[57F] with sharp, intermittent right-sided abdominal pain and diarrhea

What might be happening

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

• Gallstones or Gallbladder Disease: Sharp pain on the right side of the abdomen, especially if it comes and goes, can be indicative of gallstones or other gallbladder issues. This is often accompanied by nausea and changes in bowel habits.

  • Typical Treatments: Diagnosis usually involves an ultrasound or other imaging tests. Treatment can range from dietary changes to surgical removal of the gallbladder if necessary.

• Irritable Bowel Syndrome (IBS): IBS can cause intermittent sharp abdominal pain, diarrhea, and nausea. Stress and certain foods can trigger symptoms.

  • Typical Treatments: Management often includes dietary changes, stress management, and sometimes medications to control symptoms.

• Kidney Issues: Given your history of Chronic Kidney Disease (CKD) stage 3, kidney stones or other kidney-related issues could also be a cause of sharp abdominal pain.

  • Typical Treatments: Diagnosis may involve urine tests, blood tests, and imaging studies. Treatment can include pain management, hydration, and sometimes procedures to remove stones.

• Appendicitis: Although less likely given the duration and nature of your symptoms, appendicitis can cause sharp pain on the right side of the abdomen. This is usually accompanied by fever and worsening pain.

  • Typical Treatments: Appendicitis is a medical emergency and typically requires surgical removal of the appendix.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Dietary Adjustments: Try to avoid fatty, greasy, or spicy foods that could exacerbate your symptoms. Eating smaller, more frequent meals may also help.
2. Hydration: Ensure you are drinking plenty of water, especially if you are experiencing diarrhea.
3. Pain Management: Over-the-counter pain relievers like acetaminophen can help manage pain, but avoid NSAIDs like ibuprofen, especially given your CKD.
4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and get insights. This information can be very helpful for your healthcare provider.
5. Rest: Make sure to get plenty of rest to help your body recover.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe or Worsening Pain: If the pain becomes more intense or constant.
• Fever: A temperature over 100.4°F.
• Blood in Stool or Urine: This could indicate a more serious underlying condition.
• Inability to Eat or Drink: If nausea or pain prevents you from maintaining hydration and nutrition.
• Signs of Infection: Such as chills, sweats, or a general feeling of being unwell.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.