[33F] Experiencing sharp lower right abdominal pain and vaginal discomfort

Patient Description

A 33-year-old female presents with sharp pain in the lower right abdomen that worsens upon standing and is relieved by sitting or lying down. The pain started suddenly today and is localized above the right leg, rated a 4 out of 10 in severity. Additionally, she reports a stinging pain in the vaginal area, specifically when wiping, which has been present for 2 days and is rated a 5 out of 10 in severity. No fever, chills, nausea, or vomiting are reported. Bowel movements are described as soft formed with no recent changes, and urination sometimes shows changes but no specifics provided. The patient has a 20-year history of acid reflux and is currently taking Prozac, Loratadine, and Vitamin D3, with no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Appendicitis: This is an inflammation of the appendix, a small organ located in the lower right abdomen. The main symptom is usually a sharp pain that starts in the middle of the abdomen and then shifts to the lower right side. This pain often gets worse when you move around, take deep breaths, cough, or sneeze.

    • Treatment usually involves surgery to remove the appendix.
  • Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Most ovarian cysts are harmless and go away without treatment in a few months. However, a large or ruptured ovarian cyst can cause serious symptoms such as sharp or severe pelvic pain.

    • Treatment can range from monitoring to surgery, depending on the size and type of the cyst, your age, and your symptoms.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder and urethra. Pain and discomfort are common symptoms of a UTI. However, the pain is usually in the middle of the pelvis or lower back, not the lower right abdomen.

    • Treatment typically involves antibiotics.

Please note that these are just possibilities and not a definitive diagnosis. You should seek immediate medical attention to get a proper diagnosis and treatment.

What you can do

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

While waiting for medical attention, try to rest and avoid any strenuous activities that could potentially worsen your pain.

What you should look out for

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

  • The pain becomes severe or unbearable
  • You develop a fever
  • You start vomiting
  • You notice blood in your urine or stool
  • You have difficulty breathing

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp pain that starts near the belly button and then moves to the lower right abdomen, pain that worsens with movement, deep breaths, coughing, or sneezing, loss of appetite, nausea, vomiting, and sometimes fever.


How can an ovarian cyst cause abdominal pain?

An ovarian cyst can cause abdominal pain if it becomes large, ruptures, or causes the ovary to twist. This pain is often sharp and may be accompanied by bloating, swelling, or pressure in the abdomen.


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

Typical 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, especially in women.


Can acid reflux cause abdominal pain similar to appendicitis or ovarian cysts?

Acid reflux typically causes symptoms such as heartburn, regurgitation, and a sour taste in the mouth. It usually does not cause sharp abdominal pain like appendicitis or ovarian cysts, but severe cases can cause discomfort in the upper abdomen.


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