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What Causes Severe Pain In Lower Right Quadrant?

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Posted on Fri, 2 Jan 2015
Question: HI. I got stomach ache. Area - Near of my scar of appendicitis. Surgery had 12 years ago. Today I ate only one unsual product - persimmon.
Could this problem be becouse I ate that fruit?
And what to do? It's even hard to walk.
doctor
Answered by Dr. Ronald Schubert (12 minutes later)
Brief Answer:
Could be Intestinal Obstruction

Detailed Answer:
Thanks for contacting HCM with your health care concerns

You are experiencing severe pain in your lower right quadrant just where you had your appendix removed twelve years ago.

Is this pain constant sharp dull aching or cramping?
Is this pain moving around like does it radiate to your belly button or to your rectum?
Do you feel at all nauseous or vomiting?
Are your experiencing diarrhea or constipation?
Are you having any fever or chills?
Are you having any difficulty urinating?
Is the stomach noises increased or decreased?
Any skin rashes or blisters in the area of your scar?

Please answer these questions so I can better help diagnose your problem
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ronald Schubert (40 minutes later)
Pain is more like cramping, but when I stand up or walk they are all the time and more like towing pain.
Pain is like radiating to belly button, but its like ray from down of scar area.
I feel light nauseous but no vomiting.
Maybe little bit constipation, harder to relieve.
No fever or chills.
No urinating problems.
Dindn't notice any unusual stomach noises.
No skin rashes or blisters in the area of my scar.
doctor
Answered by Dr. Ronald Schubert (19 minutes later)
Brief Answer:
Scar tissue

Detailed Answer:
Thanks for contacting HCM with your answers to my questions.

The biggest concern after having surgery is scar tissue forming at the site of your incision. This is called adhesions and occur after any abdominal surgery. These adhesions can cause pain at the scar site and radiate into any area. Walking would make the pain worse as the tissue maybe adhered to muscle. There is no actually treatment other than going to surgery and cutting those adhesion but that may cause more adhesions in the future. I would recommend using a pain medication like ibuprofen or Tylenol to help reduce your pain.

If the adhesion gets severe it can block the bowels and cause bowel obstruction. This is an emergent situation and will require surgery to remove the blockage. To know if you have this you would have severe nausea and vomiting. You would also have severe pain and generally feel very sick.

I do not think at this time you have a blockage. I think you do have adhesions and that is causing your pain. Treat it with pain medication and if it worsens see your doctor

I hope I answered your question. Please contact HCM again with your health care questions and concerns
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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What Causes Severe Pain In Lower Right Quadrant?

Brief Answer: Could be Intestinal Obstruction Detailed Answer: Thanks for contacting HCM with your health care concerns You are experiencing severe pain in your lower right quadrant just where you had your appendix removed twelve years ago. Is this pain constant sharp dull aching or cramping? Is this pain moving around like does it radiate to your belly button or to your rectum? Do you feel at all nauseous or vomiting? Are your experiencing diarrhea or constipation? Are you having any fever or chills? Are you having any difficulty urinating? Is the stomach noises increased or decreased? Any skin rashes or blisters in the area of your scar? Please answer these questions so I can better help diagnose your problem