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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Hurts To Laugh And Cough. Concerned About Appendix. No Nausea, Vomiting, Fever

I am having some pain, feels like it could possibly be a strained muscle in the lower right abdomen, between the bottom of my rib cage and the top of my hip, it hurts to touch it, it hurts to laugh and to cough, at times there is some sharp pain. I am concerned that it could be some problem with my appendix. My question for you is, is there even a muscle that could be strained in that spot, and how likely is it that it is strained? I have read about appendicitis and I have not had any other symptoms like nausea, vomiting, or fever. The pain is not severe, it only hurts when I laugh,cough, and hurts just to touch it.
Mon, 24 Jun 2013
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General & Family Physician 's  Response
hello user,
As per your history it is likely not an appendicitis as it presents with nausea, fever ,vomiting etc and you are not having that.
And regarding your query about muscle present in that region, there are 3 layers of external abdominal muscles(external oblique,internal oblique and transversus abdominus) present in anterior side and a muscle called Psoas major present in back side. The sprain of these muscles can also give rise to pain.

I would rather advice you to have a x-ray or ultrasonography done of your abdomen, to rule out two things which you are missing i.e. renal stones and some lesion in intestine.(and it can also rule out appendicitis,if at alll its present.)

hope my info helped you
regards,
Dr Hari Om Chandrakar
MBBS
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Abdominal Pain, Hurts To Laugh And Cough. Concerned About Appendix. No Nausea, Vomiting, Fever

hello user, As per your history it is likely not an appendicitis as it presents with nausea, fever ,vomiting etc and you are not having that. And regarding your query about muscle present in that region, there are 3 layers of external abdominal muscles(external oblique,internal oblique and transversus abdominus) present in anterior side and a muscle called Psoas major present in back side. The sprain of these muscles can also give rise to pain. I would rather advice you to have a x-ray or ultrasonography done of your abdomen, to rule out two things which you are missing i.e. renal stones and some lesion in intestine.(and it can also rule out appendicitis,if at alll its present.) hope my info helped you regards, Dr Hari Om Chandrakar MBBS