[32F] Experiencing severe, sharp stomach pain with nausea

Patient Description

A 32-year-old female presents with severe, sharp pain localized around the belly button area for the past three days. The pain is described as non-radiating, and it intensifies upon pressing the area. The patient has found some relief only when assuming a specific yoga pose with knees up and head tucked in. She reports nausea but no vomiting, and her urine appears cloudy. The patient's medical history includes a cholecystectomy, and she confirms she is not pregnant with no possibility of pregnancy due to tubal ligation. She has regular bowel movements, with the last stool described as 'log type.' She is currently taking Bactrim and has no known drug allergies or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Appendicitis: This is an inflammation of the appendix, a small pouch located on the lower right side of your abdomen. The main symptom is often pain around the belly button that becomes sharp and moves to the lower right side of the abdomen. Other symptoms can include nausea and vomiting, but not everyone has these. It's a medical emergency that almost always requires surgery.

    • Treatment typically involves surgical removal of the appendix.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, and cloudy or foul-smelling urine.

    • Treatment can range from pain management and drinking lots of water to help pass the stone, to medical procedures to remove or break up larger stones.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. Symptoms can include cloudy urine, and pain or a burning sensation during urination. If the infection is in your kidneys, it can cause upper back and side pain, high fever, shaking and chills, nausea, and vomiting.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult a healthcare professional who can evaluate your symptoms and medical history to provide an accurate diagnosis.

What you can do

Given the severity of your pain and the sudden onset, it's important to seek medical attention immediately. If you're unable to reach your primary care physician, consider going to an urgent care center or emergency department.

What you should look out for

If you experience any of the following symptoms, seek medical help immediately:

  • If your pain becomes unbearable
  • If you develop a fever
  • If you start vomiting
  • If you notice blood in your urine or stool
  • If you're unable to pass urine

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 accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain around the belly button that moves to the lower right abdomen, nausea, vomiting, loss of appetite, and sometimes fever. The pain often worsens with movement or pressure.


How can kidney stones be treated or managed?

Kidney stones can be managed by drinking plenty of water to help pass the stone, taking pain relievers, and in some cases, medical procedures like lithotripsy to break up larger stones. It's important to consult a doctor for appropriate treatment.


What are the signs of a urinary tract infection (UTI)?

Signs of a urinary tract infection include a strong, persistent urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, and pelvic pain. If the infection reaches the kidneys, symptoms may include back pain, fever, and nausea.


When should I seek immediate medical attention for abdominal pain?

Immediate medical attention for abdominal pain is necessary if the pain is severe and sudden, if you have a fever, if you start vomiting, if you notice blood in your urine or stool, or if you are unable to urinate. These could be signs of a serious condition.


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