“Off and on lower right abdominal pain”
I have pain in my lower right abdomen occasionally. It can be pretty intense. Is it my appendix?
16 Answers
Appendix pain is usually acute, and flares up ending in possible rupture and an emergency room visit. Typically does not occur periodically. An ultrasound or CAT scan of the abdomen is warranted if you are having pain.
No, this can be a hernia. Get a CT scan of abdomen and pelvis.
It could be the appendix, but you do not need to be asking me, you should go to see a doctor and have some tests done. It could save your life. You would know for sure what is wrong.
Unlikely it’s appendicitis however you should get a CT scan done to look for the etiology of the pain
You should have a clinical assessment and maybe imaging afterwards. The most common reasons are appendicitis, crohn's disease, invagination, diverticulitis, and many more. For further information, visit our website www.Mivendoklinik.de.
Your pain as it sounds is *occasionally* present. Even severe, it sounds like it goes away. It does not seem like acute abdominal pain. My advice is to see a specialist general surgeon, at a time when your pain is back and severe. An ultrasound of the abdomen and pelvis will be useful even before the consultation.
Most likely not, unless you have pellet size stool or rare mucocele of the appendix. I do not know you are a man or woman. There could be female organs in the pelvis or colon problem.
See your physician and let him order an ultrasound or CAT scan with oral and IV contrast, blood test:cbc.
See your physician and let him order an ultrasound or CAT scan with oral and IV contrast, blood test:cbc.
Probably not, you need to be seen by a surgeon and have an aprópiate.
Hard to say with limited information. I do rarely see chronic or "ball valving" appendicitis that can present this way.
This isn’t a simple question. First it depends if you are a man or a woman. Second it appendix typically isn’t a waxing and waning pain. Only a thorough evaluation with imaging with help with the determination of the disease process.
Appendicitis is a disease that lasts for 24- 72 hours and does not come and go. Intermittent Right lower quadrant pain is not the usual presentation of appendicitis. I would look for an inguinal hernia, female gynecological causes such as ruptured corpus luteum cyst or endometriosis, or colitis. If you have appendicitis, chances are, the pain will become severe enough for you to present to a health care provider.
It maybe your appendix. Some people have what is called 'chronic' appendicitis. It's not so painful to land them in the hospital but can be lingering for months and even years. It may not be your appendix at all. If you're a woman it may be related to an ovarian cyst. Other causes can be inflammation of your colon, ureter stone, Crohn's disease , etc. Best way to know for sure is to see a surgeon or your primary care physician so they can figure it out from your history and perhaps some other test.
You don’t say if you’re male or female and how old you are, so that really opens up the possibilities. Appendicitis is usually associated with pain starting by the belly button and moving to the right lower quadrant where it becomes constant and increasing. It may be associated with fever, vomiting and diarrhea. Intermittent pain in a pre-menopausal female could be related to mid-cycle ovulation pain or an ovarian cyst. It would be best to see a gynecologist or primary care physician for a thorough evaluation, which may include sonograms and/or CT scans.
Joseph E. Ronaghan, MD, FACS, FICS
Associate Professor, Dept. of Surgery
Joseph E. Ronaghan, MD, FACS, FICS
Associate Professor, Dept. of Surgery
would need to examine patient
It's uncommon to get chronic symptoms related to your appendix. Typically, patients get sudden onset of pain that does not resolve without treatments (usually surgery). I have seen a few patients get recurrent episodes. A CT scan may be warranted to better evaluate your pain.
Unlikely. Appendicitis is an illness of rather acute, onset and fairly rapid progression. Some physicians believe in an entity called "chronic appendicitis," but it is likely something else. You should talk to a physician about this. Your age, associated symptoms and physical findings will present an array of possibilities that may result in some testing.
