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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain And Lack Of Appetite

I have been in hospital for the last 2 days with suspected appendicitis. But they sent me home today after being on antibiotics. They said its most likely not an appendicitis as it has lasted for 3 weeks. Altho i have pretty much every symptom of appendicitis. I was told that i could hav an abcess on it though.

Iv been given pain relief and antibiotics, but it's not relieving any pain.

If the pain is to get worse or doesn't go away what should i do? And is there anything else it could be?

I'm constantly feeling sick, being sick, lack of appetite, tummy hurts on my right side, started from the left side and spread across and hurts to press and let go. Also when pressed on my left side it hurts on my right side.

Thanks.
Tue, 11 Nov 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history like a book-picture.
Read it and understood the problem of the Doctors treating you and of yours.

From the clinical history your problem looks to an appendicitis with complication of an appendicular mass or abscess. The symptoms fit very well.
A cautious surgeon would always wait till the signs and symptoms are settled as surgery at such a time is difficult, dangerous, and too messy and can cause more complications. This may be the reason for not operating upon you at the moment.

The best course of action is as follows:
First of all to get a CT scan of the abdomen to determine the exact pathology you have.
Secondly, o continue the treatment of antibiotics, probiotic, metronidazole, symptomatic and supportive if it is solving the problems. It take about 1 to 3 weeks for the problem to get settled.
Thirdly , a definite surgery can be planned after 6 weeks, as by this time the lump is resolved and you can be operated with least possible complications.
Fourthly- you may need an urgent surgery if there is an abscess which is not resolving by the medical management.

So please discuss this with the General Surgeon who is treating you and your work will be done appropriately.
IF He is not listening , you can always take a second opinion and shift to another hospital.

Get well soon.
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Suggest Treatment For Abdominal Pain And Lack Of Appetite

Hi. Thanks for your query and an elucidate history like a book-picture. Read it and understood the problem of the Doctors treating you and of yours. From the clinical history your problem looks to an appendicitis with complication of an appendicular mass or abscess. The symptoms fit very well. A cautious surgeon would always wait till the signs and symptoms are settled as surgery at such a time is difficult, dangerous, and too messy and can cause more complications. This may be the reason for not operating upon you at the moment. The best course of action is as follows: First of all to get a CT scan of the abdomen to determine the exact pathology you have. Secondly, o continue the treatment of antibiotics, probiotic, metronidazole, symptomatic and supportive if it is solving the problems. It take about 1 to 3 weeks for the problem to get settled. Thirdly , a definite surgery can be planned after 6 weeks, as by this time the lump is resolved and you can be operated with least possible complications. Fourthly- you may need an urgent surgery if there is an abscess which is not resolving by the medical management. So please discuss this with the General Surgeon who is treating you and your work will be done appropriately. IF He is not listening , you can always take a second opinion and shift to another hospital. Get well soon.