[30M] Experiencing severe lower right abdominal pain

Patient Description

A 30-year-old male presents with severe lower right abdominal pain described as stabbing, twisting, gnawing, and cramping, which started about an hour prior to the encounter. The patient also reports pain in the testicles, similar to what might be experienced with a urinary tract infection (UTI), preceding the abdominal pain. The severity of the abdominal pain is rated as a 7 out of 10. The patient has not tried any interventions to alleviate the pain. Bowel movements are reported to be normal, and there is no mention of fever or chills. The patient's symptoms warrant further medical evaluation to rule out conditions such as appendicitis, which can present with similar symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, possible conditions include:

  • Appendicitis: This is an inflammation of the appendix, a small tube that branches off the large intestine. This condition often causes severe pain in the lower right abdomen. The pain can be sharp, stabbing, and worsen with movement.

    • Treatment typically involves surgical removal of the appendix.
  • 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.

    • Treatment may involve pain relievers and drinking lots of water to help pass the stone. Medical procedures may be required if the stone is too large.
  • Testicular Torsion: This is a serious condition caused by the spermatic cord that provides the blood supply to a testicle being twisted. It can cause severe pain and swelling in the scrotum.

    • This is a medical emergency and requires immediate surgery to restore blood flow and prevent loss of the testicle.

What you can do

You should seek immediate medical attention. These conditions are serious and require prompt treatment. Do not eat or drink anything until you have been evaluated by a doctor, as you may need surgery.

What you should look out for

If you experience any of the following symptoms, you should seek immediate medical attention:

  • Severe pain that prevents you from sitting still or finding a comfortable position
  • Pain accompanied by nausea and vomiting
  • Blood in your urine
  • Fever and chills

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important you seek help from a healthcare professional who can properly diagnose your condition.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include severe pain in the lower right abdomen, which may start around the navel and then move. The pain can be sharp and worsen with movement. Other symptoms may include nausea, vomiting, loss of appetite, and fever.


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 pain management and drinking plenty of fluids to help pass the stone. In some cases, medical procedures may be necessary to remove or break up larger stones.


What is testicular torsion and why is it considered a medical emergency?

Testicular torsion occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. It is a medical emergency because it can lead to the loss of the testicle if not treated promptly. Symptoms include sudden, severe pain and swelling in the scrotum.


What should I do if I experience severe abdominal pain?

If you experience severe abdominal pain, especially if it is sudden and intense, you should seek immediate medical attention. Do not eat or drink anything until evaluated by a healthcare professional, as you may require surgery.


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