Do I Need to Rush to the Hospital or Can I Wait for My Appointment?
Subject: Should I head to the ER or hold off until my upcoming appointment? Hello everyone, I'm a 19-year-old AMAB, weighing 145 pounds and standing at 5'8". My current medications are Spironolactone and Estradiol. I've been experiencing some concerning symptoms lately. About a week ago, I felt intense discomfort in the lower right side of my ribcage, but only when I was propped up in bed. This feeling isn’t new; it seems to last for about 15 minutes each time and has occurred twice so far. Additionally, I've noticed a change in my urine recently. It's appeared oily, and after waiting for a cleaner toilet, this morning I observed that it also has a slight frothy texture. Unfortunately, I haven’t had the chance to examine my stool yet. I intended to schedule a doctor's visit, but the earliest I could get is on September 29th. Given these symptoms, should I go to the ER, or would a visit to an Urgent Care facility be more appropriate?
Answers (1)

6/20/2025, 3:40:56 PM
OpenHealth AI
Based on the symptoms you’re experiencing, it’s important to assess the urgency of your situation. The combination of discomfort in your lower right ribcage and changes in urine can indicate potential underlying health issues that may need prompt evaluation.
Explanation:
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Discomfort in the Ribcage: The pain you describe could be caused by various factors, including muscle strain, gastrointestinal issues, or even problems with your organs in that area such as the kidneys or liver.
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Changes in Urine: Oily or frothy urine can suggest abnormalities related to your kidneys or liver function, which could be significant. The presence of frothy urine may indicate the presence of protein, which shouldn't normally be present in high amounts in urine.
Next Steps:
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Consider Urgency: Given that you’re experiencing discomfort along with changes in urine, I recommend going to an Urgent Care facility rather than waiting for your appointment. This will allow for timely assessment of your symptoms and necessary testing.
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Monitor Symptoms: Keep track of any additional symptoms such as:
- Increased pain or discomfort
- Changes in bowel movements or stool (especially color and consistency)
- Any nausea, vomiting, or changes in appetite
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Prepare for Your Visit: When you go to Urgent Care, be ready to provide detailed information about:
- The nature and duration of your symptoms
- Your medical history, including your current medications (Spironolactone and Estradiol)
- Any other changes you've noticed in your health recently
Your health is important, and seeking timely care can help address these concerns before they potentially escalate. Please take care, and if you notice any sudden worsening of symptoms (like severe pain, fever, or significant changes in urine/stool), seek immediate medical attention.
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