[30F] Experiencing severe right-sided abdominal pain with chills and nausea

Patient Description

A 30-year-old female is suffering from severe, constant abdominal pain on the right side, which has been gradually worsening. She rates the pain as a 7 out of 10 on the pain scale. Accompanying symptoms include chills and nausea. The patient has not identified any measures that relieve the pain. She is currently taking Celexa, Risperdal, Abilify, and Adderall, and has a known allergy to Penicillin. There are no known pre-existing conditions or chronic illnesses reported. The patient's last bowel movement was today, although details about the stool are unclear.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Appendicitis: This is an inflammation of the appendix, a small organ on the lower right side of your abdomen. It typically starts with a dull pain near the belly button that becomes sharp and moves to the lower right abdomen. Other symptoms can include nausea, vomiting, and chills.

    • Treatment usually involves surgery to remove the appendix.
  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. Pain from gallstones is usually in the upper right abdomen. Nausea and vomiting may occur.

    • Treatment can involve medication to dissolve the gallstones, or surgery to remove the gallbladder.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be sharp and located on one side of the back or lower abdomen. Nausea and vomiting can also occur.

    • Treatment can involve medication to help pass the stone, or procedures to break up or remove the stone.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. Symptoms can include abdominal pain, nausea, vomiting, and chills.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.

Remember, I'm an AI and not a doctor, so these are just possibilities based on the information you've given me.

What you can do

Given the severity and location of your pain, it's important to seek immediate medical attention. Abdominal pain can be a symptom of many conditions, some of which are serious and require urgent treatment.

What you should look out for

If your pain becomes severe, you develop a fever, your skin or eyes become yellow, or you have blood in your stool or vomit, seek medical help immediately. These could be signs of a serious 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 belly button that becomes sharp and moves to the lower right abdomen, nausea, vomiting, and chills. Immediate medical attention is recommended as it often requires surgical removal of the appendix.


How are gallstones typically treated?

Gallstones are typically treated with medication to dissolve them or surgery to remove the gallbladder, especially if they cause significant pain or complications.


What are the signs that kidney stones might be causing my abdominal pain?

Signs that kidney stones might be causing abdominal pain include sharp pain on one side of the back or lower abdomen, nausea, and vomiting. Treatment can involve medication to help pass the stone or procedures to break up or remove the stone.


What should I do if I suspect I have gastroenteritis?

If you suspect you have gastroenteritis, it's important to rest, stay hydrated, and use over-the-counter medications to manage symptoms. If symptoms are severe or persistent, seek medical advice.


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