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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes abdominal pain on the right side after an appendectomy?

I am having pain in lower right side. I had appendectomy previously. Pain seemed to start with tweaking mr back making the bed and trying to move the mattress. After a couple of days, the pain moved toward the front. Pain is the same with all positions.
Mon, 24 Apr 2017
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General & Family Physician 's  Response
i totally understand your concerns about your health.
the following points should be taken into consideration:
1- are you a female? because the etiologies are sometimes different in a female patient and always we have to rule out any ovarian pathology such as a ruptured cyst, ovarian torsion, ectopic pregnany.
an ultrasound is used to detect these pathologies.
2- this pain might be due to a kidney stone, hence first a urine analysis is beneficial to detect red blood cells in urine, an ultrasound of right kidney or even better a ct scan without contrast can make the diagnosis if that is the reason.
3- muskeloskelet pain is also a possibility, the pain in this case will be only muscular and can be detected on superficial palpation.

overall a treatment with NSAIDs such as profenid is helpful decrease the pain, protects the kidney in case of kidney stone, help the muscles relax , and finally will ease the pain of less serious ovarian pathologies such stable ruptured cyst.

best regards
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