[36F] Experiencing sharp abdominal pain

Patient Description

A 36-year-old female reports a sharp, stabbing pain on the right side of her abdomen for the past week. The pain, rated as an 8 out of 10 in severity, worsens with walking, coughing, or sneezing, and occasionally after eating certain foods. She has had normal bowel movements and previously experienced fever and chills, which have since subsided. This is the first episode of such pain, and the patient has no known allergies, pre-existing conditions, or chronic illnesses. She is not currently on any medications.

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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 on the lower right side of your abdomen. The main symptom is usually a sharp pain that starts around your belly button and moves to your lower right abdomen. Other symptoms can include loss of appetite, nausea, vomiting, and fever.

    • Treatment typically involves surgery to remove the appendix.
  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. Symptoms can include sudden and rapidly intensifying pain in the upper right portion of your abdomen.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, and pain on urination.

    • Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.

What you can do

You should seek immediate medical attention. The conditions mentioned above can be serious and may require urgent treatment.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe pain that prevents you from sitting still or finding a comfortable position
  • Pain accompanied by other serious symptoms such as fever, vomiting, or rapid heart rate
  • Blood in your urine or very dark urine
  • Difficulty breathing

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

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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 around the belly button and moves to the lower right abdomen, loss of appetite, nausea, vomiting, and fever.


How are gallstones typically treated?

Gallstones are typically treated with medication to dissolve them or surgery to remove the gallbladder, depending on the severity and frequency of symptoms.


What are the signs that kidney stones might be causing abdominal pain?

Signs that kidney stones might be causing abdominal pain include severe pain in the side and back, pain that radiates to the lower abdomen and groin, and pain during urination.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if it is severe and prevents you from sitting still, is accompanied by fever, vomiting, rapid heart rate, blood in urine, or difficulty breathing.


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