[36F] Experiencing severe right-sided abdominal pain

Patient Description

A 36-year-old female presents with a 2-week history of severe, sharp pain on the right side of the abdomen, rated 9 out of 10 in intensity. The pain is exacerbated by movement, coughing, and deep breathing and radiates to the upper abdomen. The patient reports intermittent nausea but no fever, chills, or changes in mental status. Bowel movements are described as thick, runny, and dark. Past medical history includes two C-sections, kidney surgery, idiopathic intracranial hypertension (IIH) diagnosed in October 2020, high blood pressure diagnosed in 2021, and tubal ligation. The patient is currently on Losartan for blood pressure management. No known allergies. The patient has been to the emergency room for this issue, where ovarian cysts were noted. No other medications or new symptoms were reported.

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Arora's Assessment

What might be happening

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

  • Ovarian Cysts: You mentioned that you've been diagnosed with ovarian cysts. These are fluid-filled sacs that can form in or on the ovaries. They can cause pain, especially if they rupture or cause the ovary to twist.

    • Treatment usually involves pain management and monitoring. In some cases, surgery may be needed to remove the cysts.
  • Appendicitis: This is an inflammation of the appendix, a small organ located in the lower right part of your abdomen. The pain is usually severe and gets worse when you move or cough.

    • Treatment typically involves surgery to remove the appendix.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually caused by a viral or bacterial infection. It can cause abdominal pain, nausea, and diarrhea.

    • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Shunt Malfunction: You mentioned that you have a brain shunt that is sore to the touch. This could indicate a shunt malfunction, which can cause a variety of symptoms, including abdominal pain if the shunt drains into your abdomen.

    • Treatment typically involves surgery to repair or replace the shunt.

What you can do

It's important to seek medical attention as soon as possible, given the severity of your pain and the potential seriousness of some of these conditions. In the meantime, here are some things you can do:

  1. Continue taking your prescribed medications as directed by your doctor.
  2. Try to rest and stay hydrated.
  3. Avoid any foods or activities that seem to worsen your symptoms.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe or worsening pain
  • Fever or chills
  • Vomiting
  • Changes in your bowel movements, such as blood in your stool
  • Changes in your mental status, such as confusion or difficulty concentrating

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always seek the advice of a healthcare professional for any health concerns.

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1 yr ago

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People Also Ask


What are the common symptoms of ovarian cysts?

Common symptoms of ovarian cysts include pelvic pain, bloating, and fullness in the abdomen. Pain may be sharp or dull and can occur during menstruation or intercourse.


How can I differentiate between appendicitis and other causes of abdominal pain?

Appendicitis typically presents with severe pain in the lower right abdomen, which worsens with movement, coughing, or pressing on the area. It may also be accompanied by nausea, vomiting, and loss of appetite.


What are the signs of a shunt malfunction?

Signs of a shunt malfunction can include headaches, nausea, vomiting, changes in vision, and abdominal pain if the shunt drains into the abdomen. It's important to seek medical attention if these symptoms occur.


What dietary changes can help manage symptoms of gastroenteritis?

To manage symptoms of gastroenteritis, it's recommended to stay hydrated with clear fluids, avoid dairy and caffeine, and eat bland foods like bananas, rice, applesauce, and toast (the BRAT diet).


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