Experiencing Intense Pain in Lower Abdomen and Left Side of Back
I’m a 16-year-old female, standing at about 169.5 cm tall (which I think translates to approximately 5' 7"?), weighing 77 kg (around 170 lbs as per Google). I’m trying hard not to panic at the moment. Currently, I’m taking Ritalin, a 40 mg slow-release medication for ADHD. I’ve read that significant discomfort in the lower abdomen could be linked to appendicitis, and the thought of that scares me immensely. Despite my worries, I’m attempting to stay optimistic since I’m not displaying any other concerning symptoms like fever, nausea, or coughing up blood. I just woke up and haven't had anything to eat yet, but this sensation isn’t the usual hunger I feel upon rising. Right now, I’m resting on the couch, and the pain seems manageable in that position. However, when I try to sit or stand, it intensifies. I’m not sexually active, and I’m not on my menstrual cycle at this time. I could really use some advice on what to do next.
Answers (1)

9/5/2025, 1:20:42 AM
OpenHealth AI
It’s understandable to feel concerned about intense abdominal and back pain, especially at your age. While it's great that you are not experiencing alarming symptoms like fever or vomiting, it’s important to address your pain. Here’s a structured approach to help you manage this situation.
Main Points:
- Pain assessment: Intense pain in the lower abdomen can have several causes, not all of which are serious.
- Immediate relief: Focus on comfort and monitoring your symptoms closely.
- Next steps: Be ready to take action if your pain worsens or new symptoms develop.
Explanation:
Abdominal pain can result from various conditions ranging from muscle strain to issues with internal organs like the intestines. Given your age and lack of sexual activity, your symptoms could be related to gastrointestinal issues, muscle tension, or even something benign like gas.
Since your pain worsens when sitting or standing and improves while resting, it suggests it might not be an emergency, but ongoing discomfort still needs attention.
Specific Next Steps:
- Rest: Continue to rest in a comfortable position, preferably lying on your side with knees slightly bent if that feels better. Avoid sudden movements.
- Hydration: Drink small sips of water if you’re able; this can help with digestion and overall hydration.
- Track Symptoms: Take note of when the pain worsens, its intensity, and if it changes with movement. Keep track of any other symptoms, such as changes in bowel habits or anything unusual.
- Heat Application: If comfortable, you can apply a warm compress or heating pad to your abdomen to ease muscle tension and discomfort.
- Monitor: Pay close attention to any new symptoms. If you start to experience fever, persistent vomiting, or if the pain becomes severe or radiates, you should be prepared to seek medical attention.
Stay calm and remember that it’s okay to feel anxious about pain. Monitor your condition, and if things don’t improve or you have more concerns, reach out to a trusted adult for support. They can help you decide if further evaluation is necessary. You’re doing great by staying proactive about your health!
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