[30F] Experiencing severe pelvic pain and fullness

Patient Description

A 30-year-old female presents with sudden, sharp, and severe pelvic pain rated 10/10 in intensity, accompanied by a generalized feeling of fullness in the pelvis, both symptoms having persisted for 1 hour. The patient reports that sitting exacerbates the pain and no relief has been found. Additionally, the patient has vomited but denies any fever, chills, changes in urination, vaginal bleeding, or unusual discharge. There is no current pregnancy, no known drug allergies, and no medications being taken. The patient has a personal and family history of ovarian cysts but no other pre-existing conditions or chronic illnesses.

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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 ovarian cysts, the sudden onset of severe pelvic pain could be due to a ruptured ovarian cyst. This condition can cause severe pain and a feeling of fullness or heaviness in the abdomen.

    • Treatment typically includes pain relief and sometimes surgery if the cyst is large or causing severe symptoms.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It can cause severe pain and discomfort in the pelvic area, and can sometimes cause vomiting. However, it's usually associated with a fever, which you did not report.

    • Treatment typically involves antibiotics to clear the infection.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause severe abdominal pain, vomiting, and loose stools.

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

What you can do

Given the severity of your pain, it's important to seek medical attention immediately. Here are some steps you can take:

  1. Go to the nearest emergency department. The sudden onset of severe pain requires immediate medical attention.
  2. Avoid eating or drinking until you've been evaluated by a healthcare professional.
  3. Try to stay calm and comfortable. Stress can sometimes make pain feel worse.

What you should look out for

Seek immediate medical attention if you experience:

  • Increased pain or discomfort
  • Fever or chills
  • Unusual vaginal discharge or bleeding
  • Difficulty breathing

Please remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What are the symptoms of a ruptured ovarian cyst?

Symptoms of a ruptured ovarian cyst can include sudden, severe pelvic pain, a feeling of fullness or heaviness in the abdomen, bloating, and sometimes nausea or vomiting. If you suspect a ruptured cyst, seek medical attention immediately.


How is pelvic inflammatory disease (PID) diagnosed and treated?

Pelvic inflammatory disease (PID) is diagnosed through a combination of medical history, physical examination, and sometimes laboratory tests or imaging studies. Treatment typically involves antibiotics to clear the infection, and it's important to complete the full course of medication even if symptoms improve.


What are the common causes of sudden severe pelvic pain in women?

Common causes of sudden severe pelvic pain in women include ovarian cysts (especially if ruptured), ectopic pregnancy, pelvic inflammatory disease, appendicitis, and urinary tract infections. Each condition requires specific medical evaluation and treatment.


When should I seek emergency medical attention for pelvic pain?

You should seek emergency medical attention for pelvic pain if it is sudden and severe, if you experience additional symptoms like fever, chills, unusual vaginal discharge or bleeding, or if the pain is accompanied by difficulty breathing or fainting.

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