the severity and duration of your pain, it's important to seek medical attention as soon as possible. You should go to the emergency department, especially if your pain is severe or getting worse, or if you have other symptoms like fever, vomiting, or fainting.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You have a fever
  • You start vomiting
  • You feel faint or actually faint
  • You notice blood in your urine or stool

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.

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11 mo ago

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People Also Ask


What are the common symptoms of an ovarian cyst?

Common symptoms of an ovarian cyst include pelvic pain, which may be sharp or dull, bloating, and irregular menstrual periods. Some women may also experience nausea or vomiting, especially if the cyst is large or ruptures.


How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment often involves drinking plenty of water to help pass the stone, taking pain relievers, and in some cases, medical procedures to break up or remove larger stones.


What are the signs of appendicitis that I should be aware of?

Signs of appendicitis include sudden pain that begins around the navel and shifts to the lower right abdomen, loss of appetite, nausea, vomiting, and sometimes fever. If you experience these symptoms, seek medical attention immediately.


How does Polycystic Ovary Syndrome (PCOS) affect menstrual cycles?

PCOS can cause irregular menstrual cycles due to hormonal imbalances. Women with PCOS may have fewer periods (oligomenorrhea) or no periods at all (amenorrhea), and the condition can also lead to other symptoms like acne, weight gain, and excess hair growth.


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