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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Unable To Diagnose Intermittent Right Sided Abdominal Pain For Months Which Is Worse When Bladder Is Full

I have had intermittent right sided abdominal pain for around 6 months but not particularly worried as it comes and goes, rarely lasting for more than a few hours. This weekend the pain has lasted much longer and I am wondering what it might be. It is in a very specific place and is worse to the touch. It also seems worse when I have a full bladder.
I am a 52 year old woman and my only other symptom is a number of lumps in my neck, the longest of which has been there for a year. Over the last 6 months these have increased to at least 5 lumps that I can identify. I have been to my GP twice but she does not seem concerned as all blood tests seem normal.
Fri, 24 Jan 2014
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General Surgeon,  's  Response
Hi. This is very specific but an atypical presentation. Let us consider a diagnosis of something in abdomen which is pressed upon by a full bladder that too on right side in a specific place. I would consider this lump which can be a mass from lymph nodes or ovaries or the area of ileocaecal junction with an appendix. I would do a thorough clinical examination and may be per-vaginal palpation to see the lump. I would also advise to go for sonography per-abdomen and pervaginal. May be a CT scan with a marking on that specific point. I would do FNAC of the lumps in neck too.
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Unable To Diagnose Intermittent Right Sided Abdominal Pain For Months Which Is Worse When Bladder Is Full

Hi. This is very specific but an atypical presentation. Let us consider a diagnosis of something in abdomen which is pressed upon by a full bladder that too on right side in a specific place. I would consider this lump which can be a mass from lymph nodes or ovaries or the area of ileocaecal junction with an appendix. I would do a thorough clinical examination and may be per-vaginal palpation to see the lump. I would also advise to go for sonography per-abdomen and pervaginal. May be a CT scan with a marking on that specific point. I would do FNAC of the lumps in neck too.