What Causes Severe Pain In Lower Right Abdomen?
get an ultrasound abdomen and pelvis done first...explained
Detailed Answer:
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A typical shooting pain in the right iliac fossa which causes tenderness to touch and unbearable , not relieved by urination , the first thing to be ruled out is ACUTE APENDICITIS before any other differential diagnosis to be considered.
If the pain was relieved after sitting then it could either be a appendix rupture or a simple cyst. As the pain in lower abdomen is still persistent, it is advisable that you visit your physician for a ultrasound pelvis to rule out either appendicitis or ovarian cyst rupture.
Also a per vaginal bimanual examination would be required to rule out any gynecological cause .
Third possibility , is it could just be a spasmodic intestinal cramp which passed off slowly. But in either case an ultrasound would be diagnostic.
regards,
dr.samiir XXXXXXX