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Suggest Treatment For Intermittent Pain In The Lower Right Abdomen

Posted on Tue, 31 Jan 2017

Question: yes please, I have intermittent pain in my right side lower abdomen. I push on the area and the pain disappears. Also it comes and goes when ever. Thank you Regards XXXXXXX

Answered by Dr. T Chandrakant (28 minutes later)

Brief Answer:
Gases in cecum

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/68 - intermittent pain - right lower abdomen - pain disappears on pushing on the area - not visited a Doctor nor taken any medications ...
Please give additional information for me to assist you better:
- Since when have you got this pain?
- Any symptoms related to bowel like bloating, noisy intestines, nausea, vomiting, loose stools or hard stools or constipation.
- Any urinary symptoms like burning, frequency, hesitancy, difficulty in passing?
- Any referred pain to the scrotum or back?
- Any other information you would like to add on?

With the short history this looks to be gaseous built up in the cecum causing intermittent pain and pressure on the area pushing the gas distally hence the pain disappears.

Awaiting for your Feedback.
With regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. T Chandrakant (4 hours later)

Good day. This pain started about 3 weeks ago. Yes a few times I felt bloated. I have loose stools some days and the rest of the time have at least 3 regular movements a day. I sit a lot driving for my work. Urinary, I just have to relieve myself if I have pressure from the big bowel. I do have back pain at times,not all ways when intermittent pain happens. Would this be caused by sitting a lot in upright position?

Regards, XXXXXXX xxxxxxxxx

Answered by Dr. T Chandrakant (40 minutes later)

Brief Answer:
As discussed in details below.

Detailed Answer:
Thanks for your feedback.
Read it carefully.
The pain you explained looks to be due to typhlitis that is inflammation of the beginning part of large bowel. This does not occur due to sitting in upright position - the backache may be .
I would advise you the following in such a situation:
Get the stool and blood tests.
Ultrasound of abdomen.
Clinical evaluation and examination by a Doctor for clinical diagnosis assisted by investigations and to prescribe you proper prescription based treatment to get a possible cure.
Only if the preliminary treatment fails that you may need further evaluation and investigations for further management.
Take care, Wishing you all the best.
With Regards...

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar