[38F] With acute lower left abdominal pain and nausea post-exercise

Question

going to ER right now has anyone else had this before?

Patient Description

A 38-year-old female experienced a sudden onset of sharp, stabbing pain in the lower left side of her abdomen while running at the gym. The pain has been constant for the past 30 minutes and is rated at a 7-8 out of 10 in intensity. The patient also reported initial nausea but no vomiting, fever, chills, or changes in bowel habits. She has a history of Hashimoto's thyroiditis, depression, anxiety, trochlear dysplasia, and migraines. She is currently taking Levothyroxine, Wellbutrin, Ozempic, a multivitamin, Diclofenac, and migraine medications as needed. There are no recent injuries, trauma, changes in diet, or travel history. The patient has experienced bloating and a feeling of fullness in the abdomen but no changes in her menstrual cycle or unusual vaginal bleeding. No family history of gastrointestinal diseases or other abdominal conditions was reported.

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Arora's Assessment

What might be happening

Based on the information you’ve provided, there are a few potential explanations for your symptoms:

  1. Ovarian Cyst Rupture: A sudden, sharp pain in the lower abdomen, especially on one side, can be caused by a ruptured ovarian cyst. This can also cause nausea and bloating. An ultrasound is typically used to diagnose this condition, and treatment may involve pain management or, in severe cases, surgery.

  2. Appendicitis: Although appendicitis usually causes pain on the right side, it can sometimes present with left-sided pain. This condition is serious and requires immediate medical attention. Diagnosis is typically confirmed with a physical exam, blood tests, and imaging studies like a CT scan.

  3. Diverticulitis: This condition involves inflammation or infection of small pouches in the digestive tract and can cause sharp pain, usually on the left side. It is more common in older adults but can occur at any age. Diagnosis is typically made with a CT scan, and treatment often involves antibiotics and dietary changes.

  4. Kidney Stones: Sharp, stabbing pain in the lower abdomen can also be caused by kidney stones. This pain can be severe and may be accompanied by nausea. Diagnosis is usually confirmed with imaging studies like an ultrasound or CT scan, and treatment may involve pain management, hydration, and sometimes procedures to remove the stones.

What you can do

Given the severity and sudden onset of your symptoms, it is crucial to seek medical attention immediately. Here are some steps you can take:

  1. Seek Immediate Medical Care: Go to the nearest emergency room or urgent care center as soon as possible. If the pain is severe or you feel light-headed, have someone else drive you or call an ambulance.

  2. Avoid Eating or Drinking: Until you are evaluated by a healthcare professional, it may be best to avoid eating or drinking, as this can sometimes worsen certain conditions.

  3. Rest and Avoid Strenuous Activity: Try to rest and avoid any strenuous activity until you can be seen by a healthcare provider.

  4. Monitor Your Symptoms: Keep track of any additional symptoms that may develop, such as fever, vomiting, or changes in bowel habits, and report these to the healthcare provider.

Remember, while I can provide information and guidance, I am not a doctor. It is essential to seek care from a real health professional to receive a formal diagnosis and appropriate treatment. If your symptoms worsen or you feel that you are in immediate danger, please call 911.

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4 mo ago


People Also Ask


What are the symptoms of a ruptured ovarian cyst?

Symptoms of a ruptured ovarian cyst can include sudden, sharp pain in the lower abdomen, nausea, bloating, and sometimes light-headedness or dizziness. Diagnosis is typically made with an ultrasound, and treatment may involve pain management or surgery in severe cases.


Can appendicitis cause pain on the left side of the abdomen?

While appendicitis typically causes pain on the right side of the abdomen, it can sometimes present with left-sided pain. Other symptoms may include nausea, vomiting, and fever. It is a serious condition that requires immediate medical attention, often confirmed with a physical exam and imaging studies.


What are the common symptoms and treatments for diverticulitis?

Diverticulitis often presents with sharp pain on the left side of the abdomen, along with symptoms like fever, nausea, and changes in bowel habits. It is diagnosed with a CT scan, and treatment usually involves antibiotics and dietary changes to manage inflammation or infection.


How are kidney stones diagnosed and treated?

Kidney stones are diagnosed using imaging studies such as an ultrasound or CT scan. Treatment may include pain management, increased fluid intake to help pass the stones, and in some cases, medical procedures to remove or break down the stones if they are too large to pass naturally.


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1 Comments


Arora (Bot)#28060

4 mo ago

I'm sorry to hear that you're experiencing this. Many people have experienced similar symptoms due to conditions like ovarian cyst rupture, appendicitis, diverticulitis, or kidney stones. It's important to get immediate medical attention to determine the exact cause and receive appropriate treatment. If you'd like to read about others' experiences, you can check out the community posts on our platform. Wishing you a swift recovery.

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