Abdominal Pain Forum - Right abdominal pain

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Abdominal pain and bellyaches are common. Though most cases of abdominal pain aren't serious, sometimes you will need to see a doctor. We’ll review some of...

Q: Right abdominal pain

asked by: chibi on December 12th, 2008

New User

Hi

I've had left and right abdominal pains for about 10 months now that doctors haven't really been able to diagnose. I was told that I started out with a right ovarian cyst, then a left ovarian cyst, then another one on my right. The pains would come and go and were never consistant so I figured if I leave it be, get rest and stuff it would go away. And it did. They stopped about 2 months ago or so.

About 5 days ago I suddenly got a very sharp pain in my lower right abdomen and it's happened every day since then, but only in the afternoon/evening/night, never in the morning. The pain is sharp, like being poked with a pencil from the inside, between my right hip and my navel. It's made me double up and cry a couple of times. Since the pain started I've been feeling weak, very tired and nauseous. I've been having 1 meal a day since it started because I'm just not hungry, normally I eat a lot. I also keep getting hot and cold flushes and my temperature won't stay balanced so sometimes it's hard to sleep. It gets worse when I'm standing up or walking, it helps to sit or lie down and have my hand on the sore part. My bowel movements are regular. I forgot to take one of my Pills about 2 weeks ago but carried on as normal (I've been on the Pill for about 5/6 years and I've forgotten before and carried on and it's never done this so I've ruled that out). Although I've just finished my period that I've had for 12 days (normally I'm on for 5).

I went to see a different doctor last tuesday and he told me it could be 1 of 2 things; another ovarian cyst or an inflamed appendix.

It doesn't feel like any ovarian cyst I've ever experienced, but if it was my appendix wouldn't it have burst by now? I'm really confused and I'm sick of being in pain.
Is it possible to have an inflamed appendix without it developing into appendicitis? If it's my appendix, should I consider having it removed as a precaution? Could the pain I'm feeling be a cyst that's just going through torsion? If so, does that require surgery? Either way I can't see my doctor again until thursday 18th and it really hurts...

Any info would be greatly appreciated since I'm at a loss and it appears that so are my doctors Sad

Replies(2)

zigemyster

replied on December 12th, 2008

Moderator

So that is all the doctor said...it could be another ovarian cyst or an inflammed appendix? Nothing else? If so, I would not visit him / her again, ever.

If it is an inflammed appendix, that is something that should not be taken lightly. 'itis' ='s inflammation...

An appendix would need to be removed before it burst as if one does burst it becomes even more dangerous for the person.

Call the ER and provide your symptoms....or have someone drive you.

Here's some info:

Appendicitis can be classified into two types, typical and atypicical. The pain of typical acute appendicitis usually starts centrally (periumbilical) before localising to the right iliac fossa (the lower right side of the abdomen). There is usually associated loss of appetite and fever. Nausea, or vomiting may or may not occur. These classic signs and symptoms are more likely the younger the patient. Older patients (beyond their teenage years) may present with only one or two. Diagnosis is easier in typical acute appendicitis and surgery removes a swollen, inflamed appendix with little or no suppuration (pus) if operated early (within 24 hours of onset).

Atypical histories are not unusual and are more often associated with suppurative appendicitis. This condition often starts with right lower quadrant pain and may smolder for several days before a diagnosis of appendicitis can be made. Diagnosis is more difficult and surgery removes an appendix that is suppurative, gangrenous or ruptured.

There is typically pain and tenderness in the right iliac fossa in both typical and atypical (suppurative) appendicitis. Rebound tenderness may be present suggesting that there is some element of peritoneal irritation. If the abdomen is guarded, there should be a strong suspicion of peritonitis requiring urgent surgical intervention.

~Zig

chibi

replied on December 13th, 2008

New User

He's a good doctor, he's the only one that's ever been able to give me a straightforward answer and he's never been wrong with me in the past. He's a Chinese doctor though so his methods can be a bit unorthodox.

But yes, I'm 19, I don't know if that changes anything or helps somewhat in the diagnosis. But it started up again today about 2 hours ago and now I have to go to work and I know it's going to hurt like hell.

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