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Abdominal pain, unable to take deep breath. Ultrasound and blood work normal

I have right lower abdominal pain that shoots from my right SI joint through to my abdomen every night between 5-7 AM. Laying my right side increases the pain. I am unable to take a deep breath in. I instantly jump up and void and that relieves the pain until I have a bowel movement . This only happens at night, and it happens without fail. My obgyn has done an ultra sound and blood work and it all comes back normal? Can you help?
Asked On : Wed, 19 Dec 2012
Answers:  1 Views:  46
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General & Family Physician 's  Response
Dec 2012
You are having an acute abdomen which could be treated first by ruling out the possible diagnosis of Right iliac fossa pains:
1. Appendicitis ( clinical examination of abdomen and rectum, abdominal ultrasound by a radiologist or surgeon, then other blood works up like full blood count, CRP, ESR etc could be done to support diagnosis)
2. Nephritic colic/ kidney stones/ pyelonephritis etc ( urinalysis+ kidney ultrasound)
3. Diverticulitis
4. Ectopic pregnancy ( pregnancy test +, pelvic ultrasound may or may not show)
5. Colic
6. Pelvic inflammatory diseases
These are just a few among the numerous differential diagnosis for right iliac fossa pain. Which needs to be carefully examined by your doctor, one after another.
I will suggest you meed a visceral surgeon to handle your problem. ( don't be alarmed, seeing the surgeon doesn't necessarily mean you will get operated, surgeons are simply good with acute abdomen issues).
Hope this helps
Answered: Thu, 20 Dec 2012
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