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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sharp Pain In Lower Abdomen, Unexplained Flatulence. Taken Otc Gas Pills. Suggest Quick Relief Medication?

Hi. I am Susan. I am experiencing sharp pain in the lower right side of my abdomen. It comes in waves, never going away, but sometimes less discomfort, then turning into stabbing pain. I notice I had a lot of unexplained flatulence last night and didn't feel very well. The sharp pain started late this morning. I am not eating anything different in my diet. I took otc gas pills at 5:00 pm this evening to no relief. I also had a large bm at 5:30 this evening and thought that may help, but to no avail. I am in extreme discomfort. Anything I can do to give me quick relief? I do not think this is appendix related as I can jump without making the pain worse.
Wed, 28 Aug 2013
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Radiologist 's  Response
Hello
Thanks for writing to HCM
You need proper clinical examination and investigations.
There may be various reasons for pain.
It can be excluded only after clinical examination and ultrasound of abdomen.
You need investigations like routine hemogram,RBS, LFT,urine RE/ME and ultrasound of abdomen.
CT scan be done if needed.
For flatulence you can take tablet pantoprazole 40 mg once daily for one month.
Take Care
Dr.Indu Bhushan
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General Surgeon Dr. M Y Shareef's  Response
HI Susan,
It is not necessary that you have to have pain while jumping to be diagnosed as appendicitis. Appendicitis is more a clinical diagnosis, and investigations can only be corroborated with the physical findings.
As you had a large bowel motion, you have to exclude any kind of food poisoning if you eat from outside. Apart from it a ureteric calculi may also give rise to similar symptoms of pain which comes in waves. I would also like to know date of your LMP(Last menstrual period) if you are in your reproductive age, and are sexually active. If you have a missed period, then you should go for a urine pregnancy test and a serum HCG test on consultation with your family physician. If still nothing is clear, then your physician may advise you for an ultrasound to exclude any other intra abdominal pathology,which might have been missed clinically.
Wishing you an early recovery.
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Sharp Pain In Lower Abdomen, Unexplained Flatulence. Taken Otc Gas Pills. Suggest Quick Relief Medication?

Hello Thanks for writing to HCM You need proper clinical examination and investigations. There may be various reasons for pain. It can be excluded only after clinical examination and ultrasound of abdomen. You need investigations like routine hemogram,RBS, LFT,urine RE/ME and ultrasound of abdomen. CT scan be done if needed. For flatulence you can take tablet pantoprazole 40 mg once daily for one month. Take Care Dr.Indu Bhushan