Brief Answer:
Investigations required to detect obstruction
Detailed Answer:
Hi Lady,
Thanks for your query. I have gone through your query and fully understand your concern.
Firstly, please clarify if the pain originates in the lower right ABDOMINAL quadrant or the buttock, since both conditions have different connotations.
In the meanwhile, given the history of
chronic constipation, right lower quadrant
abdominal pain is suggestive of an intestinal obstruction- either in the terminal part of
small intestine, junction of small intestine and colon (called Cecum) or, the first part of colon. The obstruction can be due to either polyp, growth, thickening of the intestinal wall, adhesions (formed following hysterectomy) compressing over the colon; or, worms' infestation.
The other possible causes are chronic, recurrent
appendicitis,
ischemic colitis (in view of
high cholesterol levels); or, 'pinching' of the nerves which supply the colon or right lower quadrant abdominal wall (following back surgeries).
Your first priority should be to relieve constipation. Take a strong purgative- instead of a laxative- such as Lactulose syrup or
Liquid paraffin in order to relieve constipation and bloating. It can be taken while at home, till the bowels are completely clear.
Thereafter, ultrasound/CECT scan of the abdomen and colonoscopy are needed to pinpoint the exact cause of recurrent lower abdominal pain.
Consult your doctor and apprise him of my opinion. I am certain that he will agree with me; order the required tests, and- based on the reports- will arrive at a certain diagnosis and guide you accordingly.
Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Col (Dr.) Rakesh Karanwal