[39F] Experiencing cramp-like pelvic pain and leg swelling

Patient Description

A 39-year-old female presents with a 2-day history of intermittent, cramp-like, dull pelvic pain localized to the right side. The pain was particularly bothersome in the morning. Additionally, she reports swelling in her leg but denies any redness, warmth, or color changes in the affected leg. She also does not report any sudden severe pelvic pain, fever, chest pain, or shortness of breath. The patient has no known drug allergies, is not currently on any medications, and has no history of clotting disorders or chronic illnesses.

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Arora's Assessment

What might be happening

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

  • Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They are common and often present no symptoms. However, when symptoms do occur, they can include pelvic pain, bloating, and swelling.

    • Treatment: Most ovarian cysts resolve on their own without treatment. However, if a cyst is large or causing symptoms, your doctor may suggest surgery to remove it.
  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs, usually caused by sexually transmitted bacteria. Symptoms can include pelvic pain, bloating, and changes in urination.

    • Treatment: PID is usually treated with antibiotics.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, ureters, bladder, and urethra. Most UTIs are caused by bacteria, but some are caused by viruses and fungi. UTIs are more common in women than men. Symptoms can include pelvic pain, changes in urination, and feeling bloated.

    • Treatment: UTIs are usually treated with antibiotics.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide a proper diagnosis.

What you can do

Here are some general suggestions that might help you manage your symptoms until you can see a doctor:

  1. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help reduce pain.
  2. Warm compress: Applying a warm compress to your lower abdomen can help reduce pelvic pain.
  3. Stay hydrated: Drinking plenty of water can help flush bacteria out of your urinary system, which might help with a UTI.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe or worsening pain
  • Fever or chills
  • Nausea or vomiting
  • Difficulty or pain during urination
  • Blood in your urine

Remember, it's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide a proper diagnosis.

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10 mo ago

People Also Ask


What are the common symptoms of ovarian cysts?

Common symptoms of ovarian cysts include pelvic pain, bloating, and swelling. However, many ovarian cysts are asymptomatic and resolve on their own.


How is Pelvic Inflammatory Disease (PID) diagnosed and treated?

Pelvic Inflammatory Disease (PID) is usually diagnosed through a pelvic exam, analysis of vaginal discharge, and sometimes ultrasound. It is typically treated with antibiotics to clear the infection.


What are the typical symptoms of a urinary tract infection (UTI)?

Typical symptoms of a urinary tract infection (UTI) include pelvic pain, a burning sensation during urination, frequent urination, and cloudy or strong-smelling urine.


When should I seek immediate medical attention for pelvic pain?

You should seek immediate medical attention for pelvic pain if you experience severe or worsening pain, fever or chills, nausea or vomiting, difficulty or pain during urination, or blood in your urine.


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