[29F] Experiencing severe lower abdominal pain with nausea

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

• Ovarian Cysts: Given your history of ovarian cysts, it's possible that a cyst could be causing your severe abdominal pain. Ovarian cysts can cause sudden, severe abdominal pain if they rupture or if they cause the ovary to twist (a condition known as ovarian torsion).

  • Treatment for ovarian cysts depends on the size, the type of cyst, and whether it's causing symptoms. In some cases, a wait-and-see approach may be recommended. In other cases, surgery may be necessary.

• Kidney Stones: Your pain could also be due to a kidney stone. Kidney stones can cause severe pain in the side and back, below the ribs, and can radiate to the lower abdomen and groin. The pain may come in waves and fluctuate in intensity.

  • Treatment for kidney stones varies depending on the size of the stone and whether it's causing symptoms. Small stones with minimal symptoms can often be treated with pain relievers and drinking lots of water to help pass the stone. Larger stones may require more extensive treatment.

• Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically causes pain in the lower right abdomen, which can be severe and come on suddenly. Other symptoms can include nausea and vomiting.

  • Appendicitis is a medical emergency and requires immediate treatment, usually surgical removal of the appendix.

• Ectopic Pregnancy: Although you mentioned you're not pregnant, if there's any chance you could be, it's important to consider an ectopic pregnancy. This is a pregnancy that occurs outside the uterus, often in a fallopian tube, and can cause severe abdominal pain.

  • An ectopic pregnancy is a medical emergency and requires immediate treatment.

Please note that this is not an exhaustive list of all possible conditions that could be causing your symptoms.

What you can do

Given the severity of your pain and the potential serious conditions that could be causing it, it's important to seek immediate medical attention. Please go to the nearest emergency department or call an ambulance if necessary.

What you should look out for

If your pain becomes more severe, if you develop a fever, if you start vomiting, or if you notice any other new symptoms, these could be signs that your condition is worsening and you should seek immediate medical attention.

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.