[46F] With sudden sharp abdominal pain radiating to back and pelvic floor

Patient Description

A 46-year-old female reports experiencing a sudden sharp pain on the right side of her abdomen that began approximately 1 hour ago and has been worsening. The pain has since spread to the lower abdomen and down into the pelvic floor. The patient also notes that the pain radiates to her back and it hurts to breathe. She has not found any relief from the pain. She reports having normal bowel movements daily, with the most recent one being brown, solid, and normal in appearance. She denies experiencing any fever or chills.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Appendicitis: This condition involves inflammation of the appendix and often starts with pain near the belly button that then moves to the lower right side of the abdomen. It can become severe and is often accompanied by nausea, vomiting, and sometimes fever.

    • Treatment: Appendicitis is usually treated with surgery to remove the appendix. This is often an emergency procedure.

  • Kidney Stones: Sharp pain that radiates to the back and lower abdomen could be due to kidney stones. This pain can be severe and may come in waves. It can also cause difficulty in urination and blood in the urine.

    • Treatment: Treatment may involve pain management, increased fluid intake, and sometimes procedures to break up or remove the stones.

  • Gallstones: Pain in the upper right abdomen that radiates to the back, especially after eating fatty foods, could be due to gallstones.

    • Treatment: Treatment may include dietary changes, medications to dissolve the stones, or surgery to remove the gallbladder.

  • Ovarian Cyst: In women, sharp pain in the lower abdomen and pelvic area could be due to an ovarian cyst.

    • Treatment: Treatment may involve pain management, hormonal treatments, or surgery if the cyst is large or causing significant symptoms.

What you can do

  1. Seek Immediate Medical Attention: Given the severity and progression of your symptoms, it is crucial to seek immediate medical attention. Go to the nearest emergency room or urgent care center.
  2. Avoid Eating or Drinking: Until you have been evaluated by a healthcare professional, it may be best to avoid eating or drinking, especially if surgery is required.
  3. Pain Management: While waiting for medical help, you can take over-the-counter pain relievers like acetaminophen, but avoid taking anything that could mask symptoms or cause complications.

What you should look out for

  • Worsening Pain: If the pain continues to worsen or becomes unbearable, seek emergency medical care immediately.
  • Fever or Chills: The development of fever or chills could indicate an infection and requires urgent medical attention.
  • Nausea or Vomiting: If you start experiencing nausea or vomiting, this could be a sign of a more serious condition that needs prompt evaluation.
  • Changes in Urination: Difficulty urinating, blood in the urine, or changes in urine color should be reported to a healthcare provider.

Remember, while this information can help you understand what might be happening, it is essential to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask

What are the common symptoms of appendicitis?

Common symptoms of appendicitis include pain that starts near the belly button and moves to the lower right abdomen, nausea, vomiting, and sometimes fever. The pain often becomes severe and requires immediate medical attention.

How can kidney stones be diagnosed and treated?

Kidney stones can be diagnosed through imaging tests such as an ultrasound or CT scan. Treatment may involve pain management, increased fluid intake to help pass the stones, and sometimes medical procedures to break up or remove the stones.

What dietary changes can help manage gallstones?

To manage gallstones, it is often recommended to avoid fatty foods and eat a diet rich in fiber. In some cases, medications may be prescribed to dissolve the stones, or surgery may be necessary to remove the gallbladder.

What are the signs that an ovarian cyst might require medical intervention?

Signs that an ovarian cyst might require medical intervention include severe or persistent pain in the lower abdomen, bloating, changes in menstrual cycles, or if the cyst is large. Medical evaluation is necessary to determine the appropriate treatment.

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