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What Does Sudden Onset Of Pain In Abdomen And Vomiting Indicate?

Posted on Wed, 3 Jun 2015

Question: i have a sudden onset yesterday of stabbing pain in the right side of my abdomin just to the right of my navel and a burning sensation in my abdomin i do have multiple ulcers and a hiatal hernia i have also lost all appetite have been vomiting multiple times a day and have been on brat diet the stabbing pain is very intense and made worse by bending twisting and sudden movements i am debating if i should call my doctor of just monitor for a while

Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)

Brief Answer:
possible Acute appendicitis

Detailed Answer:
Hello and Welcome

I appreciate your concern

Yes, you should call your doctor or be shifted to an E.R. Right iliac fossa pain that you described is a common presentation for acute appendicitis. Your specific description appears to be that of a recurrent appendicitis. An abdominal examination by a general surgeon would be required to look for tenderness, guarding and rigidity commonly observed in such cases and subsequently decide upon removal of the appendix. Ultrasound abdomen/pelvis, Blood counts and routine chemistry should be done as part of the assessment. A stone in ureter, Acute salpingitis , Rupture/torsion of an ovarian cyst can also present in a similar way and should be worked up if appendicitis is ruled out. Antispasmodics like hyoscine butylbromide can be taken for pain relief till you see your doctor.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

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Above answer was peer-reviewed by : Dr. Neel Kudchadkar