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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of Appendicitis?

Hello doctor,
My wife is suffering from abdominal pain from past month or so.
it started with pain where the navel is and then it pains to the right side and sometimes on left. she has recently complained of sudden burst of pain at times. we have done all possible tests like blood, urine, sonography, Barium meal test, CT scan. In barium meal test it said appendix is not visualized but other tests showed nothing. is it APPENDICTIS? or what else can be the cause of pain??
Fri, 11 Jul 2014
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General & Family Physician 's  Response
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.
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What Are The Symptoms Of Appendicitis?

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.