Right side lower abdominal pain for 7 days

by Yvonne
(United Kingdom)

Hello my name is Yvonne, I am 54 years old.

Medical history and past surgery - Asthma since age 2years, Appendisectomy, Tonsillectomy, Sterilisation.
7 days ago I developed a sharp pain in my lower right side abdomen. Pain is worse on movement and when I breathe deeply. Sometimes It feels like it is also in my stomach region. It is tender to touch. Most of the pain appears to be in the area just above my appendix scar which were removed when I was 7. I am very confident it is not muscular pain.

Hi Yvonne,

Thank you for contacting us about this sharp pain in your lower right side of the abdomen that has been going on for about 7 days.

I note that you said it is above your appendicectomy scar area, and that it is worse on pushing directly on that spot or breathing in deeply.

Has this pain been there continuously since the past week? In terms of severity, on a scale of zero to 10 (zero being no pain and 10 representing the most severe pain possible ever), how much would you say it is? Have you taken any pain killer? Does it help if you have?

What about your bowel motions? Have you been going to the loo less than what is normal for you? How has your appetite been like? What about passing of urine - have you been going more frequently than usual or any stinging sensation on passing urine?

Any change in your weight? What about fever or feeling of hot and cold?

Well. Things that are most likely to cause the type of pain you've described for someone around your age bracket would include:

  • Constipation
  • Urine infection
  • Appendix epiploicitis (Yes. I know your appendix is out, but this is different)
  • Diverticultitis
  • Cecitis
  • Right ovary issue
  • Irritable bowel syndrome

Your answer to the above questions would help us streamline the possible cause to one or two of the above.

Please note that should your pain continues or is worsening, it is strongly advised you see your GP ASAP, if you have not already done so, or go into your nearest A&E. A quick physical examination and blood or urine test could throw up a lot of information that history alone may not show.

Thank you again for using our free online medical consultation services, and looking forward to hearing back from you soon.

Dr O Edema

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Nov 07, 2013
Right side lower abdominal pain for 7 days
by: Dr Edema

Hi Yvonne,

Thanks for coming back with answers to those questions. I am pleased to know that you have seen your GP already. At least, potentially serious causes of abdominal pain would have been excluded.

From what you have said so far, it is most likely that you may be having diverticulitis or cecitis.

Did you have some blood tests? May be, your GP could refer you for some blood test while you take some stronger pain killers. If the pain persists, you may require an ultrasound scan.

I note that you said pain killers are not helpful. What pain killers have you used.

Why not try strong analgesic like cocodamol, 30/500mg strength, take two tablets up to four times daily, along with some laxatives to prevent constipation, if you are not allergic to codeine?

You could also take some ibuprofen, 400mg three times a day with this.

Nov 07, 2013
Response to your questios
by: Yvonne

thank you for your response.
The answers to your questions are as follows
Pains is continuously there, but worse during some movements. If I sit very still I cant feel it. Appetite normal, bowel movement normal, urination normal, no fever. Analgegics do not help. I have been to see GP who did a urine sample, there were a few puss cells present. I have no symptoms of a urinary infection

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