Brief Answer:
Right illiac fossa pain workup needed

Detailed Answer:
Hello and Welcome

I appreciate your concern

Pain in lower right pelvic region or the Right iliac fossa is the most common presentation for acute appendicitis. Unlike common belief, appendicitis can be recurrent. Not every appendicitis is prepared to be operated, some cases with appropriate pain relief and no overt may cool down and are left un operated and recover in due time.

Your specific description appears to be that of a recurrent appendicitis. Clinical evaluation for local peritonitis is needed before deciding on removal of the appendix. Blood counts and stool R/E should be done.

A Kidney stone that has fallen in to the ureter may also present in a similar manner and would require Urine R/E, an X ray KUB and a renal Ultrasound for confirmation.

Gynecological issues like Acute salpingitis (pelvic inflammatory disease), Rupture/torsion or haemorrhage of an ovarian cyst Endometriosis or Ectopic pregnancy should also be ruled out as part of the workup in consult with your doctor. In the meanwhile you may take antispasmodics like hyoscine butylbromide for acute episodes and mebeverine hydrochloride continuously as an extended release tablet to have adequate pain relief till you see your doctor.

Let me know if you have any query


wishing you best of health

thanks

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Brief Answer:
Fecal impaction blocking the appendix.

Detailed Answer:
hello again,

The appendix is a finger-shaped sac which is connected to the large intestine, it can become inflamed and infected.

The correlations of recurrent appendicitis have been determined, it is associated with fecal impaction blocking the appendix. A foreign body or tumour may also block the appendix, blockage may also occur from infection itself or a superimposed one on the impacted debris in the appendix, this may lead to scarring of the appendix due to prolonged inflammation from recurrent attacks.

However, it is one of the differentials and workup for other causes should also be done in light of the physical exam and investigations.

Let me know if you require any other clarification

Thanks.

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