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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain. Urine Tests Results Normal. What Could It Be?

I have been having a pain on my right aid of my abdominal for 3 days now I went to the er and they sais I have white blood cells in my urin but my blood test came back fine no big increase in white cells they want to wait for a scan what could it be I have been on antibiotics for 4 days now today is my 5 th and last day for a sinus infection
Tue, 26 Feb 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

First of all you need to know that as you are on antibiotics right now, any inflammatory disease in the abdomen can give less symptoms than usually. Moreover, WBC can be in normal range if the antibiotics are used.
Lower right abdominal can be caused by appendicitis, urinary tract infection, ovarian cyst, pregnancy. Appendicitis should be ruled out at first. As the pain is still present, you should visit your doctor again, have blood tests repeated (WBC and CRP) and abdominal ultrasound. Sometimes it is more safe to perform appendectomy than wait and persist unsure.
If you are a female, transvaginal ultrasound should be also performed as well as pregnancy test.

Hope this will help.
Regards.
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Abdominal Pain. Urine Tests Results Normal. What Could It Be?

Hello! Thank you for the query. First of all you need to know that as you are on antibiotics right now, any inflammatory disease in the abdomen can give less symptoms than usually. Moreover, WBC can be in normal range if the antibiotics are used. Lower right abdominal can be caused by appendicitis, urinary tract infection, ovarian cyst, pregnancy. Appendicitis should be ruled out at first. As the pain is still present, you should visit your doctor again, have blood tests repeated (WBC and CRP) and abdominal ultrasound. Sometimes it is more safe to perform appendectomy than wait and persist unsure. If you are a female, transvaginal ultrasound should be also performed as well as pregnancy test. Hope this will help. Regards.