[38F] Experiencing sharp stomach pains with slight fever and nausea

Patient Description

A 38-year-old female is experiencing sharp, severe stomach pains rated 7/10 around the belly button and lower right abdomen for a couple of days. The pain is somewhat alleviated by heat. Accompanying symptoms include a slight fever and nausea without vomiting. The patient has had a recent bowel movement that was brown and solid and is able to pass gas. There is a noted loss of appetite. Medical history includes hypothyroidism, for which she is taking Levothyroxine. The patient has a known allergy to Sulfa medications. No other medications or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Appendicitis: This condition occurs when the appendix, a small organ attached to the large intestine, becomes inflamed. It typically starts with a pain near the belly button that moves to the lower right side of the abdomen. The pain is usually sharp and severe. Other symptoms can include loss of appetite, nausea, and a low-grade fever.

    • Treatment usually involves surgical removal of the appendix.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms include abdominal pain, nausea, and sometimes fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies.
  • Ovarian cyst: This is a fluid-filled sac that forms on or inside an ovary. Symptoms can include abdominal bloating or swelling, painful bowel movements, pelvic pain before or during the menstrual cycle, painful intercourse, pain in the lower back or thighs, breast tenderness, and nausea and vomiting.

    • Treatment can range from monitoring to surgery, depending on the size and effect of the cyst.

What you can do

Given the severity of your pain and the possibility of appendicitis, you should seek immediate medical attention. Appendicitis is a medical emergency that typically requires surgery.

If you're unable to seek medical attention immediately, try to stay comfortable by:

  1. Lying down and avoiding sudden movements
  2. Applying a warm compress to your abdomen
  3. Staying hydrated

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes more severe or spreads across your abdomen
  • You start vomiting
  • Your fever rises above 100.4°F
  • You're unable to pass gas

Please remember that while I strive to provide accurate information, I'm not a doctor. You should seek care from a healthcare professional to receive 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 that starts near the belly button and moves to the lower right abdomen, loss of appetite, nausea, and a low-grade fever. The pain often worsens with movement.


How can I differentiate between appendicitis and gastroenteritis?

Appendicitis typically presents with localized sharp pain in the lower right abdomen, while gastroenteritis often involves more diffuse abdominal pain, diarrhea, and vomiting. Appendicitis is a medical emergency, whereas gastroenteritis can often be managed with rest and hydration.


What should I do if I suspect I have an ovarian cyst?

If you suspect you have an ovarian cyst, it's important to consult a healthcare provider. They may perform an ultrasound to confirm the diagnosis and determine the appropriate treatment, which could range from monitoring to surgical intervention.


Can hypothyroidism affect abdominal pain or related symptoms?

Hypothyroidism itself does not directly cause abdominal pain, but it can affect overall metabolism and digestive health. It's important to manage hypothyroidism with medication as prescribed to minimize any indirect effects on your health.


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