[43F] Experiencing severe lower abdominal pain with nausea and bloating

Patient Description

A 43-year-old female presents with severe, sharp, and cramping lower abdominal pain localized to the left side near the groin. The pain, which has been ongoing for approximately 7 hours, is described as coming and going in waves, rated between 7 and 8 out of 10 in severity. The patient reports being woken from sleep by the pain and also experiences associated symptoms of nausea, gas, and bloating. There is no recent history of injuries or accidents reported. The patient is not currently pregnant.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. They can cause severe pain when passing through the urinary tract.

    • Treatment often involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.
  • Ovarian Cyst: This is a fluid-filled sac that forms on or inside an ovary. Most ovarian cysts are harmless and go away without treatment in a few months. However, a large or ruptured ovarian cyst can cause serious symptoms such as sharp or severe pelvic pain.

    • Treatment can range from monitoring to surgery, depending on the size and type of the cyst, your age, and your symptoms.
  • Diverticulitis: This is an inflammation or infection in one or more small pouches in the digestive tract. It can cause severe abdominal pain, fever, nausea, and a noticeable change in your bowel movements.

    • Treatment typically involves antibiotics, pain relievers, and a liquid diet until your bowel heals. Surgery may be needed if complications develop.

What you can do

You should seek immediate medical attention given the severity and duration of your pain. While waiting for medical help, try to rest and avoid any food or drink that seems to make your symptoms worse.

What you should look out for

Seek immediate medical help if you experience any of the following:

  • The pain becomes unbearable
  • You have blood in your urine or stool
  • You develop a fever
  • You start vomiting

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

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10 mo ago

People Also Ask


What are the common symptoms of kidney stones?

Common symptoms of kidney stones include severe pain in the side and back, pain that radiates to the lower abdomen and groin, pain that comes in waves and fluctuates in intensity, nausea, vomiting, and blood in the urine.


How can an ovarian cyst cause abdominal pain?

An ovarian cyst can cause abdominal pain if it becomes large, ruptures, or causes the ovary to twist. This pain is often sharp and may be accompanied by bloating, swelling, or pressure in the abdomen.


What are the signs and symptoms of diverticulitis?

Signs and symptoms of diverticulitis include severe abdominal pain, usually on the left side, fever, nausea, vomiting, and a noticeable change in bowel habits such as constipation or diarrhea.


When should I seek medical attention for severe abdominal pain?

You should seek medical attention for severe abdominal pain if it is sudden and intense, if you have a fever, if there is blood in your urine or stool, if you are unable to keep food down, or if the pain is accompanied by vomiting.


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