Hi XXXXXXX and thanks for the query
By the blood reports you do have an increased white blood cell (WBC) count with predominant neutrophils. This occurs in an infective or an inflammatory cause.
Of the causes of sudden onset abdominal pain with an elevated WBC levels, Appendicitis is the commonest. Other causes are pancreatitis and stones in either gall bladder/ bile duct or the urinary tract
The description of the pain is not clear but appendicitis pain is usually first felt at around the navel and overtime settles to around a site somewhwremidway betweeen the navel and the mostprominent bony point at your waist, It can be associated with diffuse abdominal discomfort, vomiting and mild fever. An ultrasound of the abdomen will show a thick cylindrical non compressible tender structure
Appendicitis is usually treated with antibiotics (ciplox TZ), painkillers (tramdol), IV fluids, anti emetics and surgery once it is confirmed
Regards
Dr XXXXXXX

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Hi and thanks for writing back.
A good ultrasound abdomen on a fullbladder and empty stomach should be able to demonstrate appendicitis or a renal stone. Sometimes because of excess bowel gas they may not be visualised on an ultrasound and a CT of abdomen and pelvis may be needed.
Eventhough a contaminated food has been associated with colonic inflammation no defenite association has been demonstrated with appendicitis. Yersinia infection may produce symptoms similar to appendicitis.
Kidney stones are of different types and each stone needs a specific type of diet alteration'
On a ganeral basis take a high fibre wholesome diet
Regards
Dr XXXXXXX

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