Patient
Hi, I need some advice regarding a medical issue I'm experiencing. Can you help me with that?
Triage Assistant
Of course. Where does it hurt?
Patient
It doesn't really hurt, but I'm feeling a lot of discomfort.
Triage Assistant
Can you describe where in your body you are feeling this discomfort?
Patient
The discomfort is mainly in my lower abdomen area.
Triage Assistant
Does the discomfort shoot anywhere else, like your chest or back?
Patient
No, it doesn't shoot anywhere else. It's just very concentrated in the lower abdomen.
Triage Assistant
When did the discomfort begin? Was it minutes, hours, or days ago?
Patient
It started a few hours ago.
Triage Assistant
Did the discomfort start gradually or was it sudden?
Patient
It started pretty gradually and has been getting worse over the past few hours.
Triage Assistant
Is the discomfort constant, or does it come and go?
Patient
It's pretty constant. It hasn't really subsided since it started.
Triage Assistant
On a scale of 1 to 10, with 1 being mild and 10 being excruciating, how would you rate your discomfort? - **Mild (1-3):** Doesn't interfere with normal activities, abdomen soft and not tender to touch. - **Moderate (4-7):** Interferes with normal activities or awakens from sleep, abdomen tender to touch. - **Severe (8-10):** Excruciating pain, doubled over, unable to do any normal activities.
Patient
I'd rate it around a 7. It’s pretty uncomfortable and has been making it difficult to focus on anything else.
Triage Assistant
Have you ever had this type of abdominal discomfort before? If yes, when was the last time, and what happened that time?
Patient
No, I haven't experienced this type of discomfort before. This is the first time it's happening.
Triage Assistant
Do you have any idea what might be causing the discomfort?
Patient
Well, I've noticed that despite feeling this discomfort in my lower abdomen, I've been unable to urinate. My bladder feels very full.
Triage Assistant
You should go to the emergency department (ED) now. Inability to urinate, especially when the bladder feels very full, can be a serious condition. In the meantime: - Lie down and rest as much as possible. - Avoid taking any over-the-counter pain medications like aspirin or NSAIDs unless advised by a doctor. Thank you for calling, goodbye.
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Home Care
Triage result was accurate.
First aid advice was given.
All assesssment questions asked.