Age: 22 Sex: female Height: 5’2” Weight: 145 lbs Race: Caucasian Duration of complaint: 3 days so far Relevant medical issues: PCOS (diagnosed at 17) Medications: lithium (300mg 2x daily), celexa (10mg), and Adderall XR (30mg) Smoking: non smoker, quit over a year ago (I’m also a daily recreational marijuana user, if that’s relevant)

2 days ago at work I had this weird shooting pain in and around my belly button. I thought my pants got caught on my belly button ring or something, but it didn’t. I ignored it and kept working. A couple hours later I started to get sharp pain right under my belly button and slightly off to the right on my lower abdomen. When I touch that area it’s tender and painful (not enough to have me screaming in pain though). If I make a sudden movement, laugh, or sneeze/cough it’s uncomfortably painful. I got up too fast yesterday and the pain hit me so suddenly I doubled over for a second. I thought menstrual cramps possibly - since I’m due to start my period this weekend. But this feels different than menstrual cramp pain. This aches only on this side and under my belly button. I haven’t had diarrhea, and I haven’t been constipated either. I’ve been dizzy and sweating more than usual, on top of feeling exhausted because it’s hard to find a comfortable sleeping position. I’m debating on going to the emergency room (my cousin’s appendix burst without any sign beforehand, so that scares me) but I have the type of family that brushes that stuff off and tells me I’m just “being a baby” about it and that I’m fine. I’ve been reading that I would be in much more noticeable pain if it were my appendix, but something about this makes me feel uneasy. Any opinions would be greatly appreciated!