[42F] Experiencing lower right abdominal pain and gas

Patient Description

A 42-year-old female is experiencing throbbing pain in the lower right side of the abdomen, which she rates as a 5 out of 10 in intensity. The pain is alleviated by rest and avoiding movement. She also reports pain similar to that of an ovarian cyst and has had excessive gas this morning. The patient has a history of Graves' disease diagnosed in 2016. Current medications include Atenolol, Benadryl, Aspirin, and supplements such as Potassium, Magnesium, Vitamin E, and Biotin. No known allergies to medications have been reported.

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Arora's Assessment

What might be happening

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

  • Ovarian Cyst: Given your history of ovarian cysts and your description of the pain, it's possible that you have another ovarian cyst. These are fluid-filled sacs that form on the ovaries and can cause pain, bloating, and frequent urination.

    • Treatment typically involves monitoring the cyst to see if it resolves on its own. In some cases, hormonal birth control pills may be prescribed to prevent future cysts. If the cyst is large, causing severe pain, or not resolving on its own, surgery may be required.
  • Appendicitis: This is an inflammation of the appendix, a small pouch attached to the large intestine. It typically causes severe pain in the lower right abdomen, which can be throbbing or sharp, and may be accompanied by other symptoms such as nausea, vomiting, and fever.

    • Treatment typically involves surgical removal of the appendix.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits.

    • Treatment typically involves lifestyle changes, such as changes in diet and stress management, and in some cases, medications to manage symptoms.

Please note that these are potential diagnoses based on the information you've provided, and it's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. If you suspect you have an ovarian cyst, schedule an appointment with your healthcare provider. They can perform an ultrasound to confirm the diagnosis and discuss treatment options with you.
  2. If you suspect you have appendicitis, seek immediate medical attention. This is a medical emergency and typically requires surgery.
  3. If you suspect you have IBS, consider making changes to your diet, such as increasing your fiber intake and avoiding foods that trigger your symptoms. Regular exercise and stress management techniques may also help.

What you should look out for

  • If your pain becomes severe or you develop other symptoms such as fever, nausea, vomiting, or changes in your bowel habits, seek immediate medical attention.
  • If you notice changes in your menstrual cycle, such as missed periods or unusually heavy bleeding, consult with your healthcare provider.
  • If you notice any changes in your bowel habits, such as constipation or diarrhea, or if you notice blood in your stool, consult with your healthcare provider.

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 an ovarian cyst?

Common symptoms of an ovarian cyst include pelvic pain, bloating, fullness or heaviness in the abdomen, and pain during intercourse. Some women may also experience changes in their menstrual cycle.


How can I differentiate between appendicitis and other abdominal pain?

Appendicitis typically causes severe pain in the lower right abdomen, which may start around the navel and then move. It is often accompanied by nausea, vomiting, loss of appetite, and sometimes fever. If you suspect appendicitis, seek immediate medical attention.


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

Lifestyle changes that can help manage IBS include increasing fiber intake, avoiding trigger foods, eating smaller meals, staying hydrated, exercising regularly, and managing stress through techniques like yoga or meditation.


How does Graves' disease affect other health conditions?

Graves' disease, an autoimmune disorder that affects the thyroid, can influence other health conditions by altering metabolism, energy levels, and overall hormonal balance. It may also affect how the body responds to medications and stress.


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