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What Causes Persistent Pain In Lower Right Abdomen Near The Appendix Area?
Question: I have had constant lower right quadtrant pain for three years now
It is in the area of my appendix, pelvis area or possibly bladder area sort of near my right hip little bit above and pressing into my bikini line slightly
It is a throbbing pain if i iritate it by moving in certain ways such as sitting up from laying down or stretching or turning over in bed
If i press on the area it is a sharp pain
If i press on the left side of my tummy it causes the sharp pain in the affected area on the right side
If i take in a deep breath and my tummy expands it causes the pain !
Sex also makes the pain worse
My original GP diagnosed IBS, she then left the surgery and I went to a new gp who thought endometriosis
So my first investigation was a laporoscopy which they removed my appendix just incase it was that but the appendix was fine and it was not endometriosis and the pain continued
I then had a colonoscopy and proctitis was diagnosed but I was told not the cause of the pain
I then had a transvaginal ultrasound which was clear
I had an mri of my spine which was normal
This GP left and I went to a new GP who said the tests are done nothing is there but i have to live with this pain and i am worried they have missed something and it is cancer
This pain tugs and pulls at me and is stabbing when irratated but worse of all it is constant it does not ease at all
I do suffer from constipation but not all the time and this pain is everyday none stop
I am at the end of my tether and quite worried
It is in the area of my appendix, pelvis area or possibly bladder area sort of near my right hip little bit above and pressing into my bikini line slightly
It is a throbbing pain if i iritate it by moving in certain ways such as sitting up from laying down or stretching or turning over in bed
If i press on the area it is a sharp pain
If i press on the left side of my tummy it causes the sharp pain in the affected area on the right side
If i take in a deep breath and my tummy expands it causes the pain !
Sex also makes the pain worse
My original GP diagnosed IBS, she then left the surgery and I went to a new gp who thought endometriosis
So my first investigation was a laporoscopy which they removed my appendix just incase it was that but the appendix was fine and it was not endometriosis and the pain continued
I then had a colonoscopy and proctitis was diagnosed but I was told not the cause of the pain
I then had a transvaginal ultrasound which was clear
I had an mri of my spine which was normal
This GP left and I went to a new GP who said the tests are done nothing is there but i have to live with this pain and i am worried they have missed something and it is cancer
This pain tugs and pulls at me and is stabbing when irratated but worse of all it is constant it does not ease at all
I do suffer from constipation but not all the time and this pain is everyday none stop
I am at the end of my tether and quite worried
Brief Answer:
Uro-genital infection/inflammation to get further checked...
Detailed Answer:
Hi my dear,
I have gone through your medical history carefully and understood your concerns.
1. The pain you are feeling on the lower right abdominal quadrant which is getting worse when having sex or moving might be due to possible genital infection. It is good that endometriosis was not found there; however, this is not excluding genital infection/inflammation.
As the transvaginal ultrasound was clear, then, this exclude any possibility for cancer. Furthermore, cancer is not associated with such constant pain. To my opinion, your pain is related to:
- uro-genital infection/inflammation: vaginal swab testing, urine analysis and abdominal ultrasound advised to check them further
- constipation problems you are having that is causing distention of the bowels and consequent pressure with pain.
Can discuss this further with your doctor in order to run the recommended tests.
For the moment, I advise to:
- keep good vaginal hygiene
- avoid sex until improvement
- take mephenamic acid or spasmex for the pain
- try to avoid/ease constipation by drinking plenty of water; taking fiber rich foods and gentle laxatives
Hope it was of help!
Dr.Albana
Uro-genital infection/inflammation to get further checked...
Detailed Answer:
Hi my dear,
I have gone through your medical history carefully and understood your concerns.
1. The pain you are feeling on the lower right abdominal quadrant which is getting worse when having sex or moving might be due to possible genital infection. It is good that endometriosis was not found there; however, this is not excluding genital infection/inflammation.
As the transvaginal ultrasound was clear, then, this exclude any possibility for cancer. Furthermore, cancer is not associated with such constant pain. To my opinion, your pain is related to:
- uro-genital infection/inflammation: vaginal swab testing, urine analysis and abdominal ultrasound advised to check them further
- constipation problems you are having that is causing distention of the bowels and consequent pressure with pain.
Can discuss this further with your doctor in order to run the recommended tests.
For the moment, I advise to:
- keep good vaginal hygiene
- avoid sex until improvement
- take mephenamic acid or spasmex for the pain
- try to avoid/ease constipation by drinking plenty of water; taking fiber rich foods and gentle laxatives
Hope it was of help!
Dr.Albana
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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