[37F] Experiencing severe lower left pelvic pain and nausea

Patient Description

A 37-year-old female presents with severe lower left pelvic pain described as throbbing, with an intensity of 8 out of 10. The pain has been intermittent over the past two days. Accompanying the pelvic pain is nausea, which has been present for one day and rates a 5 out of 10 in severity. The patient's medical history includes stage 2 kidney disease and spinal stenosis, diagnosed three months prior. The patient reports an allergy to Rocephin, which causes a rash. She is currently not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possible causes for your symptoms:

  • Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They're common and usually form during ovulation. Symptoms can include pelvic pain, which might be sharp or dull, and can come and go.

    • Treatment can range from monitoring the cysts to using birth control pills to prevent new ones from forming, to surgery to remove the cysts.
  • Kidney Stones: Given your history of kidney disease, kidney stones could be a possibility. These hard deposits made of minerals and salts can form inside your kidneys and can cause severe pain when passing through the urinary tract.

    • Treatment can include pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed if the stones are too large to pass on their own.
  • Gastroenteritis: This is an inflammation of the digestive tract, usually caused by a virus or bacteria. It can cause nausea and abdominal pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, often due to sexually transmitted bacteria. It can cause pelvic pain and nausea.

    • Treatment usually involves antibiotics.

What you can do

You should seek medical attention as soon as possible given the severity of your pain. In the meantime, try to rest and stay hydrated. Over-the-counter pain relievers may help with the pain, but it's important to get a proper diagnosis from a healthcare provider.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop a fever
  • You have difficulty passing urine or notice blood in your urine
  • You experience severe vomiting or diarrhea

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.

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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, which can be sharp or dull and may come and go, bloating, and sometimes changes in menstrual cycles. Some cysts may not cause any symptoms and are found during routine exams.


How can kidney stones be managed or treated?

Kidney stones can be managed by drinking plenty of water to help pass the stone, taking pain relievers, and sometimes using medications to help relax the muscles in the ureter. In cases where stones are too large, medical procedures like lithotripsy or surgery may be necessary.


What are the typical causes and symptoms of gastroenteritis?

Gastroenteritis is typically caused by viral or bacterial infections and is characterized by symptoms such as nausea, vomiting, diarrhea, abdominal pain, and sometimes fever. It is often managed with rest, hydration, and over-the-counter medications to relieve symptoms.


What is Pelvic Inflammatory Disease (PID) and how is it treated?

Pelvic Inflammatory Disease (PID) is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. Symptoms include pelvic pain, fever, and unusual discharge. Treatment usually involves antibiotics to clear the infection.


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