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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain With Nausea And Loss Of Appetite?

can you have appendicitis with a normal ct scan with contrast?i have pain in my lower right quadrant and mid belly button,nausea,no appetite,feel very unwell,constant headaches,had upper endoscopy,colonoscopy,capsule endoscopy all neg.Doc suggested seeing a general surgeon to have him take a look inside with a laproscope.
Thu, 22 May 2014
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General & Family Physician,  's  Response
Hello,

There is very low chance of appendicitis.

Appendicitis can be easily and accurately diagnosed by ultrasound abdomen and pelvis. CT scan with contrast will provide will be useful to identify other abdominal pathology, if any.

Your complaints are suggestive of intestinal involvement. However as other investigations are normal.

I suggest you to take a course of antibiotics, anti helminthic medication.

Include probiotics and high fiber food in your diet.

Ask for stool analysis to rule out parasites, you also need to be investigated for intestinal tuberculosis.

Hope I have answers your query. Wish you good health.

Dr. Narasimha G L
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What Causes Abdominal Pain With Nausea And Loss Of Appetite?

Hello, There is very low chance of appendicitis. Appendicitis can be easily and accurately diagnosed by ultrasound abdomen and pelvis. CT scan with contrast will provide will be useful to identify other abdominal pathology, if any. Your complaints are suggestive of intestinal involvement. However as other investigations are normal. I suggest you to take a course of antibiotics, anti helminthic medication. Include probiotics and high fiber food in your diet. Ask for stool analysis to rule out parasites, you also need to be investigated for intestinal tuberculosis. Hope I have answers your query. Wish you good health. Dr. Narasimha G L