Hello
Let me explain about the pain of
appendicitis and its site .
McBurney's point lies at the junction of the lateral third with the medial two-thirds of a line joining the anterior superior iliac spine and the umbilicus.
This point is the classical site of greatest tenderness in the appendicitis..
Now symptoms of appendicitis in chronic cases as your wife is having pain form last month.
Right side pain , lump formed , tenderness over above mentioned point ,
ultrasound finding ( lump formed ) high
leucocytes count ( high W B Cs) . In few cases fever , vomiting also present .
Since pain is on the both side of umbilicus , so may be due to .
1
Ovarian cyst or
fallopian tube infection (
salpingitis bilateral ). Diagnosis can be confirmed by ultrasound of both ovaries and other genitals .
2 Amoebic colitis , as this is one of the most common cause in such case s. Get in stool examination for enamoebica histolica . Also physical examiantion will find out ( palpable colon).
3
Tuberculosis of the intestine also causes such pain. Get in ultrasound of intestine with blood for C B C & ES R .
In my opinion this is not a case of "APPENDICITIS " but deal as I mentioned above .
First of all consult a physician and get his opinion.
2nd consult a gynecologist and get his opinion.
Good luck.