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Sharp stabbing pains in lower right abdomen. What may be the cause ?

My wife, 35, is currently having sharp pains in her lower right abdomen . She said the initial pain started around 11:30 at night and has progressed ever since. The pain seems to come and go with stabbing like sensations during the most severe times. It does not appear to be sensitive to touch. She cannot get comfortable and says the pain appears to go across the middle of her abdomen when she sits up. She had an ovarian cyst removed 5 or 6 years ago, but has not had any issues since. Thanks for your time.
Asked On : Thu, 8 Nov 2012
Answers:  2 Views:  110
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General & Family Physician 's  Response
Greetings from

I have gone through the case scenario of your wife and i do believe we need to rule out gall bladder pathology primarily for her though any pathology from intestine, liver , pancreas and heart may present in this fashion.

I do believe she has to undergo an ultrasonography of the upper abdomen ( please take a note-- the interpretation of the exam will depend exclusively on her preparation ) to see if there is gall stones, sludge or mucocele of gall bladder.

Women in late thirties who are over weight and sometimes who are not over weight too can land up at the Emergency with pain in right abdomen either radiating to upper abdomen or the lower abdomen due to gall stones.

Surgery is the treatment of choice for gall stones .

Long term patients with gall stone may suffer from gall bladder carcinoma , so please do get an appointment with her physician at the earliest.

Hope my information is useful to you.
Take Care.
Answered: Thu, 8 Nov 2012
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General & Family Physician Dr. Mohammed Kappan's  Response

She needs to be evaluated by a surgeon. Complete blood count, urine analysis and ultrasonography of abdomen would be required to come to any confirmatory diagnosis. Treatment modalities will depend on the diagnosis.

Pain in the right lower abdomen can be due to causes like appendicitis, urinary tract infection, urolithiasis (stone in urinary tract), growth in the ovaries, ectopic pregnancy, gall stones, diverticulitis etc. These causes can be differentiated only after a proper physical examination and investigations.

So take her to a general surgeon.

Hope I have answered your query. Let me know if I can assist you further.

Thank you

Answered: Thu, 8 Nov 2012
I find this answer helpful
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