[37F] With sharp lower right abdominal pain and history of diverticulitis and ovarian cysts

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Lower Right Abdominal Pain and Back Pain

1. Paraovarian Cysts: These cysts can cause sharp, persistent pain in the lower abdomen and sometimes radiate to the back. They can also affect your appetite.

   • Typical Treatments: Monitoring with regular ultrasounds, pain management with medications, and in some cases, surgical removal if the cysts are large or causing significant symptoms.

2. Diverticulitis: Given your history, a recurrence could be causing your symptoms, although it typically presents with more gastrointestinal symptoms like changes in bowel habits.

   • Typical Treatments: Antibiotics, a liquid diet to allow the colon to heal, and in severe cases, surgery.

Unifying Diagnoses

1. Pelvic Inflammatory Disease (PID): This condition can cause lower abdominal pain and back pain, especially if you have a history of gynecological issues.

   • Typical Treatments: Antibiotics and sometimes hospitalization if the infection is severe.

2. Referred Pain from Ovarian Issues: Conditions like ovarian cysts or remnants from your previous surgery could be causing referred pain to your back.

   • Typical Treatments: Pain management, hormonal treatments, and possibly surgical intervention.

What you can do

Lower Right Abdominal Pain and Back Pain

• See a Doctor: Given the intensity and duration of your pain, it's important to consult a healthcare provider for a thorough evaluation. They may recommend imaging tests like an ultrasound or CT scan to get a clearer picture of what's going on.
• Pain Management: Continue using a heat pad for relief. Over-the-counter pain medications like ibuprofen can help, but use them sparingly and consult your doctor for long-term use.
• Dietary Adjustments: Since you have a history of diverticulitis, a high-fiber diet can help prevent flare-ups. However, during an active episode, a low-fiber diet may be recommended.

General Health

• Monitor Symptoms: Keep a journal of your symptoms, including pain levels, appetite changes, and any other new symptoms. You can use MDandMe to track your progress and share this information with your healthcare provider.
• Stay Hydrated: Drink plenty of fluids, especially if you have a reduced appetite.
• Avoid Triggers: Since you haven't identified specific triggers, continue to avoid any activities or foods that seem to exacerbate your symptoms.

What you should look out for

Given the severity and persistence of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens.
• Fever or Chills: These could indicate an infection.
• Nausea or Vomiting: Especially if it prevents you from keeping fluids down.
• Changes in Bowel Habits: Such as diarrhea or constipation, which could indicate a gastrointestinal issue.
• Unexplained Weight Loss: This could be a sign of a more serious underlying condition.

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.