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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Lower Abdomen?

I had an ultra sound done today because of pressure / pain in my lower right abdomen that I have had for about 4 weeks. I do not have a fever or blood anywhere. My ultra sound was inconclusive, but found extra fluid in my abdomen. My doctor was thinking I will need a CAT scan. Any idea what could be causing the pain?
Thu, 26 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
You have a pressure in the lower right abdomen for 4 weeks for which ultrasonography was done. Found extra fluid in the abdomen and Doctor feels for a need of a Ct scan.
The probable causes of pain in right lower abdomen and fluid inside are:
-Appendicitis
-Enteric Fever meaning Typhoid.
-Some inflammatory process that the ultrasonography can not pick up such as Tuberculosis or so.

I would advise you the the following in such a case:
-Investigations of the blood, urine and stool.
-Tests for TB, Typhoid and such specific diseases.
-CT scan of the abdomen as advised by your Doctor.
-Paracentesis, meaning get the fluid from the abdominal cavity for analysis.
-Diagnostic Laparoscopy.

All these investigations will give you a diagnosis and a plan for the treatment .
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What Causes Pain In Lower Abdomen?

Hi. Thanks for your query. You have a pressure in the lower right abdomen for 4 weeks for which ultrasonography was done. Found extra fluid in the abdomen and Doctor feels for a need of a Ct scan. The probable causes of pain in right lower abdomen and fluid inside are: -Appendicitis -Enteric Fever meaning Typhoid. -Some inflammatory process that the ultrasonography can not pick up such as Tuberculosis or so. I would advise you the the following in such a case: -Investigations of the blood, urine and stool. -Tests for TB, Typhoid and such specific diseases. -CT scan of the abdomen as advised by your Doctor. -Paracentesis, meaning get the fluid from the abdominal cavity for analysis. -Diagnostic Laparoscopy. All these investigations will give you a diagnosis and a plan for the treatment .