[42M] Experiencing lower right abdominal pain

Patient Description

A 42-year-old male reports a dull ache in the lower right abdomen that started a few days ago and has worsened today. The pain is intermittent but has become more persistent. Laying down seems to provide some relief. Bowel movements are normal with no changes in stool appearance. The patient does not report any accompanying symptoms such as fever, chills, or changes in bowel habits. There is no past medical history of chronic illnesses, no known allergies or adverse reactions to medications, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

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

  • Appendicitis: This condition is characterized by inflammation of the appendix, a small tube-like structure located in the lower right abdomen. Symptoms typically include a dull ache in the lower right abdomen that becomes increasingly severe.

    • Treatment for appendicitis usually involves surgical removal of the appendix (appendectomy). In some cases, a course of antibiotics may be sufficient.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a viral or bacterial infection. Symptoms can include abdominal pain, diarrhea, and vomiting. However, you have not reported any changes in bowel movements or other gastrointestinal symptoms.

    • Treatment of gastroenteritis typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Symptoms can include severe pain in the side and back, below the ribs, pain that radiates to the lower abdomen and groin, pain during urination, pink, red or brown urine, and frequent urination. However, you have not reported any urinary symptoms.

    • Treatment for kidney stones varies depending on the size of the stone and its location. Small stones with minimal symptoms can be managed with pain medication and drinking lots of water to flush out the urinary system. Larger stones may require more invasive treatments.

What you can do

Given the severity and location of your pain, it's important that you seek immediate medical attention. Appendicitis is a medical emergency that typically requires surgery.

What you should look out for

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

  • Severe abdominal pain
  • Fever and chills
  • Nausea and vomiting
  • Loss of appetite

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include a dull ache in the lower right abdomen that becomes more severe, loss of appetite, nausea, vomiting, and sometimes fever. The pain may initially be around the navel and then move to the lower right abdomen.


How is appendicitis typically treated?

Appendicitis is typically treated with surgical removal of the appendix, known as an appendectomy. In some cases, antibiotics may be used if surgery is not immediately possible.


What are the differences between appendicitis and gastroenteritis?

Appendicitis usually presents with localized pain in the lower right abdomen, often without changes in bowel habits, while gastroenteritis typically involves widespread abdominal pain, diarrhea, and vomiting. Gastroenteritis is often caused by infections, whereas appendicitis is due to inflammation of the appendix.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe, persistent, or accompanied by symptoms such as fever, chills, nausea, vomiting, or loss of appetite. These could indicate a serious condition like appendicitis.


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