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What Causes Acute Abdominal Pain In Right Lower Abdomen With Fever?
Question: I have been having acute pain in my right lower abdomen with fever for about 30 hours. I have been slightly constipated but laxatives have relieved that symptom. It is most painful when going to/from standing and sitting. Very little pain when sitting. My appendices was removed when I was 21, I'm now 54. When I was 40 I had a hysterectomy but still have my ovaries. In 2010 I had an ascending aorta repair, this was due to a family history.
Brief Answer:
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Have you had any unaccustomed exercise , unnatural sprain , sleeping or working in abnormal posture, bending etc ?
You could have pulled a muscle there.
Another possibility is a mild bowel infection ( gastroenteritis ) - usual symptoms include abnormal bowel patterns ( diarrhoea and / or constipation ), fever etc.
A stool exam would rule this out.
Also, an ovarian mass or twisting of the ovaries could cause this.
I would request you to have a formal gynaecological exam ( internal check up - per vaginum and per speculum ) and a pelvic transvaginal ultrasound scan .
At times, there might be adhesions / bands that form at the site of previous surgeries, and you have already mentioned two in the pelvis .
You could try taking OTC painkillers and a hot water bottle at that site, but please do have an evaluation, as the combination of pain with fever cannot be ignored.
All the best
Please feel free to discuss further.
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Have you had any unaccustomed exercise , unnatural sprain , sleeping or working in abnormal posture, bending etc ?
You could have pulled a muscle there.
Another possibility is a mild bowel infection ( gastroenteritis ) - usual symptoms include abnormal bowel patterns ( diarrhoea and / or constipation ), fever etc.
A stool exam would rule this out.
Also, an ovarian mass or twisting of the ovaries could cause this.
I would request you to have a formal gynaecological exam ( internal check up - per vaginum and per speculum ) and a pelvic transvaginal ultrasound scan .
At times, there might be adhesions / bands that form at the site of previous surgeries, and you have already mentioned two in the pelvis .
You could try taking OTC painkillers and a hot water bottle at that site, but please do have an evaluation, as the combination of pain with fever cannot be ignored.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The pain came on rather suddenly, I was fine until Thurs. evening and then it became more acute while I was sleeping. The pain has not become worse and today slightly better. It does feel like a pulled muscle but nothing out of the ordinary to cause it. When I press on the area, which is swollen, it feels like gas. I'm concerned that I will not be able to get an appointment in a timely manner. How long should I wait before going to the ER?
Brief Answer:
AS BELOW
Detailed Answer:
If you take a painkiller and then a hot water bottle, and are still not better in a few hours, please go to the ER.
Since it is better , albeit slightly, I think it is a pulled muscle or just gas .
Avoid eating spicy, greasy food and stick to broth / soup.
Take an antacid, even that might help.
AS BELOW
Detailed Answer:
If you take a painkiller and then a hot water bottle, and are still not better in a few hours, please go to the ER.
Since it is better , albeit slightly, I think it is a pulled muscle or just gas .
Avoid eating spicy, greasy food and stick to broth / soup.
Take an antacid, even that might help.
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
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