[56F] Experiencing severe pelvic pain, nausea, and fatigue

Patient Description

A 56-year-old female presents with severe cramping pelvic pain, primarily in the lower left area but also affecting both sides. The pain has persisted for a few weeks and occasionally escalates to a sharp sensation. Accompanying symptoms include nausea and dizziness, particularly at night, which have been present for the last two weeks. The nausea is severe enough to have caused vomiting, rated at a severity of 10, with no identified relief measures. The dizziness is described as lightheadedness, rated at a severity of 4, and occurs concomitantly with the acute pain and nausea. The patient's symptoms are not related to physical activity or menstrual cycle. No further medical history, medication use, or allergies have been provided.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Ovarian cysts: These are fluid-filled sacs in the ovaries. They're common and usually form during ovulation. Symptoms can include pelvic pain, bloating, and nausea.

    • Treatment may include monitoring the cyst, birth control pills, or surgery.
  • Endometriosis: This is a disorder where tissue similar to the lining inside the uterus grows outside the uterus. Symptoms can include pelvic pain, fatigue, and nausea.

    • Treatment may include pain relievers, hormone therapy, or surgery.
  • Pelvic inflammatory disease (PID): This is an infection of the female reproductive organs. It's usually caused by sexually transmitted bacteria. Symptoms can include pelvic pain and fatigue.

    • Treatment usually involves antibiotics.
  • Gastrointestinal issues: Conditions such as irritable bowel syndrome (IBS) or gastrointestinal infections can cause pelvic pain, nausea, and fatigue.

    • Treatment usually involves dietary changes, medication, and stress management.

Please remember that these are possibilities, not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Schedule an appointment with your healthcare provider. They may recommend tests such as pelvic ultrasound or laparoscopy to determine the cause of your symptoms.
  2. Over-the-counter pain relievers may help alleviate your pain. However, they should not replace a visit to your healthcare provider.
  3. Rest and hydration are important. Try to get plenty of sleep and drink enough fluids.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or sudden pelvic pain
  • Fever or chills
  • Vomiting that prevents you from keeping down fluids
  • Fainting or severe dizziness
  • Signs of shock, such as cold and sweaty skin, irregular heart rate, or rapid breathing.

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11 mo ago

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People Also Ask


What are the common symptoms of ovarian cysts?

Common symptoms of ovarian cysts include pelvic pain, bloating, and nausea. Some women may also experience changes in their menstrual cycle or pain during intercourse.


How is endometriosis diagnosed and treated?

Endometriosis is diagnosed through a combination of pelvic exams, imaging tests like ultrasounds, and sometimes laparoscopy. Treatment options include pain relievers, hormone therapy, and surgery to remove endometrial tissue.


What causes pelvic inflammatory disease (PID) and how is it treated?

Pelvic inflammatory disease (PID) is usually caused by sexually transmitted bacteria, such as chlamydia or gonorrhea. It is treated with antibiotics, and it's important to complete the full course of medication even if symptoms improve.


Can gastrointestinal issues cause pelvic pain and nausea?

Yes, gastrointestinal issues such as irritable bowel syndrome (IBS) or infections can cause symptoms like pelvic pain, nausea, and fatigue. Treatment often involves dietary changes, medication, and stress management.


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