[31F] Experiencing right-sided abdominal pain and spotting

Patient Description

A 31-year-old female presents with a 6-day history of worsening right-sided abdominal pain, described as stabbing and currently rated 8/10 in severity. The pain originated above the belly button and has since extended to the lower right abdomen. She reports occasional relief with a heating pad and has experienced nausea but no vomiting. There is no change in urine, fever, chills, or radiating pain. She notes spotting between periods and a history of ovarian cysts. The patient's medical history includes asthma, migraines, and acid reflux, diagnosed around age 19. Current medications include Omeprazole (20mg daily), Trokendi XR (100mg daily), Lo Loestrin Fe, Xyzal, Albuterol, Dupixent, and Emgality. She has allergies to Nurtec and Tramadol. The patient has had her tubes tied but acknowledges recent unprotected intercourse.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Ovarian Cysts: Given your history of ovarian cysts, the pain you are experiencing could be due to a new or ruptured cyst. Ovarian cysts can cause pain, bloating, and irregular menstrual bleeding.

    • Treatment for ovarian cysts can range from monitoring to surgery, depending on the size and type of cyst, as well as your symptoms.
  • Appendicitis: This is an inflammation of the appendix, a small pouch located on the lower right side of the abdomen. It can cause severe pain that starts around the belly button and moves to the lower right side of the abdomen, as well as nausea and sometimes fever.

    • Appendicitis is a medical emergency and requires immediate surgical removal of the appendix.
  • Ectopic Pregnancy: Although you mentioned your tubes are tied, there is a small chance of pregnancy. An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, often in the fallopian tube. This can cause lower abdominal pain and vaginal bleeding.

    • Ectopic pregnancy is a medical emergency and requires immediate medical attention.

What you can do

Given the severity and duration of your pain, it is important to seek immediate medical attention.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe or worsening pain
  • Fever or chills
  • Vomiting
  • Dizziness or fainting
  • Heavy vaginal bleeding

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are the symptoms of an ovarian cyst?

Symptoms of an ovarian cyst can include pelvic pain, bloating, painful periods, and irregular menstrual bleeding. Some cysts may cause no symptoms and are found during routine exams.


How can I differentiate between appendicitis and other abdominal pain?

Appendicitis typically starts with pain around the belly button that moves to the lower right abdomen, often accompanied by nausea, vomiting, and sometimes fever. If you suspect appendicitis, seek medical attention immediately.


Is it possible to have an ectopic pregnancy after having my tubes tied?

Yes, it is possible, though rare, to have an ectopic pregnancy after a tubal ligation. If you experience symptoms like severe abdominal pain and vaginal bleeding, seek medical attention promptly.


What should I do if I suspect I have appendicitis?

If you suspect appendicitis, it is crucial to seek immediate medical attention, as it is a medical emergency that usually requires surgical removal of the appendix.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback