[40F] Experiencing abdominal, pelvic, and low back pain

Patient Description

A 40-year-old female presents with a sudden onset of sharp, moderate to severe abdominal pain localized on the right side between the belly button and side, lasting for 8 hours. The pain is constant and somewhat alleviated when sitting with legs elevated above the heart. Additionally, the patient reports intermittent, radiating sharp pelvic pain, and low back pain that is sharp when standing and burns otherwise, both rated 6 out of 10 in severity and also persisting for 8 hours. The patient experiences chills and nausea, and abdominal hardness after walking which resolves to normal. No changes in bowel movements or gas, no blood in urine or stool, and no recent injuries. The patient has no known allergies, no current medications, and no significant past medical history.

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Arora's Assessment

What might be happening

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

  • Appendicitis: This is an inflammation of the appendix, a small pouch attached to the large intestine. It's located in the lower right side of the abdomen. Symptoms can include a sharp pain in the lower right part of the abdomen, nausea, and sometimes hardness of the belly. It's a medical emergency that usually requires surgery.

    • Treatment: Appendicitis is typically treated with surgery to remove the appendix. Antibiotics are also given to treat the infection.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be severe and usually starts suddenly in the back or side below the ribs, and may radiate to the lower abdomen and groin. The pain may come in waves and fluctuate in intensity.

    • Treatment: Treatment for kidney stones varies, depending on the type of stone and the cause. Small stones with minimal symptoms can be managed with pain relief medication and drinking lots of water to help pass the stone. Larger stones may require more invasive treatments.
  • Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Symptoms can include pelvic pain — a dull or sharp ache in the lower abdomen on the side of the cyst. The pain often begins suddenly and may come and go.

    • Treatment: Most ovarian cysts resolve on their own without treatment. If a cyst is large or causing symptoms, it may need to be surgically removed.

What you can do

  1. Seek immediate medical attention: Given the severity and sudden onset of your symptoms, it's important to seek immediate medical attention. These conditions can be serious and require prompt treatment.

  2. Stay hydrated: Drink plenty of fluids, especially water. This can help if you have kidney stones.

  3. Rest: Try to rest as much as possible. This can help your body recover.

What you should look out for

  • Increased pain: If your pain becomes more severe, seek immediate medical attention.
  • Fever: A fever can be a sign of infection, such as in appendicitis. If you develop a fever, seek immediate medical attention.
  • Vomiting: If you start vomiting and can't keep fluids down, seek immediate medical attention.

Please note that this advice is intended to be general in nature, and specific causes may not apply to your unique circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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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, loss of appetite, fever, and abdominal swelling. The pain often starts near the belly button and then moves to the lower right side.


How are kidney stones diagnosed and treated?

Kidney stones are typically diagnosed through imaging tests such as an ultrasound or CT scan. Treatment depends on the size and type of the stone. Small stones may pass on their own with increased fluid intake and pain management, while larger stones may require medical procedures or surgery.


What are the signs that an ovarian cyst might require medical attention?

An ovarian cyst might require medical attention if it causes severe pain, is large, or persists over several menstrual cycles. Symptoms like sudden, severe abdominal or pelvic pain, fever, or vomiting should prompt immediate medical evaluation.


What should I do if I experience sudden and severe abdominal pain?

If you experience sudden and severe abdominal pain, it's important to seek immediate medical attention. This could be a sign of a serious condition such as appendicitis, a ruptured ovarian cyst, or kidney stones, which require prompt diagnosis and treatment.


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