OpenHealth Q&A

Get answered by medical professionals

Dealing with a Possible Ruptured Ovarian Cyst: What's Next?

7/15/2025, 6:50:18 AMMale25-34

Age 19, with no significant medical history besides a prior appendectomy. In October 2024, a CT scan revealed minor fluid accumulation around my right ovary, likely due to a ruptured cyst. Last month’s scan confirmed the presence of a small cyst again accompanied by fluid in my abdominal area. Earlier today, I experienced a sharp, severe pain in my right lower quadrant, which extends to my lower back. The area feels tender and swollen, causing discomfort when pressure is applied. Despite taking Ibuprofen and Tylenol, as well as using heat and ice, the pain remains excruciating. Additionally, I'm feeling quite nauseous, predominantly due to the pain. Here’s my situation: my regular physician is booked for two weeks, and I haven’t consulted a specialist regarding this issue. If I seek assistance at urgent care, are there any potential interventions they could provide? The discomfort seems to be escalating, and I would prefer to avoid a trip to the emergency room. I appreciate any guidance you can offer.

ArthritisCrohn's DiseaseRheumatology

Answers (1)

Cony

7/15/2025, 6:50:35 AM

OpenHealth AI

It sounds like you're going through a very uncomfortable and concerning time, especially with the current abdominal pain and nausea. Based on your recent experiences and the history of the ovarian cyst, it’s crucial to assess your acute symptoms carefully.

Main Points:

  1. Severe Pain Requires Attention: The sharp pain in your lower right abdomen, along with nausea, could indicate complications related to the cyst or other conditions needing immediate evaluation.
  2. Urgent Care Considerations: Visiting an urgent care facility can provide you with the immediate relief and evaluation you may need without the lengthy wait of an emergency room.

Explanation:

A ruptured ovarian cyst can cause pain due to internal bleeding or irritation of the surrounding tissue. The fact that you are experiencing severe pain, tenderness, and nausea raises concerns that could require interventions such as imaging studies and possible pain management. While over-the-counter medications are helpful, they may not be sufficient if the pain is significantly impacting your daily activities.

Next Steps:

  1. Visit Urgent Care: Seek care at an urgent care facility as soon as possible. They can perform a focused physical examination and may order blood tests or an ultrasound to better understand the situation. This may help rule out more serious complications.

  2. Monitor Symptoms: While you await your visit, keep track of any changes in your symptoms—especially if the pain worsens, you experience fever, or you start to notice unusual vaginal bleeding.

  3. Hydration and Rest: Focus on staying hydrated and resting as much as possible. Eating small, bland meals may help alleviate nausea.

  4. Document Your Pain: Be prepared to describe your pain's intensity, how it started, and any other symptoms you have experienced. This helps healthcare providers to give the best possible care.

If at any point your symptoms worsen or you begin to feel faint, consider going to the emergency room immediately as that could indicate a more serious issue. Remember, it’s always better to err on the side of caution when it comes to acute abdominal pain. Please take care and let me know if you need further help.

Related Questions

Understanding the Reality of End-Stage Pancreatic Cancer

Navigating the complexities of end-stage pancreatic cancer can be overwhelming, and I'm seeking clarity on what lies ahead. My mother, who is 59 years old and weighs about 115 pounds, received her diagnosis of terminal pancreatic cancer in October 2025. Unfortunately, she has largely rejected the option of chemotherapy and is consuming her pain relief medications—specifically oxycodone and morphine—at an alarming rate. While I’m not worried about the dosage, the severity of her pain has reached a level that is becoming unbearable. Despite this, she is adamant about avoiding any hospital treatment, even though that's where she would receive the most effective pain management. I’ve attempted multiple times to get her medical attention, calling both hospitals and emergency services. However, due to her refusal for assistance, they have also turned us down. It was explained to me that taking her against her will could be considered kidnapping. After consulting with various healthcare professionals, I have been informed that her time may be measured in days or weeks. There’s also a chance that she could slip into unconsciousness, leaving me deeply unsettled. I am already in a state of mourning, yet I am desperate to understand what to expect in the coming days. It is crucial for me to prepare myself—emotionally and mentally—so that I can help ensure her comfort in these final moments. Plans are underway to engage hospice care, but the uncertainty fills me with apprehension. This is my mother, and I want to alleviate my fear so I can provide her with the support she needs as she nears the end of her journey. I yearn to be present for her without being entirely consumed by grief before she passes away. Any guidance or insight you could provide would be invaluable. I'm at a loss for what steps to take next and truly desire to navigate this situation with as much grace and readiness as possible.

FibromyalgiaCrohn's DiseaseEndocrinology
Male25-34
4 minutes ago

Prolonged Miscarriage: Over Four Weeks In

A 35-year-old woman managing Type 1 diabetes with an insulin pump has been experiencing a challenging period marked by a recent miscarriage. This occurred just shy of ten weeks into the pregnancy, following an extremely positive pregnancy test, although medical confirmation had not yet been obtained. The physical symptoms were quite severe, with substantial bleeding that included large tissue clumps and blood clots observed during a shower. The size of these clots was rather alarming, comparable to a fist, causing blockage in the drain. Initially, for the first three to four days, there was heavy bleeding, requiring three pads daily. After that, the situation gradually improved, and around a week ago, she reached a point where only a pantyliner might suffice. Despite the reduction, bleeding persisted intermittently, mainly noticeable upon wiping, with instances of no blood at all, leading to inconsistencies in her experience. Recently, she has been feeling bloated and has noticed a resurgence in bleeding, necessitating the use of pads twice daily. Additionally, she has been experiencing light cramps and has developed acne. A subsequent pregnancy test revealed continued positive results. Now, with over four weeks of bleeding, she reached out to her physician’s office. However, the response was not one of concern, suggesting that she could schedule a visit at her convenience if she felt the need. The cost of visiting a doctor or urgent care deters her from seeking immediate professional help unless absolutely warranted. Overall, she reports feeling generally well, but is seeking advice from others. Is there cause for alarm, or is it feasible to let things unfold naturally? Could this miscarriage have evolved into her menstrual cycle instead? Additionally, it's worth noting that she occasionally finds small blood clots on the toilet paper after wiping. Since the onset of this situation, she has abstained from sexual intercourse.

DiabetesEndocrinologyRheumatology
Male25-34
24 minutes ago

Exploring Inositol and CoQ10 for Managing PCOS Symptoms

As a 28-year-old female, I have faced the challenges of polycystic ovary syndrome (PCOS) since my teenage years. Starting from the age of 16, I have dealt with highly irregular menstrual cycles, occurring anywhere from three to eight months apart. My diagnosis has been substantiated through two ultrasounds and blood tests revealing elevated androgen levels. Despite maintaining a healthy diet and leading an active lifestyle—balancing my work as an environmental biologist with gym sessions alongside my husband—I continue to wrestle with weight management. Other symptoms impacting my daily life include significant hair loss, unwanted facial hair, and persistent fatigue. In my journey to manage PCOS, I previously sought counsel from a gynaecologist, who primarily suggested hormonal birth control as the main approach to alleviate my symptoms. Although I adhered to this recommendation for several years, the hormonal changes negatively impacted my mood, leading me to discontinue its use. Another alternative proposed by my gynaecologist involved androgen blockers, but these are not suitable for me since my husband and I plan to start a family in the next two to three years. Recently, my research led me to discover that supplements like Inositol and CoQ10 might effectively combat insulin resistance and lower androgen levels. They are purported to improve various symptoms associated with PCOS, including the regulation of ovulation, all while boasting minimal adverse effects. I am curious about the viability of these supplements as alternatives to hormonal birth control or androgen blockers in managing my PCOS symptoms.

Crohn's DiseaseThyroid DisordersRheumatology
Male25-34
34 minutes ago

Seeking Clarity on My Spinal Tap Results: A Bit Anxious

I am a 31-year-old woman experiencing a continuous headache for the past four months, accompanied by feelings of nausea and exhaustion. I take Lexapro each day to manage my mental health. I have a history of migraines and headaches, but this recent episode doesn't align with my previous experiences. Here are the findings from my spinal tap: - **Opening Pressure of Cerebrospinal Fluid (CSF)**: 9 cm H₂O - **Presence of Red Blood Cells (RBCs) in CSF**: 2,570 - **Total Protein Level in CSF**: 107 mg/dL - **ACE Level in CSF**: 4.4 - **Other Tests on CSF**: Results were normal. - **Brain MRI and MR Venography**: Both tests yielded normal results. - **Blood Test Results**: Normal results were obtained. Given these results, I'm feeling a bit uneasy and I’m hoping to better understand what they might indicate about my health.

Multiple SclerosisCrohn's DiseaseThyroid Disorders
Male25-34
34 minutes ago

Navigating Ear Infections While Traveling in Thailand

**Age:** 23 **Height:** 6'3" **Weight:** 88 kg **Medication Taken:** 1000mg Bactoclav - Amoxicillin with Potassium Clavulanate, along with pain relief and antihistamines. **Summary:** I’m hesitant to consult a doctor overseas only to receive a prescription for the same antibiotics available at a local pharmacy for a fraction of the price. What strategies can I employ to effectively manage this persistent ear infection? Am I being too hasty in my expectations? I have a long history of ear infections, often triggered by exposure to water or any activity impacting my ears. I regularly use a specialized oil before showering to prevent water from entering my ears. While backpacking in Thailand, I've developed a particularly severe ear infection over the last several days. Initially, a course of 500mg amoxicillin seemed effective, but significantly, just yesterday my condition took a downturn, shifting from nearly healed to painfully inflamed. Now, my ear is not only swollen but also incredibly sore. In an attempt to combat this, I’ve been taking 1000mg Bactoclav - Amoxicillin and Potassium Clavulanate, having consumed seven tablets in the last two days; unfortunately, there's been no noticeable improvement. I’m reluctant to seek medical attention, fearing I would be prescribed the same medication I could acquire from a pharmacy, albeit at a much higher cost. Yet, I’m also starting to question the efficacy of the pharmacy’s medication. I’ve only recently begun the stronger treatment since my symptoms returned. Any advice would be greatly valued! In addition, I’d like to share that just a week into my four-month journey, I feel as though my ongoing ear issues are gradually dominating my life. I am incredibly grateful for this travel opportunity, and while my health isn’t at risk in a serious way, these ear complications are becoming quite overwhelming. Could there be surgical options available? Might there be an underlying health concern that I’m unaware of? It doesn’t seem normal to be plagued by constant ringing, popping sounds, and wax buildup in my ears. Moreover, it feels excessive to have to apply products in my ears every time I shower.

ArthritisMultiple SclerosisCrohn's Disease
Male25-34
44 minutes ago