[36F] Experiencing abdominal cramps, nausea, and back pain

Patient Description

A 36-year-old female presents with a one-day history of constant, centered lower abdominal cramps rated 4/10 in severity, resembling non-menstrual cramps with short stabbing pains. Accompanying symptoms include nausea persisting throughout the morning, rated 4/10 in severity, and a sharp middle back pain rated 6/10 in severity, also lasting all day. The patient denies any recent injuries, blood in urine or stool, fever, changes in urine, vomiting, or diarrhea. The patient's medical history is significant for the removal of the right fallopian tube in 2019. 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 stomach and intestines, usually resulting from a viral or bacterial infection. It can cause symptoms like abdominal cramps, nausea, and sometimes back pain.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to help with symptoms.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts in the back or side below the ribs, and may radiate to the lower abdomen and groin.

    • Treatment can range from pain management and drinking lots of water to 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 — your kidneys, bladder, ureters, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women than men.

    • Treatment typically involves antibiotics to kill the bacteria causing the infection.
  • Ovarian cyst: This is a fluid-filled sac that forms on or inside an ovary. Most ovarian cysts present little or no discomfort and are harmless.

    • Treatment can range from monitoring the cyst to surgical removal.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and stay hydrated. Avoid any foods or drinks that seem to make your symptoms worse.
  2. Over-the-counter pain relievers may help with the cramps and back pain. Always follow the package instructions.
  3. Keep a symptom diary. Note when your symptoms occur, how long they last, and any potential triggers. This can be helpful information for your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain or cramping
  • Blood in your urine or stool
  • Fever or chills
  • Persistent vomiting or inability to keep down fluids
  • Symptoms that persist for more than a few days or worsen over time

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Please consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of gastroenteritis?

Common symptoms of gastroenteritis include abdominal cramps, nausea, vomiting, diarrhea, and sometimes fever. It is often caused by a viral or bacterial infection.


How can I tell if I have kidney stones?

Kidney stones often cause severe pain that starts in the back or side below the ribs and may radiate to the lower abdomen and groin. Other symptoms can include blood in the urine, nausea, and frequent urination.


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

Signs of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain in women.


What should I do if I suspect I have an ovarian cyst?

If you suspect you have an ovarian cyst, monitor your symptoms and consult with a healthcare provider. They may recommend an ultrasound to confirm the presence of a cyst and determine the appropriate treatment, which could range from monitoring to surgical removal.


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