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Lower abdominal pain,nausea,diarrhea - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi, I am a 22 yof. I work as an and I have a Bachelor's degree so I have a . I began having pain in my RLQ on Friday. The pain woke me up at about 3am and I have had the pain ever since. Moving around makes it worse. My stomach is very distended and I have noticed guarding in my RLQ. I am nauseous although I have not vomited yet. I have not had an appetite since the pain began. I have been back and forth to the doctor having tests done. My ultrasound results revealed that I did not have ovarian cysts and that I am not pregnant. They did have some trouble visualizing my right ovary because they said that my intestines looked inflammed. My CT scan results stated that everything was normal, but they could not visualize my appendix well. The pain, nausea, diarrhea, and distention are getting worse and I am having chills now. The ER wants to see me again today, but I do not want to go and be sent home again. Any advice?
Doctor :   Hi dr here
Doctor :   let me read your query
Doctor :   I feel tghe symptoms are more related to appendicitis
Doctor :   do you have pain radiating to pelvic region'
User :   I know, and that's what my doctors are saying. My pain is sharp and it is located at mcburney's point. It does radiate into my back and right side of pelvis.
User :   My WBC was normal, that's why my doctors are unsure of doing laparoscopy.
Doctor :   But the ultrasound can be redone
Doctor :   Any infection related to appenditcits leading to pertonitis can also cause such symptoms
User :   They did not even look at my appendix during the ultrasound despite my symptoms. I think that they are hesitant because my vitals are within normal limits and I don't have a fever. Should I go back to the doctor today or wait it out?
Doctor :   You should i you face severe pain and persistant vomitting
Doctor :   Its not necessary for vitals to vary with appendicitis
User :   I don't understand what you mean when you say that it is not necessary for vitals to vary with appendicitis. Could you explain further?
Doctor :   Yes
Doctor :   The inflamation is sometimes not picked up with ultrsound
Doctor :   As in yopur case it could also be renal causes
Doctor :   Do you haev the pain radiating to back to flanks
User :   No, my urine looks normal as well.
User :   So, should I go back to the doctor today?
Doctor :   Yes if symptoms doesnt regress better get admitted for a day for observation
Doctor :   Because abdomen is a fragile issue to deal with
Doctor :   Things do change rapidly
User :   Ok. Thank you very much for you help.
Doctor :   Thanks for consulting me
Doctor :   Wishing you speedy recovery
Doctor :   Bye for now
User :   Thank you
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