Severe Pain on Right Side
A 22-year-old female, weighing 115 pounds, has a medical history that includes Median Arcuate Ligament Syndrome (MALS) and Hypermobile Ehlers-Danlos Syndrome (hEDS). Currently, she is experiencing an intense, ripping sensation in her right side, positioned between her ribs and hip. The discomfort is so severe that it induces feelings of dizziness and lightheadedness, accompanied by nausea. Approximately one year ago, a CT scan revealed a 0.5 cm cyst on her right kidney; however, it was considered insignificant and overshadowed by other issues related to vascular compression. She is confident that the discomfort is not linked to muscle strain, as it began suddenly while she was seated, without any apparent cause.
Answers (1)
8/29/2025, 1:31:17 AM
OpenHealth AI
You are experiencing severe pain on your right side, which understandably raises concerns, especially given your medical history with Median Arcuate Ligament Syndrome (MALS) and Hypermobile Ehlers-Danlos Syndrome (hEDS). This kind of sudden, intense pain accompanied by dizziness and nausea should be taken seriously and monitored closely.
Explanation:
The symptoms you're describing could potentially be associated with underlying issues related to MALS, such as vascular compression affecting the organs in that area. The development of intense pain, especially if sudden and significant, warrants careful consideration of several possibilities. While the prior CT scan indicated a small kidney cyst, the sudden onset of pain may not be related to it. Instead, it could be due to compression or irritation of the surrounding structures.
Recommended Next Steps:
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Monitor Symptoms Closely: Keep track of any changes in the pain's intensity, frequency, and any additional symptoms that might develop (such as fever or changes in urination).
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Stay Hydrated: Ensure you are drinking enough fluids, as dehydration can sometimes exacerbate dizziness and nausea.
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Pain Management: Consider using over-the-counter pain relief if it's appropriate for you and does not conflict with any medications you may be taking (e.g., acetaminophen or ibuprofen).
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Rest and Positioning: Find a comfortable position that helps reduce pain, and avoid movements that intensify it. Lying down in a supported position may help manage discomfort.
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Seek Immediate Care if Necessary: If your pain becomes unbearable, you experience significant changes (e.g., severe dizziness leading to fainting, trouble breathing), or you have any indications of an emergency (such as fever or severe nausea), seek medical attention promptly.
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Consider Follow-up: Plan a follow-up discussion with your healthcare provider about your symptoms, especially in relation to your existing conditions. A reevaluation or imaging might be necessary to rule out any complications related to MALS or other gastrointestinal issues.
Your well-being is important, and addressing these symptoms actively is vital. Please keep track of your condition and seek help if things do not improve. Let me know if you need further assistance!
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