[38F] Experiencing severe and worsening sharp stomach pain

Patient Description

A 38-year-old female presents with severe, sharp stomach pain that has been worsening since last night. The pain is centered around the belly button and lower abdomen, and is exacerbated by pressing on the stomach or changing positions. Heat provides slight relief. The patient is also experiencing nausea and fever. Notably, there is excruciating pain upon releasing pressure from the abdomen. The patient has not passed gas recently and mentions that the pain is particularly severe in the lower right abdomen. There are no other accompanying symptoms reported. The patient's past medical history, current medications, and any chronic illnesses have not been disclosed.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes for your symptoms could be:

  • Appendicitis: This is an inflammation of the appendix, a small organ attached to the large intestine. It typically presents with sharp pain in the lower right abdomen, nausea, and fever. The pain often starts around the belly button and then moves to the lower right abdomen. It can become worse when moving, taking deep breaths, coughing, or sneezing.

    • Appendicitis is a medical emergency and requires immediate medical attention. If left untreated, the appendix can rupture and cause serious complications.
  • Gastroenteritis: Also known as stomach flu, this is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. Symptoms include stomach pain, nausea, and fever.

    • Treatment usually involves rest, hydration, and over-the-counter medication to manage symptoms.

What you can do

Given the severity of your symptoms and the possibility of appendicitis, you should seek immediate medical attention. Please go to the nearest emergency department or call an ambulance if you are unable to transport yourself safely.

What you should look out for

If you experience any of the following symptoms, it is crucial to seek immediate medical attention:

  • Increased intensity of abdominal pain
  • Vomiting
  • Fever that continues to rise
  • Blood in your stool
  • Inability to pass gas

Please remember, while I strive to provide accurate information, I am an AI and not a doctor. It's important to consult with a healthcare professional for a formal 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 in the lower right abdomen, nausea, vomiting, fever, and pain that worsens with movement or pressure. The pain often starts around the belly button and then moves to the lower right abdomen.


How is appendicitis diagnosed?

Appendicitis is typically diagnosed through a combination of physical examination, blood tests to check for infection, imaging tests like an ultrasound or CT scan, and sometimes a urine test to rule out a urinary tract infection.


What are the potential complications if appendicitis is left untreated?

If appendicitis is left untreated, the appendix can rupture, leading to peritonitis, a serious infection of the abdominal cavity. This can cause severe complications and requires emergency surgery.


What are the differences between appendicitis and gastroenteritis?

Appendicitis usually involves localized pain in the lower right abdomen and requires surgical intervention, while gastroenteritis is characterized by widespread abdominal pain, diarrhea, and vomiting, often caused by a viral or bacterial infection, and is usually managed with rest and hydration.


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