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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes abdominal pain while on loestrin 24?

Hi, I had lower right abdominal pain and they thought I had some ruptured ovarian cysts (saw by a sonogram). I was on the birth control pill, ortho tricyclin lo. My GYN put me into surgery and took my appendix out and saw endometrial like cells going towards the appendix but no where else. (Is that normal?) After the surgical pain went away, I had more sharp pain on the same right side. My birth control changed to Loestrin24. Do you have any ideas what to do? Thanks!
Tue, 3 Mar 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Read the history and understood the problems.
To recapitulate : you were put under Ortho Tricyclin Lo for birth control - you has pain in the right abdomen - Gynecologist did Laparoscopy and found the endometrial like cells going towards appendix ( Endometriosis), so removed the appendix, the pain recurred with more severity on the same right side Birth control changed to Loestrin 24.

From an elucidate history you have provided, this looks to be Endometriosis.
Another possibility is Irritable Bowel Syndrome as Laparoscopy would have diagnosed a lot many more things , which are not present as not mentioned by you.

Get treated for IBS if all the investigations are normal- including colonoscopy, CT scan of the abdomen .
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What causes abdominal pain while on loestrin 24?

Hi. Thanks for your query. Read the history and understood the problems. To recapitulate : you were put under Ortho Tricyclin Lo for birth control - you has pain in the right abdomen - Gynecologist did Laparoscopy and found the endometrial like cells going towards appendix ( Endometriosis), so removed the appendix, the pain recurred with more severity on the same right side Birth control changed to Loestrin 24. From an elucidate history you have provided, this looks to be Endometriosis. Another possibility is Irritable Bowel Syndrome as Laparoscopy would have diagnosed a lot many more things , which are not present as not mentioned by you. Get treated for IBS if all the investigations are normal- including colonoscopy, CT scan of the abdomen .