[32F] Experiencing sharp pelvic and flank pain with bloating

Patient Description

A 32-year-old female presents with a history of intermittent pelvic pain for the past 3 years. The patient describes the pain as sharp and severe, predominantly located in the right flank and suprapubic region. The pain is said to come in waves and is associated with abdominal bloating and distension, which has been persistent for several days. The abdomen is described as tender to the touch. The patient is unsure if certain foods exacerbate the bloating but confirms that no specific remedies have been found to relieve it. There is no mention of pregnancy, and the patient has not indicated any known allergies or other medical conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, several conditions could be causing your pain:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain in your flank, abdomen, and groin. The pain often comes in waves and fluctuates in intensity.

    • Treatment may involve pain relievers and drinking lots of water to help pass the stone. In some cases, medical procedures may be needed to remove or break up larger stones.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs in the lower urinary tract (the bladder and urethra) are more common in women and can cause pelvic pain.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Gynecological Conditions: Conditions such as endometriosis, ovarian cysts, or pelvic inflammatory disease can cause pelvic and abdominal pain in women. These conditions can also cause bloating and a feeling of fullness in your abdomen.

    • Treatment can range from medication to manage symptoms, hormonal treatments, or in some cases, surgery.

What you can do

You should seek medical attention to get a proper diagnosis and treatment. In the meantime, here are some things you can do to manage your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help manage pain. Always follow the instructions on the package.
  2. Hydration: Drink plenty of fluids, especially water. This can help if you have a UTI or kidney stones.
  3. Heat: Applying a heat pad to your abdomen can help soothe muscle pain or cramps.

What you should look out for

If your symptoms worsen or you experience any of the following, seek immediate medical attention:

  • Severe pain
  • Fever or chills
  • Nausea or vomiting
  • Difficulty urinating or painful urination
  • Blood in your urine

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, nausea, vomiting, and blood in the urine.


How can I tell if my pelvic pain is due to a urinary tract infection?

Symptoms of a urinary tract infection can include a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine, cloudy or strong-smelling urine, and pelvic pain, especially in women.


What are some possible gynecological conditions that could cause pelvic pain and bloating?

Possible gynecological conditions that could cause pelvic pain and bloating include endometriosis, ovarian cysts, and pelvic inflammatory disease. These conditions can also cause irregular menstrual cycles and pain during intercourse.


What home remedies can help alleviate pelvic pain and bloating?

Home remedies that may help alleviate pelvic pain and bloating include taking over-the-counter pain relievers like ibuprofen, staying hydrated by drinking plenty of water, and applying a heat pad to the abdomen to soothe muscle pain or cramps.


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