[43F] Experiencing sharp, pulsating lower right abdominal pain

Patient Description

A 43-year-old female reports sudden onset of sharp, pulsating pain in the lower right abdomen, rated an 8 on the pain scale during twitches and a 5 otherwise. The pain began a few minutes prior to the encounter. The patient finds slight relief when curling up in a fetal position. The last bowel movement was described as hard and orange-brown in color, occurring approximately two hours before the pain started. No additional symptoms such as fever, chills, nausea, vomiting, or changes in urination were reported. The patient has a family history of Crohn's disease and IBS, and was diagnosed with diverticulitis a few months ago. No other pre-existing conditions, allergies, or adverse reactions to medications were noted. The patient occasionally takes 10mg of melatonin to aid with sleep but reports no side effects.

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Arora's Assessment

What might be happening

Based on the information you've provided, the possible causes of your symptoms include:

  • Appendicitis: This is an inflammation of the appendix, a small tube that is attached to the large intestine. Symptoms typically include a sharp, stabbing pain in the lower right abdomen, which can become severe. The pain is often worse when moving, taking deep breaths, coughing, or sneezing.

    • Treatment: Appendicitis is a medical emergency that usually requires prompt surgery to remove the appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious materials into the abdominal cavity.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms can include abdominal pain and cramps, diarrhea, and vomiting.

    • Treatment: Rest, hydration, and over-the-counter remedies are usually sufficient. If symptoms persist or worsen, a doctor may prescribe medication or recommend hospitalization.
  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. Symptoms can include abdominal pain (usually on the left side), fever, and changes in bowel movements.

    • Treatment: Diverticulitis can be treated with rest, changes in your diet, and, in some cases, antibiotics.
  • Ovarian cyst: This is a fluid-filled sac that forms on or inside an ovary. Symptoms can include abdominal bloating or swelling, painful bowel movements, pelvic pain before or during the menstrual cycle, painful intercourse, pain in the lower back or thighs, breast tenderness, and nausea and vomiting.

    • Treatment: Most ovarian cysts are harmless and go away without treatment in a few months. But if a cyst causes symptoms, your doctor may suggest surgery.

What you can do

Given the severity and sudden onset of your pain, it's important to seek immediate medical attention. While waiting for medical help, try to stay as comfortable as possible and avoid eating or drinking in case you need surgery.

What you should look out for

If your pain becomes more severe, you develop a fever, your abdomen becomes rigid, or you start vomiting, these could be signs of a more serious condition like a ruptured appendix, which is a medical emergency. If you experience any of these symptoms, you should go to the emergency room immediately.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's really important that you seek care from a healthcare professional who can properly diagnose and treat your condition.

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10 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include sharp, stabbing pain in the lower right abdomen, which may worsen with movement, deep breaths, coughing, or sneezing. Other symptoms can include nausea, vomiting, loss of appetite, and fever.


How can diverticulitis be managed at home?

Diverticulitis can often be managed at home with rest, a liquid or low-fiber diet to allow the colon to heal, and over-the-counter pain relievers. In some cases, antibiotics may be prescribed by a doctor. It's important to follow medical advice and monitor symptoms closely.


What should I do if I suspect I have an ovarian cyst?

If you suspect you have an ovarian cyst, it's important to consult with a healthcare provider. They may perform an ultrasound to confirm the diagnosis. Most cysts resolve on their own, but if you experience severe pain, fever, or vomiting, seek medical attention as these could be signs of complications.


When should I seek emergency medical attention for abdominal pain?

You should seek emergency medical attention for abdominal pain if it becomes severe, if you develop a fever, if your abdomen becomes rigid, or if you start vomiting. These could be signs of a serious condition such as a ruptured appendix.


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