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Understanding Lower Right Abdominal Discomfort: Possible Causes

3/23/2025, 8:00:33 PMMale25-34

Age: 22, Female, 5'10", 150 lbs, generally in good health and currently on Wellbutrin. Recently, I began experiencing an overall sense of unease accompanied by low energy and slight sickness, which affected my taste. I decided to take a COVID test, and thankfully, it returned negative. However, two days later, I was hit with an intense, sharp pain in my lower right abdomen, which I would rate as a 9 out of 10. This excruciating sensation only lasted around 20 minutes, but it was unlike anything I’ve encountered before, and I am familiar with the discomfort caused by trapped gas or indigestion. Since that incident, I’ve been dealing with diarrhea and intermittent mild discomfort, which ranges from 1 to 2 on the pain scale, occasionally rising to a 4. This pain seems to radiate through my back and down my legs, alongside a burning sensation while urinating. There are moments when I feel somewhat nauseated, but I haven’t experienced any fever, persistent nausea, or vomiting. My appetite remains mostly unchanged, albeit slightly reduced. Additionally, I started my menstrual cycle today, which typically comes without issue—light with minor cramping. I’m curious if anyone can offer insights into what these symptoms might indicate. I’ve attempted tests for appendicitis and didn’t notice significant signs. I initially considered the possibility of a kidney infection, but my previous experience was quite different. Usually, my urine is cloudy or has a foul smell during a UTI, but this time, it’s normal. Any guidance would be appreciated!

TinglingConcussionNeurology

Answers (1)

Cony

3/23/2025, 8:00:57 PM

OpenHealth AI

It sounds like you're experiencing significant abdominal discomfort with a variety of symptoms, and it’s understandable to feel concerned. Given your description, there are a few potential causes to consider, particularly in light of your sharp pain, diarrhea, and urinary symptoms.

Main Points

Your symptoms could suggest a few possible issues, including but not limited to urinary tract infection (UTI), gastrointestinal issues, or even ovarian-related conditions, especially considering your menstrual cycle. It's essential to monitor your symptoms closely.

Explanation

  1. Urinary Tract Infection (UTI): While your urine appeared normal, UTIs can still cause discomfort and burning during urination along with lower abdominal pain. A UTI may not always present with cloudy urine.
  2. Gastrointestinal Issues: Conditions such as gastritis, intestinal infections, or even appendicitis could cause stomach pain and diarrhea, although it sounds like you did not observe classic signs of appendicitis.
  3. Ovarian Issues: Sometimes ovarian cysts can cause sharp pains and could coincide with menstrual cycles, especially if there are accompanying symptoms like discomfort radiating to your legs.

Next Steps

  1. Hydration: Focus on staying well-hydrated, especially due to diarrhea. Ensure you are drinking fluids to prevent dehydration.
  2. Monitor Symptoms: Keep a detailed symptom diary for the next few days. Note when the pain occurs, its intensity, and any changes associated with your urination and bowel habits.
  3. Pain Management: For mild discomfort, over-the-counter pain relievers like ibuprofen or acetaminophen may help, but be cautious and follow the recommended dosages.
  4. Dietary Adjustments: Consider a bland diet (such as rice, bananas, applesauce, and toast) until your digestive system stabilizes.
  5. Seek Medical Evaluation: If you experience any of the following—worsening abdominal pain, fever, persistent nausea or vomiting, or if the burning sensation while urinating intensifies—it's important to seek a medical evaluation to rule out any serious conditions.

Your symptoms warrant careful attention, particularly with the severity of the pain and the changes you are experiencing. Please take these steps seriously and prioritize monitoring your condition. If anything becomes more concerning, do not hesitate to pursue medical care.

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