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Sharp Pain In Right Side Of Abdomen, Pain Only While Coughing. What Could Be This?
Hello Sir,
I am 22 years of age, male.
From the past 3 days, I have started to feel a sharp pain in the right side of my lower abdomen (3.5 inches down south-west to the navel). The thing is though, I feel the pain only when I cough. Rest I haven't lost my appetite, neither have I vommited, nor am I facing any stool problems. To console myself I ruled out the possibility of kidney stones because I have never felt any pain in my back. Has this something to do with the gall bladder or Appendix?
I am 22 years of age, male.
From the past 3 days, I have started to feel a sharp pain in the right side of my lower abdomen (3.5 inches down south-west to the navel). The thing is though, I feel the pain only when I cough. Rest I haven't lost my appetite, neither have I vommited, nor am I facing any stool problems. To console myself I ruled out the possibility of kidney stones because I have never felt any pain in my back. Has this something to do with the gall bladder or Appendix?
Mon, 29 Jul 2013
Hi ! The site of pain you have explained goes more in favour of a sub acute attack of appendicitis. Also possibly there is a localised peritonitis in the area, due to which you are getting pain when you cough. It is less likely to be due to a ureteric stone, or gall bladder, but it can be concluded only with physical examination. I would therefore suggest you not to waste time, and consult your family physician/surgeon who after examining you clinically may advise you for some routine blood and urine test apart from an ultrasound abdomen to decide on further management of your problem. Wishing you an early recovery.
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User's Response
Thanks for choosing HCM!
You should do few investigations to come to a diagnosis- Ultrasound of whole abdomen empty stomach, X-ray KUB, LFT, RFT, Urine (R/M).
As you said no stool problems, no vomiting, normal appetite , it unlikely to be related to GB or appendix.
You should look for any swelling over abdomen or in groin region, that may be hernia causing pain on coughing.
Get physically examined by your doctor once.
Till then you may take antispasmodics, analgesics, antacids with your doctor's opinion.
Wish you a speedy recovery.
With warm regards.
Take care.
Thanks!
You should do few investigations to come to a diagnosis- Ultrasound of whole abdomen empty stomach, X-ray KUB, LFT, RFT, Urine (R/M).
As you said no stool problems, no vomiting, normal appetite , it unlikely to be related to GB or appendix.
You should look for any swelling over abdomen or in groin region, that may be hernia causing pain on coughing.
Get physically examined by your doctor once.
Till then you may take antispasmodics, analgesics, antacids with your doctor's opinion.
Wish you a speedy recovery.
With warm regards.
Take care.
Thanks!
I find this answer helpful
Hi,
Acute appendicitis is a diagnosis with high probability. Cholecystitis is very unlikely to present with a lower abdominal pain.Gall bladder is situated in the right upper abdomen,so the pain arising from there will also be in the upper quadrant on the right side.In appendicitis,after a sharp initial epigastric pain,it radiates to right lower quadrant of the abdomen.Pain may settle and only tenderness may persist.Thats why you are having pain only on coughing.Further evaluation for appendicitis in the form of blood tests to look for high counts and USG abdomen is required.Urine routine examination and USG abdomen will also help in ruling out an ureteric colic.
Acute appendicitis is a diagnosis with high probability. Cholecystitis is very unlikely to present with a lower abdominal pain.Gall bladder is situated in the right upper abdomen,so the pain arising from there will also be in the upper quadrant on the right side.In appendicitis,after a sharp initial epigastric pain,it radiates to right lower quadrant of the abdomen.Pain may settle and only tenderness may persist.Thats why you are having pain only on coughing.Further evaluation for appendicitis in the form of blood tests to look for high counts and USG abdomen is required.Urine routine examination and USG abdomen will also help in ruling out an ureteric colic.
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