[33F] Experiencing sharp lower abdominal pain with urinary urgency

Patient Description

A 33-year-old female presents with a sudden onset of sharp pain in the lower abdomen, specifically on the right side, radiating to the tailbone. The pain, which began 5-10 minutes prior to reporting, is described as more severe than typical menstrual cramps and is rated as a 7 out of 10 in intensity. The patient finds some relief from pain when hunched over, whereas laying down exacerbates it. Accompanying symptoms include a constant urge to urinate and a recent bowel movement that was watery and sudden. The patient's medical history is significant for migraines that began in puberty, and the only medication currently being taken is Ibuprofen, used occasionally for headaches and migraines. No known drug allergies or other medications are reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women than men. They can occur at any age but are more common in people who are sexually active, pregnant women, and older adults. UTIs can cause pain in your lower abdomen and an increased urge to urinate.

    • Treatment typically involves antibiotics to clear the infection. Drinking plenty of water can help to flush out the bacteria.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can affect any part of your urinary tract. While small stones may not cause symptoms, larger stones can cause severe pain in your side and back below your ribs. The pain can radiate to your lower abdomen and groin. The pain may come in waves and fluctuate in intensity. You may also feel pain or burning sensation during urination.

    • Treatment depends on the size of the stone. Small stones can often be passed by drinking lots of water, pain relievers, and medication to help pass the stone. Larger stones may require more invasive treatments.
  • Appendicitis: This is an inflammation of the appendix, a small, finger-shaped pouch that projects from your colon on the lower right side of your abdomen. Appendicitis causes pain that begins around your navel and then shifts to your lower right abdomen. The pain becomes severe over a period of a few hours. Other symptoms can include loss of appetite, nausea, vomiting, and fever.

    • Treatment typically involves surgery to remove the appendix.

What you can do

Given the severity and sudden onset of your symptoms, it's important that you seek immediate medical attention. A healthcare professional will be able to conduct a thorough examination and order appropriate tests to determine the cause of your symptoms.

What you should look out for

If your pain becomes more severe, you develop a fever, or you start to feel very unwell, you should seek immediate medical assistance. These could be signs of a more serious condition, such as appendicitis, which requires urgent medical attention.

Please remember that while I strive to provide accurate and helpful information, I am an AI and 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 a urinary tract infection (UTI)?

Common symptoms of a UTI 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 in women. Treatment typically involves antibiotics and drinking plenty of water.


How can kidney stones be treated and what are the symptoms?

Symptoms of kidney stones include severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, and pain during urination. Treatment depends on the size of the stone and may include drinking lots of water, pain relievers, and medication to help pass the stone. Larger stones may require more invasive treatments.


What are the signs of appendicitis and how is it treated?

Signs of appendicitis include pain that starts around the navel and then shifts to the lower right abdomen, severe pain that worsens over a few hours, loss of appetite, nausea, vomiting, and sometimes fever. Treatment usually involves surgical removal of the appendix.


What should I do if I experience sudden and severe abdominal pain?

If you experience sudden and severe abdominal pain, it is important to seek immediate medical attention. This could be a sign of a serious condition such as appendicitis, which requires urgent care. A healthcare professional can conduct an examination and order tests to determine the cause of the pain.


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