Concerns About Abdominal Pain with Endometriosis
I’m a 26-year-old woman, standing at 5 feet 7 inches tall and weighing approximately 180 pounds. I’ve been experiencing a persistent aching sensation in my lower right abdomen since last night. This discomfort intensifies when I apply pressure to the area or when I urinate. However, I’m uncertain if this could be appendicitis since my pain tolerance is notably elevated due to my struggle with endometriosis. The pain feels somewhat distinct from typical menstrual cramps as it’s localized more on the right side rather than affecting the entire pelvic region. Currently, I don’t exhibit any additional symptoms often associated with appendicitis, like nausea, a fever, or vomiting. Additionally, I haven’t engaged in any vigorous physical activity recently that could account for this issue. Is it advisable for me to monitor this situation for the time being? I’d prefer to avoid a lengthy wait at the emergency department if this is merely a minor concern.
Answers (1)

8/16/2025, 11:11:00 PM
OpenHealth AI
It sounds like you're experiencing abdominal pain that could be worrying, especially with your history of endometriosis. While you might be considering the possibility of appendicitis, given that you don't have additional symptoms like fever or nausea, this may not be an immediate concern. However, it's essential to approach this situation carefully, particularly given your endometriosis, which can complicate pain patterns.
Explanation: Abdominal pain can have many causes; in your case, it's important to consider several factors. The discomfort you're feeling may be related to endometriosis, especially if it's more localized and different from typical menstrual cramps. The pain could also stem from other issues such as ovarian cysts, pelvic inflammatory disease, or urinary tract issues, particularly since you mentioned it intensifies with urination.
Next Steps:
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Monitor Symptoms: Keep track of your pain intensity, location, and any changes. Note whether you develop additional symptoms, such as fever, changes in urination, or further localized pain.
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Self-Care: Apply a warm compress to the area, which may help alleviate some discomfort. Ensure you stay hydrated and rest as much as possible.
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Pain Management: Over-the-counter pain relief, such as ibuprofen or acetaminophen, may help manage your pain if you’re comfortable taking these medications. Always follow dosing recommendations.
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Reassess After 24 Hours: If the pain worsens, spreads, or if you develop new symptoms (like fever, vomiting, or severe discomfort), seek medical attention promptly. If the pain persists without improvement over the next couple of days, consider reaching out to a healthcare provider for further evaluation.
Your well-being is the most important, so stay alert to your body's signals and prioritize your comfort. Let me know if you have any further questions or concerns!
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