[42F] Experiencing acute pelvic pain with associated symptoms

Patient Description

A 42-year-old female presents with acute stabbing pain in the low abdomen rated 6/10 in severity, accompanied by bloating, increased heart rate, fatigue, watery diarrhea, and an unusual increase in vaginal discharge. These symptoms have been present for approximately 2 hours for the pain and diarrhea, and a day or two for the vaginal discharge and bloating. The patient finds relief from bloating with water and walking. She has a history of a miscarriage in 2014 but no other chronic illnesses or known drug allergies. Current medications include Sprintec, Zoloft, Zyrtec, Montelukast, and Phentermine.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's usually caused by a sexually transmitted infection. Symptoms can include pelvic pain, increased vaginal discharge, and symptoms of an infection like a fever.

    • Treatment typically involves antibiotics to clear the infection.
  • Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They can cause pelvic pain, bloating, and an increase in the frequency of urination.

    • Treatment can range from watchful waiting to surgical removal, depending on the size and type of the cyst.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, and diarrhea.

    • Treatment typically involves managing diet, lifestyle, and stress. More-severe symptoms might be managed with medication and counseling.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform some tests or refer you to a specialist for further evaluation.
  2. Keep a symptom diary. Note down when your symptoms occur, their severity, and any potential triggers. This can help your healthcare provider in making a diagnosis.
  3. Try to rest and stay hydrated, especially if you're experiencing diarrhea. Over-the-counter pain relievers may help with the pain, but it's best to consult with a healthcare provider before starting any new medication.

What you should look out for

Seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You develop a high fever
  • You experience sudden, sharp abdominal pain
  • You have bloody or black stools
  • You start vomiting persistently

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of Pelvic Inflammatory Disease (PID)?

Common symptoms of Pelvic Inflammatory Disease (PID) include pelvic pain, increased vaginal discharge, fever, painful urination, and irregular menstrual bleeding. It's important to see a healthcare provider for diagnosis and treatment.


How are ovarian cysts typically treated?

Ovarian cysts are often treated based on their size and symptoms. Small, asymptomatic cysts may just be monitored over time, while larger or symptomatic cysts might require medication or surgical removal.


What lifestyle changes can help manage Irritable Bowel Syndrome (IBS)?

Lifestyle changes that can help manage IBS include eating a balanced diet rich in fiber, avoiding trigger foods, managing stress through relaxation techniques, and regular physical activity. Some people may also benefit from probiotics or medications prescribed by a doctor.


When should I seek immediate medical attention for abdominal pain?

You should seek immediate medical attention for abdominal pain if it becomes severe or unbearable, if you develop a high fever, experience sudden sharp pain, have bloody or black stools, or if you start vomiting persistently.


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