[48F] With lower right abdominal pain and vaginal discharge

Patient Description

A 48-year-old female experiencing cramping pain in the lower right abdomen for the past two days, with a severity of 3 out of 10. The pain started gradually and worsens with movement and pressure. No relief has been found. Additionally, the patient reports occasional yellow vaginal discharge, about a teaspoon each time, over the last few days. She is going through menopause and has noticed some weight gain recently. There are no accompanying symptoms such as nausea, vomiting, fever, chills, or changes in urination. The patient has not traveled recently and has no recent changes in sexual partners. Medical history includes a fibroid on the left side diagnosed seven years ago. Current medications include Levothyroxine 150 mcg daily and an iron supplement 65 mg daily. No known allergies.

Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

Ovarian Cyst: These fluid-filled sacs can cause cramping pain in the lower abdomen. They are common during menopause and can sometimes cause changes in discharge.
- Treatment may involve monitoring, pain relief, or surgical intervention if necessary.
Diverticulitis: Inflammation of small pouches in the digestive tract, which can cause lower abdominal pain and changes in bowel habits.
- Treatment typically includes antibiotics and a special diet.
Urinary Tract Infection (UTI): Though you haven't mentioned urinary symptoms, sometimes UTIs can present with abdominal pain.
- Treatment involves antibiotics.

What you can do

Monitor Symptoms: Keep track of your pain and any changes in discharge using MDandMe. This can help your healthcare provider make a more accurate diagnosis.
Pain Relief: Over-the-counter pain relievers like ibuprofen may help alleviate discomfort.
Hydration and Diet: Stay hydrated and maintain a balanced diet to support your overall health.