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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Abdomen, Feels Worse While Standing, Coughing, Symptoms Reappearing. Any Ideas?

I have several symptoms associated with appendicitis, e.g., pain in lower right abdomen which feels worse if I stand or cough, general lower abdominal discomfort, pain when I press on lower right abdomen etc. However, I had these same symptoms back in January, for 3-4 days; then again in April for 3-4 days (both times slowly getting better after about 2.5 days); and now the symptoms have returned again. Every time it starts I initially associate it with something I ate because of the general stomach discomfort and gas. The symptoms come on gradually and take about 18 hours to peak. Is this likely appendicitis or some other gastrointestinal problem or perhaps a muscle tear or hernia?
Fri, 28 Jun 2013
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  User's Response
Hi, many thanks for the query!
You need to get physically examined for any swelling in groin/scrotal region, if cough impulse is present or not, swelling increases on standing/coughing etc to rule out hernia, Look for rebound tenderness (to be checked by your doctor) in RIF for acute appendicitis.
Get an USG (Abdo-Pelvis) done along with CBC.
Take antibiotics, anti-spasmodics, antacids, pre- & pro-biotics as per your doctor's opinion.
Wish you a good health.
Take care.
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Pain In Abdomen, Feels Worse While Standing, Coughing, Symptoms Reappearing. Any Ideas?

Hi, many thanks for the query! You need to get physically examined for any swelling in groin/scrotal region, if cough impulse is present or not, swelling increases on standing/coughing etc to rule out hernia, Look for rebound tenderness (to be checked by your doctor) in RIF for acute appendicitis. Get an USG (Abdo-Pelvis) done along with CBC. Take antibiotics, anti-spasmodics, antacids, pre- & pro-biotics as per your doctor s opinion. Wish you a good health. Take care.