[35F] Experiencing lower abdominal pain with nausea and chills

Patient Description

A 35-year-old female presents with a 6-hour history of aching lower abdominal pain rated 6/10 in severity. The pain is accompanied by nausea, chills, and cramping. The patient has a significant medical history of ovarian cysts diagnosed 10 years ago. The last bowel movement was 45 minutes prior to the encounter and was described as solid. The patient is not currently on any medications and reports no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a viral or bacterial infection. It can cause stomach pain, nausea, and chills.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Ovarian Cysts: Since you have a history of ovarian cysts, it's possible that a cyst could be causing your pain. Sometimes, cysts can cause a dull or sharp pain in the lower abdomen on the side of the cyst. This pain can feel like a dull ache that may come and go.

    • Treatment can range from watchful waiting to surgery, depending on the size and type of the cyst, as well as whether it's causing symptoms.
  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It can cause severe pain in the lower right abdomen, but the pain can also be more generalized. Other symptoms can include nausea and chills.

    • Treatment for appendicitis usually involves surgery to remove the appendix.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. While waiting for medical help:

  1. Try to stay as comfortable as possible. Lying on your side may ease the pain.
  2. Stay hydrated. Drink small sips of water or suck on ice chips if you're feeling nauseous.
  3. Avoid eating or drinking anything until you've been evaluated by a healthcare professional, as this could worsen your condition if you have appendicitis.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You start vomiting
  • You have a fever
  • Your symptoms worsen or don't improve within 24 hours

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your condition and provide a formal diagnosis.

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11 mo ago

People Also Ask


What are the common symptoms of ovarian cysts?

Common symptoms of ovarian cysts include pelvic pain, bloating, and a feeling of fullness in the abdomen. The pain may be sharp or dull and can occur on one side of the lower abdomen.


How can I differentiate between gastroenteritis and appendicitis?

Gastroenteritis typically involves symptoms like diarrhea, vomiting, and stomach cramps, often with a history of recent food intake or contact with someone who is ill. Appendicitis usually starts with pain near the belly button that shifts to the lower right abdomen, and it may be accompanied by nausea, vomiting, and fever.


What should I do if I suspect I have appendicitis?

If you suspect appendicitis, seek immediate medical attention. Avoid eating or drinking, and do not take pain relievers, as they can mask symptoms. Appendicitis is a medical emergency that often requires surgical removal of the appendix.


Can ovarian cysts cause nausea and chills?

Yes, ovarian cysts can sometimes cause nausea and chills, especially if they rupture or cause significant discomfort. However, these symptoms can also be associated with other conditions, so it's important to consult a healthcare professional for an accurate diagnosis.


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