Discussions By Condition: I cannot get a diagnosis.

Bizarre Abdominal Pain On Right Side

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: Astardj
  • April 8, 2009
  • 01:26 PM

Hi all.

Back in the middle of November, I started noticing this dull pain in the lower right part of my abdomen. I didn't worry about it too much at first because I've had abdominal pain before that ended up being nothing. Well the pain kept coming and going on and off accompanied by a burning pain so in December I had to go to the doctor for a yearly exam anyway and i questioned him about it. He did a pap (which was normal) and felt around on my abdomen did a lot of pressing and honestly nothing really hurt. He told me to take some asprin and see if that helped subide the pain. Well it's April and I'm still having the pain. There will be a few days that go by that I won't really notice the pain and then it will come on and hurt and burn. This morning I coughed and got a sharp pain in that spot which i have never had happen before. Most of the time when i have the pain it's dull and burning. Bowel movements are normal. No problem with urination. I don't feel any better standing, sitting or lying down. I also don't feel any different whether I eat healthy or unhealthy or after using the bathroom. I'm 35, about 50 pounds overweight (altho i have lost about 14 of those pounds in the last 8 months due to diet and exercise) and in relatively good health. Does this sound like anything familiar? It's driving me nuts!

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3 Replies:

  • Has your Doctor ever mentioned an Ultrasound or similar testing to check your gall bladder? Sammyhttp://www.undiagnosedillness.org
    Anonymous 42789 Replies Flag this Response
  • In the absence of GI symptoms, the most common underlying cause for this type of pain characterization is due to muscular strain. With GI symptoms, Ileitis would be among the differentials to consider, but in this case it is likely consequential from some form of exercise being conducted in the weight loss efforts. The change in character from dull to sharp and particularly pronounced when coughing, together with intermittent expression would all tend to suggest a muscular strain in this case. You can try using warm packs on the area at night for 30 minutes or so, accompained by the use of Motrin at the therapeutic dose of 800mg per day for 3 to 5 days to see if positive results are observed. If the pain continues beyond that point, an abdominal CT is warranted. Cholecystitis, Cholelithiasis, or general gall bladder disease more appropriately demonstrates upper right quadrant pain and is accompanied by very characteristic GI signs as well, not likely to be the causal factor in your specific case. Best regards, J Cottle, MD
    JCottleMD 580 Replies Flag this Response
  • These possibilites do sound promising, but i will say that i'm pretty sure it might not be muscle strain because over the last few months i have severely cut down my workout routine to almost non-existant. I had been exercising 3 months before any problems occurred and i was just walking twice a day. You don't think it sounds like anything reproductive-wise? I appreciate all your insight.
    Astardj 1 Replies Flag this Response
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