[30F] Experiencing lower abdominal soreness and right rib pain

Patient Description

A 30-year-old female has been experiencing soreness in her lower abdomen for the past two weeks, rating the pain as a 6 out of 10. The pain is relieved by stretching and is located in the center of the lower abdomen without radiation. Additionally, she reports pain under her right rib cage. The pain intensifies when sitting up, but there have been no changes in her menstrual cycle, urine, or bowel movements. She has not experienced fever, chills, nausea, or vomiting. The patient was taking painkillers for menstrual cramps but hasn't taken any in the past week. She has no known allergies, adverse reactions to medications, or diagnosed conditions or chronic illnesses, apart from severe menstrual cramps and shoulder pain. No recent use of recreational drugs, alcohol, or tobacco products. No family history of gallbladder or kidney stones issues is reported.

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Arora's Assessment

What might be happening

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

  • Muscular Strain: Given that your pain is relieved by stretching and worsens with movement (like sitting up), it's possible that you're dealing with a muscular strain or pull in your lower abdomen. This can occur due to various reasons such as heavy lifting, sudden movements, or overuse.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers can also be helpful.

  • Gastrointestinal Issues: Conditions such as gastritis, peptic ulcers, or gallstones can cause abdominal pain and discomfort under the right rib cage. However, these conditions are usually accompanied by other symptoms like changes in bowel movements, nausea, or vomiting, which you have not reported.

    • Treatment depends on the specific condition and may involve dietary changes, medications, or in some cases, surgery.

  • Gynecological Issues: Since you've mentioned severe menstrual cramps, conditions such as endometriosis or ovarian cysts could be possible. These conditions can cause abdominal pain, which can sometimes be felt in the lower abdomen.

    • Treatment can range from hormonal therapy to surgery, depending on the severity and specific condition.

Please remember that these are possible conditions based on the information you've provided. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Rest and avoid any strenuous activities that might exacerbate your abdominal pain.
  2. Try applying a warm compress to your lower abdomen to help alleviate the pain.
  3. Over-the-counter pain relievers can be helpful, but make sure to follow the instructions on the label.
  4. Keep a symptom diary noting when the pain occurs, its severity, and any potential triggers. This can be helpful information for your doctor.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe or worsening pain
  • Fever or chills
  • Nausea or vomiting
  • Changes in bowel movements or urination
  • Unusual vaginal discharge or bleeding

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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8 mo ago

People Also Ask

What are common causes of lower abdominal pain in women?

Common causes of lower abdominal pain in women include menstrual cramps, muscular strain, gastrointestinal issues, urinary tract infections, and gynecological conditions such as endometriosis or ovarian cysts.

How can I differentiate between muscular strain and gastrointestinal issues?

Muscular strain often presents with pain that is relieved by stretching and worsens with certain movements. Gastrointestinal issues may be accompanied by symptoms like nausea, vomiting, or changes in bowel movements. A healthcare provider can help differentiate between these conditions.

What are the symptoms of endometriosis or ovarian cysts?

Symptoms of endometriosis or ovarian cysts can include severe menstrual cramps, pain during intercourse, irregular menstrual cycles, and lower abdominal pain. A healthcare provider can perform tests to diagnose these conditions.

When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe or worsening, accompanied by fever, chills, nausea, vomiting, changes in bowel movements or urination, or unusual vaginal discharge or bleeding.

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