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Pain in right lower abdomen with history of apendicitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   I have had pain in my lower right abdomen for almost 12 hours now. I am very concerned that I could have appendicitis...'
Doctor :  
Can you describe your pain in detail?
Doctor :  
I mean is the pain like in spasms/pricking/just a dull ache?

Doctor :  
Can you describe your pain?
Doctor :  
Do you have vomiting/ nausea/ fever?
User :   The pain at first was kind of sharp... It was right after I ate pizza at like 12 midnight. I went to sleep. I woke up at 3 AM because my stomach hurt all over and I was nauseated. I went to sleep on hte couch at around 5 AM. Than I woke up around 10 AM and it still hurt but not like before... It doesn't hurt to apply pressure or when you take the pressure away. It's just there. My nausea went away. No fever my temp is 98.1. It doesn't hurt to cough or sneeze or walk
Doctor :  
Doctor :   Are you having loose stools?
User :   I had a bowel movement this morning that was normal, but it was thinner than normal. and I just had another Bowel movement that was normal, but softer. but not watery diahrrea
User :   It was still formed, but I could tell it was just softer.
Doctor :  
Doctor :  
How about urination- do you have any problem while passing urine?
User :   no, none at all.
Doctor :  
Are your periods regular?
User :   Yes, my cycle ended 3 days ago. I do get Painful cramps the first day. And I thought I had appendicitis 4 months ago, and they did a pelvic CT with contrast and Abdomial CT with contrast.
User :   They said everything was fine, but failed to mention to me that I had an ovarian cyst on my right ovary.
Doctor :   Ok.
Doctor :  
How big was the cyst?
User :   They didn't tell me.
Doctor :  
User :   So I assume it wasn't big enough to bother me
Doctor :  
I shall brief you.
Doctor :   in appendicitis u will have severe tenderness and fever also
Doctor :   i dont think it is appendicitis
Doctor :  
it might bebecasue of the ovarian cyst or food poisoning or intestinal cramps
User :   On the lower right side only though ? That's what scares me. When can an ovarian cyst rupture?
Doctor :  
ovarian rupture is a dangerous situation though it hardly happens
Doctor :  
i dont think it is rupture
Doctor :  
in that case u would have been in a very serious situation
Doctor :   we cannot say when it will rupture
User :   So you don't think I should worry about appendicitis?
Doctor :   most probably it might not be appendicitis

Doctor :   if u are still concerned go for ultrasound scan of abdomen
Doctor :  
which will clearly rule of appendictits
User :   okay that you for your time
Doctor :   u are welcome

Doctor :  
is there anything else i need to help u with?
User :   no i don't think so. thank you for you expertise and time.
User :   i apprecitate it
Doctor :  
Did you follow what I said? Please get back to me in case of doubts.
Doctor :   welcome
Doctor :  
Please fill the feedback form say done when done.
Doctor :   u there?
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