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What causes stabbing pain in the pelvic area with general weakness and cold?

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Posted on Sat, 14 May 2016
Question: I've been having discomfort in lower right pelvic area that radiates down right leg and sometimes into my back. The pain is now a stabbing pain that feels like twisting. It comes and goes every few seconds or so. wondering if it's appendicitis but I don't have any other symptoms (I am tired and have been very cold lately though).
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Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Needs details and investigations

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/58 - discomfort in the right lower pelvic area- radiate down the right leg - some times in back - stabbing pain that feels like twisting - every few seconds - no other symptoms - wondering if it is appendicitis - tired - very cold lately - tried Ibuprofen.

In the absence of other symptoms like nausea, vomiting, bloating and fever appendicitis looks like to be less likely problem.
The pain that is present in the right lower pelvic are radiating to the leg and the back can be due to the following reasons:
Right ureteric colic
compression of the disc in the lower thoracic region, hence the referred pain.

Please give additional information:
Since when have you got this problem?
Any history of direct or indirect trauma to the back/spine?
Any symptoms related to the urination?

I would advise you the following in such a situation:
High resolution ultrasonography of the abdomen and a CT scan of the abdomen to confirm or rule out a particular problem.
Tests of urine, stool and blood to assist in diagnosis.
MRI of the spine if there is evidence on clinical evaluation by a Doctor.

Please get these done to get an early diagnosis and to plan a proper treatment, please feel free to ask for further relevant queries.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19059 Questions

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What causes stabbing pain in the pelvic area with general weakness and cold?

Brief Answer: Needs details and investigations Detailed Answer: Hi. Thanks for your query. To recapitulate: Female/58 - discomfort in the right lower pelvic area- radiate down the right leg - some times in back - stabbing pain that feels like twisting - every few seconds - no other symptoms - wondering if it is appendicitis - tired - very cold lately - tried Ibuprofen. In the absence of other symptoms like nausea, vomiting, bloating and fever appendicitis looks like to be less likely problem. The pain that is present in the right lower pelvic are radiating to the leg and the back can be due to the following reasons: Right ureteric colic compression of the disc in the lower thoracic region, hence the referred pain. Please give additional information: Since when have you got this problem? Any history of direct or indirect trauma to the back/spine? Any symptoms related to the urination? I would advise you the following in such a situation: High resolution ultrasonography of the abdomen and a CT scan of the abdomen to confirm or rule out a particular problem. Tests of urine, stool and blood to assist in diagnosis. MRI of the spine if there is evidence on clinical evaluation by a Doctor. Please get these done to get an early diagnosis and to plan a proper treatment, please feel free to ask for further relevant queries.