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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant With Severe Vomiting, Pain In The Abdomen. Tenderness In The Abdomen. Appendicitis?

I'm 9 Weeks pregnant and last 2 days my sickness was severe throwing up and yesterday I got sharp(pinching) pain in right abdomen which comes and go every now and then but not constant. So we went to GP where she diagnosed tender in right abdomen and referred to A&E. we rushed to A&E where they took Ultra Scan and confirmed baby is fine in uterus and they are getting heart beat but they said there is tender in right abdomen and referred to surgeon assuming appendicitis. When Surgeon did the diagnosis where I didn't get any pain during that time, even he asked me to cough, bend my legs still didn't get pain so he asked us to go home saying that it is not clinically appendicitis. But if you see the symptoms for appendicitis I have vomiting, tiredness, gastric problem, right abdomen pain comes and go and finally it subsidized now. So now I'm confused as I don't want to get unnoticed on any infection really worried whether is it normal during pregnancy or shall i need to have second opinion on this. On the blood test everything is normal abd teh surgeon told me white cells are little more than normal but he didn't worry about that, what he says his he didn't see any pain when he press the right abdomen so he asked us to come back in case if pain continues. Tell me what I should do now. Thanks for your time.
Tue, 23 Apr 2013
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General Surgeon 's  Response
Hi! Your concern about the pain is justified. The symptoms what you have mentioned can be due to many conditions, common ones being a urinary tract infection, a small calculi in the ureter on the right side, a pelvic infection, simple collitis, and of course an attack of appendicitis.
Your ultrasound has excluded an ectopic pregnancy. You should go for a urine test for infection. Ultrasound sometimes can not detect a small calculi. You have to get yourself examined by your gynaecologist for excluding pelvic infection.
However, if you do not have any pain now, the possible mild attack of appendicitis might have subsided of its own or it might not have been clear due to the position of appendix which may vary during pregnancy. I would suggest you to see your surgeon again immediately if the pain returns. Good luck.
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

There are several possibilities - directly related to pregnancy or just coincidental.
GP, Surgeon and Obstetrician > all have seen - so nothing to worry.

Appendix is a clinical diagnosis / supported by investigation / the pain is not likely to go away as in your case.
You probably had a small urinary tract stone, that passed off!?

Nothing to do now
Get your examined again - after several hours

Take care
Wishing speedy recovery
God bless
Good luck
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Pregnant With Severe Vomiting, Pain In The Abdomen. Tenderness In The Abdomen. Appendicitis?

Hi! Your concern about the pain is justified. The symptoms what you have mentioned can be due to many conditions, common ones being a urinary tract infection, a small calculi in the ureter on the right side, a pelvic infection, simple collitis, and of course an attack of appendicitis. Your ultrasound has excluded an ectopic pregnancy. You should go for a urine test for infection. Ultrasound sometimes can not detect a small calculi. You have to get yourself examined by your gynaecologist for excluding pelvic infection. However, if you do not have any pain now, the possible mild attack of appendicitis might have subsided of its own or it might not have been clear due to the position of appendix which may vary during pregnancy. I would suggest you to see your surgeon again immediately if the pain returns. Good luck.