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What Causes Persistent Pain In The Lower Right Abdomen?
Question: I have had consistent pain in the lower right portion of my abdomen. (Pain has been present for three days.) It is painful to walk. I'm planning on going to the doctor tomorrow, but someone told me it could be my appendix and I should go to the ER now. I'd like some help assessing if this can wait until tomorrow morning.
Brief Answer:
Pain in right lower abdomen / Under Evaluation
Detailed Answer:
Brief Ans-Pain in right lower abdomen / Under Evaluation
Hi,Dear !! Thanks for your query to HCM.
Read and reviewed your query in context to your health concerns.
As the information given is incomplete to opine on the possibility of the cause of the right lower abdomen, if you can update more details, exact probability could be suggested in your case.
Do you have blood and mucus with this persistent lower right abdominal pain?
Does the pain occurs in colicks?
How it started?whether after street food eating?or after partying with hotel food?
Does the pain start early morning hours on empty stomach ? or it first occurred after eating food?
How about the bowel movements in last 3 days?Are you constipated?
How about your sleep with it?
How about your urination and its frequency-has it increased?
Did you have such abdominal pain in the past?
Any nausea / vomit feeling with this pain?
Any gases/ gurgling / bloating with this persistent pain in abdomen?
Please update any past reports and past history updates about any the other illness in the past?
Do you get relief after heating pads?
How about the menstrual flow? is it still there? if not, when it stopped?
Prima facie- My Opinion
Based on the submitted data,You seem to suffer from-Amoebic Typhlitis-amoebic caecum inflammation.
Other possibilities need to be ruled out,after getting more details on the lead questions asked.
Await more specific queries , for more replies on various aspects,if need be,so as to fix this problem.
Welcome for any further query in this regard.
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Pain in right lower abdomen / Under Evaluation
Detailed Answer:
Brief Ans-Pain in right lower abdomen / Under Evaluation
Hi,Dear !! Thanks for your query to HCM.
Read and reviewed your query in context to your health concerns.
As the information given is incomplete to opine on the possibility of the cause of the right lower abdomen, if you can update more details, exact probability could be suggested in your case.
Do you have blood and mucus with this persistent lower right abdominal pain?
Does the pain occurs in colicks?
How it started?whether after street food eating?or after partying with hotel food?
Does the pain start early morning hours on empty stomach ? or it first occurred after eating food?
How about the bowel movements in last 3 days?Are you constipated?
How about your sleep with it?
How about your urination and its frequency-has it increased?
Did you have such abdominal pain in the past?
Any nausea / vomit feeling with this pain?
Any gases/ gurgling / bloating with this persistent pain in abdomen?
Please update any past reports and past history updates about any the other illness in the past?
Do you get relief after heating pads?
How about the menstrual flow? is it still there? if not, when it stopped?
Prima facie- My Opinion
Based on the submitted data,You seem to suffer from-Amoebic Typhlitis-amoebic caecum inflammation.
Other possibilities need to be ruled out,after getting more details on the lead questions asked.
Await more specific queries , for more replies on various aspects,if need be,so as to fix this problem.
Welcome for any further query in this regard.
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Prasad
Thank you for your reply, Dr. Savaskar. Here is some additional information/replies to your questions.
1. I do not have any blood or mucus associated with the pain.
2. The pain does not fluctuate or appear in colics.
3. The pain does not appear to be food related. I haven't eaten anything or anywhere unusual.
4. The pain is constant and does not start or subside at any particular time. I only experience the pain, however, when I move (walk, stretch, or bend). I do experience a little pain (tightness and bloating) after I eat.
5. I have had limited and somewhat irregular bowel movements in last 3 days. I think I am moderately constipated.
6. I sleep normally since the pain is mostly just present when I move.
7. Urination is normal.
8. I have had similar abdominal pain in the past, to a much lesser degree. And I believe this pain in the past was related to ovulation.
9. I have not been nauseous or haven't felt the need to vomit.
10. I have felt consistent gurgling and tightness, but the pain in the lower right abdomen is different than this (I think) and more prominent.
11. I didn't really get NY relief after using the heating pad.
12. I have an IUD and rarely have a menstruation. My last menstruation was April 2016, however.
I hope this additional information is helpful. Please advise.
Many Thanks, XXXXXXX
1. I do not have any blood or mucus associated with the pain.
2. The pain does not fluctuate or appear in colics.
3. The pain does not appear to be food related. I haven't eaten anything or anywhere unusual.
4. The pain is constant and does not start or subside at any particular time. I only experience the pain, however, when I move (walk, stretch, or bend). I do experience a little pain (tightness and bloating) after I eat.
5. I have had limited and somewhat irregular bowel movements in last 3 days. I think I am moderately constipated.
6. I sleep normally since the pain is mostly just present when I move.
7. Urination is normal.
8. I have had similar abdominal pain in the past, to a much lesser degree. And I believe this pain in the past was related to ovulation.
9. I have not been nauseous or haven't felt the need to vomit.
10. I have felt consistent gurgling and tightness, but the pain in the lower right abdomen is different than this (I think) and more prominent.
11. I didn't really get NY relief after using the heating pad.
12. I have an IUD and rarely have a menstruation. My last menstruation was April 2016, however.
I hope this additional information is helpful. Please advise.
Many Thanks, XXXXXXX
Brief Answer:
Pain in right lower abdomen / Under Evaluation
Detailed Answer:
Dear! Thanks for your query to HCM.
Read and reviewed your query in context to your health concerns.
My Opinion-about your right lower abdomen-
Based on the submitted data,You seem to suffer from-Inflamed Caecum and right colon-mostly from Amoeba / protozoal or bacterial infection.
The accompanied inflammation in whole of colon may be causing Constipation-from Spastic Colon bowel. Persistent back-pressure from hold up gases, due to Constipated and spastic lower end of Colon may be causing this pain.
You would need to Consult Surgeon to rule out other possibilities of IBS-with Constipation. Surgeon also need to investigate for inflamed lower bowel and - inflamed lower ano-rectal area.
Reply to your specific question-
Q1-I'd like some help assessing if this can wait until tomorrow morning.
Ans-1-Waiting till tomorrow would depend on gravity of stretch-pains in right lower abdomen-at caecum,due to back-pressure from constipated large bowels.
Do's Suggested-
Stop use of Heating pads-as it may increase right lower abdominal pain due to gaseous expansion from heat and as these are not muscle related pains.
To avoid any emergency increase in pains,you should be on plenty of fluids and Spinach helpings-every 4-6 hrs /2-3 times a day.
Painkillers like-Dicyclomine-1-SOS only if pain is extreme.
Don't continue with Dicyclomine as it may increase constipation.
Hope this reply would help you to overcome any emergency increase of right lower abdominal pain,from Constipation.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Pain in right lower abdomen / Under Evaluation
Detailed Answer:
Dear! Thanks for your query to HCM.
Read and reviewed your query in context to your health concerns.
My Opinion-about your right lower abdomen-
Based on the submitted data,You seem to suffer from-Inflamed Caecum and right colon-mostly from Amoeba / protozoal or bacterial infection.
The accompanied inflammation in whole of colon may be causing Constipation-from Spastic Colon bowel. Persistent back-pressure from hold up gases, due to Constipated and spastic lower end of Colon may be causing this pain.
You would need to Consult Surgeon to rule out other possibilities of IBS-with Constipation. Surgeon also need to investigate for inflamed lower bowel and - inflamed lower ano-rectal area.
Reply to your specific question-
Q1-I'd like some help assessing if this can wait until tomorrow morning.
Ans-1-Waiting till tomorrow would depend on gravity of stretch-pains in right lower abdomen-at caecum,due to back-pressure from constipated large bowels.
Do's Suggested-
Stop use of Heating pads-as it may increase right lower abdominal pain due to gaseous expansion from heat and as these are not muscle related pains.
To avoid any emergency increase in pains,you should be on plenty of fluids and Spinach helpings-every 4-6 hrs /2-3 times a day.
Painkillers like-Dicyclomine-1-SOS only if pain is extreme.
Don't continue with Dicyclomine as it may increase constipation.
Hope this reply would help you to overcome any emergency increase of right lower abdominal pain,from Constipation.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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