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What Causes Right Abdominal Pain With Fever And Sore Throat?
Question: Hello my name is XXXX and im almost 25 years old, i ve been healthy my entire life(no meds no special cases) until 6 months when i started to have the exact same symptoms which are abdominal pain,fever and sore throat, i ve done a throat culture many times during the period and came back as normal flora, however my first sickness started in december then february then april and now may , all having the same symptoms (fever , abdominal pain that starts to the lower right and sore throat)i ve had a ct scan and turns out it s not appendicitis.however my fever goes up to 39.8 and reduced by itself without taking any medication and even if i do it doesnt help) my question is that could it be mediterranean fever??ps: each episode lasts fr abt 72 hrs
When i had my first episode the doctors said it s mesentric adenitis after having done the ultrasound
When i had my first episode the doctors said it s mesentric adenitis after having done the ultrasound
When i had my first episode the doctors said it s mesentric adenitis after having done the ultrasound
When i had my first episode the doctors said it s mesentric adenitis after having done the ultrasound
Brief Answer:
Right Abdominal pain with fever and sore throat/ Under Evaluation
Detailed Answer:
Brief Ans-Right Abdominal pain with fever and sore throat/ Under Evaluation
Hi Dear !! Thanks for your query to HCM.
Read And reviewed your query facts along with the updated Usg scan pictures, in context to your health issues.
Dear,you seem to suffer from recurring attacks of these complaints,almost 4 times over last 6 mths time.
My Primary Impression-
Based on the facts of usg-and complaints-In My opinion- unless proved otherwise, You should not jump to FMF(Familial Mediterranean Fever),though its may be common in your region.
Most probable cause-in your case-could be-
could be-?TB abdomen with right abominal pains
Other causes of -Amoebic Colitis with typhlitis needs to be ruled out.
Mesenteric adenitis with Infectious Mononucleosis and FMF needs to be kept in mind in your case.
More information is needed-
Till the time more information is received from You, as asked below,I would await to study that information and to give My final opinion and suggestions there on.
IN the given scenario of the test reports done in your case,I would need few clarifications on the following lead questions-
Does the attack start with sore throat/ or abdominal pain -First-Which complaint appears first?
Any nausea/vomiting with abdominal pain?Does it occur with spicy/fried food?
Do you prefer vegan or non-veg diet?
Any specific diet related to these recurring attacks?-does it come after eating -dairy products / or bakery-wheat products?
Any history of neck painful glands?
Any history of sore throat since childhood?
Have you tested your stools-for Ova/Cyst-? Please update its report for review?
Any blood tests done for mononucleosis/ or FMF(Familial Mediterranean fever)?
Any history of Familial Amyloidosis?
Any history of any family members suffering from Cough/Fever with weight loss?do you get joint pains with it?
How is your regular appetite? Update your weight / and height?
Did you loose weight lately in last 6 mths time?
Do you travel a lot for the job you do?What is frequency of outside food?
At what time the right abdominal pain starts?does it come early morning and is accompanied by vomiting?
Does the fever come with chills?
I would wait for above updates soon.
Dear, in the given situation,above information is essential to arrive at the diagnosis in your case.
I would be waiting to get above information soon.See you in next session soon.
Welcome for any further query in this regard.
Good Day !!
Dr.Savaskar M.N.
M.S.Genl-CVTS XXXXXXX Surgical Specialist
Right Abdominal pain with fever and sore throat/ Under Evaluation
Detailed Answer:
Brief Ans-Right Abdominal pain with fever and sore throat/ Under Evaluation
Hi Dear !! Thanks for your query to HCM.
Read And reviewed your query facts along with the updated Usg scan pictures, in context to your health issues.
Dear,you seem to suffer from recurring attacks of these complaints,almost 4 times over last 6 mths time.
My Primary Impression-
Based on the facts of usg-and complaints-In My opinion- unless proved otherwise, You should not jump to FMF(Familial Mediterranean Fever),though its may be common in your region.
Most probable cause-in your case-could be-
could be-?TB abdomen with right abominal pains
Other causes of -Amoebic Colitis with typhlitis needs to be ruled out.
Mesenteric adenitis with Infectious Mononucleosis and FMF needs to be kept in mind in your case.
More information is needed-
Till the time more information is received from You, as asked below,I would await to study that information and to give My final opinion and suggestions there on.
IN the given scenario of the test reports done in your case,I would need few clarifications on the following lead questions-
Does the attack start with sore throat/ or abdominal pain -First-Which complaint appears first?
Any nausea/vomiting with abdominal pain?Does it occur with spicy/fried food?
Do you prefer vegan or non-veg diet?
Any specific diet related to these recurring attacks?-does it come after eating -dairy products / or bakery-wheat products?
Any history of neck painful glands?
Any history of sore throat since childhood?
Have you tested your stools-for Ova/Cyst-? Please update its report for review?
Any blood tests done for mononucleosis/ or FMF(Familial Mediterranean fever)?
Any history of Familial Amyloidosis?
Any history of any family members suffering from Cough/Fever with weight loss?do you get joint pains with it?
How is your regular appetite? Update your weight / and height?
Did you loose weight lately in last 6 mths time?
Do you travel a lot for the job you do?What is frequency of outside food?
At what time the right abdominal pain starts?does it come early morning and is accompanied by vomiting?
Does the fever come with chills?
I would wait for above updates soon.
Dear, in the given situation,above information is essential to arrive at the diagnosis in your case.
I would be waiting to get above information soon.See you in next session soon.
Welcome for any further query in this regard.
Good Day !!
Dr.Savaskar M.N.
M.S.Genl-CVTS XXXXXXX Surgical Specialist
Above answer was peer-reviewed by :
Dr. Raju A.T
3 out of the 4 times I got sore throat first for 3 days before the abdominal Pain comes and the fever starts, this last time it started abdominal pain the fever and a day later a sore throat.
I don't have diarrhea or vomit with abdominal pain and I don't eat spicy food and when I'm in pain I feel nauseas
I'm not sure I can blame my diet on these recurring attacks because I ve been eating them all my life and it s hard to tell if they r the cause
I don't have a history of sore throat since childhood
I haven't tested my stools yet and I had mononucleosis 3 years ago
No history as far as my parent(mom) can tell but both my parents are middle eastern
We don't recall a family member suffering from cough/ fever with weight loss
I don't get joint pains per say but it does affect my join mildly( might be the knee or wrist) during the attack
My regular appetite is alright ( I eat 4 times a day)
I'm 65kg and 179cm
I workout it s been 5 years but when I get sick I loose weight and have to gain them back
I don't travel and most of my food is home cooked
The abdominal pain has no exact time but rarely in the morning as far as I can remember
I ve done the fmf test and I'll get the results on Monday and when I get my fever it sometimes comes with chills and sometimes not .
I don't have diarrhea or vomit with abdominal pain and I don't eat spicy food and when I'm in pain I feel nauseas
I'm not sure I can blame my diet on these recurring attacks because I ve been eating them all my life and it s hard to tell if they r the cause
I don't have a history of sore throat since childhood
I haven't tested my stools yet and I had mononucleosis 3 years ago
No history as far as my parent(mom) can tell but both my parents are middle eastern
We don't recall a family member suffering from cough/ fever with weight loss
I don't get joint pains per say but it does affect my join mildly( might be the knee or wrist) during the attack
My regular appetite is alright ( I eat 4 times a day)
I'm 65kg and 179cm
I workout it s been 5 years but when I get sick I loose weight and have to gain them back
I don't travel and most of my food is home cooked
The abdominal pain has no exact time but rarely in the morning as far as I can remember
I ve done the fmf test and I'll get the results on Monday and when I get my fever it sometimes comes with chills and sometimes not .
Brief Answer:
Will Review your case by XXXXXXX after FMF test !!
Detailed Answer:
Brief Ans-Will Review your case by XXXXXXX after FMF test !!
Hi Dear !! Thanks for your elucidate updates.
My Impression-and Plan of resolving your health issues-
Considering age and iP-location-In the given scenario and on the based on the updates and query facts,You seem to suffer from ?Mononucleosis with mesenteric adenitis with right abdominal pain accompanied with fever.
Possibility of -TB of Ileoceacal region with adenitis needs IGRA blood test and X-ray Chest-for detecting hidden active disease,as this could also give such complaints.
Amoebic Typhlitis with Colitis- needs to be ruled out by Stool Ova/Cyst test, which would rule out the cause of chills- which could be from Colitis and Typhlitis/or Ceacitis.
Prima facie- the history given does not lead to any polyserositis-like lungs/abdomen/joints etc. and hence FMF- seems remote possibility.Joint mains sometimes and not specific-could be from EB viral infection in your case.
But these are primary opinions and would need to be reviewed after getting above tests and Chest X-ray in your case and after FMF test report tomorrow.
Suggestion in current state-
Due to ethnic reasons, Will review your case after FMF- Familial Mediterranean fever-test report is coming tomorrow.
That would add more information in taking further decision.
In the given scenario-you should wait and watch, till further treatment will be planned tomorrow.
Hope this reply would help you to resolve your health issues with help of your doctors there.
Welcome for any further query in this regard.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
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
Will Review your case by XXXXXXX after FMF test !!
Detailed Answer:
Brief Ans-Will Review your case by XXXXXXX after FMF test !!
Hi Dear !! Thanks for your elucidate updates.
My Impression-and Plan of resolving your health issues-
Considering age and iP-location-In the given scenario and on the based on the updates and query facts,You seem to suffer from ?Mononucleosis with mesenteric adenitis with right abdominal pain accompanied with fever.
Possibility of -TB of Ileoceacal region with adenitis needs IGRA blood test and X-ray Chest-for detecting hidden active disease,as this could also give such complaints.
Amoebic Typhlitis with Colitis- needs to be ruled out by Stool Ova/Cyst test, which would rule out the cause of chills- which could be from Colitis and Typhlitis/or Ceacitis.
Prima facie- the history given does not lead to any polyserositis-like lungs/abdomen/joints etc. and hence FMF- seems remote possibility.Joint mains sometimes and not specific-could be from EB viral infection in your case.
But these are primary opinions and would need to be reviewed after getting above tests and Chest X-ray in your case and after FMF test report tomorrow.
Suggestion in current state-
Due to ethnic reasons, Will review your case after FMF- Familial Mediterranean fever-test report is coming tomorrow.
That would add more information in taking further decision.
In the given scenario-you should wait and watch, till further treatment will be planned tomorrow.
Hope this reply would help you to resolve your health issues with help of your doctors there.
Welcome for any further query in this regard.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
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. Arnab Banerjee
Answered by
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