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What Causes Right-sided Lower Abdominal Pain?
Posted on
Tue, 13 Jan 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 13 Jan 2015
Answered on
Thu, 5 Feb 2015
Last reviewed on
Question : Hi Doctor,
I have been diagnostics appendices 2 days ago because of pain in lower right part of abdomen. Doctor gave me some medicines and now I am very very less pain when this part is pressed otherwise i dont have pain in stomach. Doctor advised me surgery to remove this. So please guide me what i should do? As of now I don’t have pain until this part is pressed. This is my first story. Second story I don’t have appetite or hunger for last 15 years and i eat sometimes little or sometimes more and i think about it when have to eat and for last 15 years i am taking anti-depression medicines for this. Psychiatrist told me that i have mental problem because of that i am not having hunger. and I eat snacks, 5-6 times tea and very little food not Roti(chapatti) because of that i think or my mind think why i dont have hunger while others are eating a lot. Now i am taking anti-depression medicines as Nexito 15 mg for last 4 years and have taken fluvoxin 400 and nexito 20 mg mg by psychiatrist. And on other end I am having more laziness and sleep 12-14 hours in a day and no interest in work and in job and no creativity. In cold I become lazier and on the bed for 14-18 hours doing nothing. What is happening with me, i don’t know. And because of this i stammer a lot and heaviness in mind. I am 34 years old because of this i am not getting married. Because I don’t eat and taking anti-depression medicines and now appendices. So please help me what i should do? Two months back i went through a details physical examination but nothing came in my blood report, X-ray and ultrasound. It showed only a small 2 mm stone in my kidney and now appendices. So please guide and help because I am fed up. i dont have Thyroid. And after working 2-3 hours regularly my both hands palm become very cold and i stammer suddenly a lot and on that time i try to eat something to reduce heaviness in mind and reduce stammering and i take tea and snacks. What is happening with me. Thanks.
I have been diagnostics appendices 2 days ago because of pain in lower right part of abdomen. Doctor gave me some medicines and now I am very very less pain when this part is pressed otherwise i dont have pain in stomach. Doctor advised me surgery to remove this. So please guide me what i should do? As of now I don’t have pain until this part is pressed. This is my first story. Second story I don’t have appetite or hunger for last 15 years and i eat sometimes little or sometimes more and i think about it when have to eat and for last 15 years i am taking anti-depression medicines for this. Psychiatrist told me that i have mental problem because of that i am not having hunger. and I eat snacks, 5-6 times tea and very little food not Roti(chapatti) because of that i think or my mind think why i dont have hunger while others are eating a lot. Now i am taking anti-depression medicines as Nexito 15 mg for last 4 years and have taken fluvoxin 400 and nexito 20 mg mg by psychiatrist. And on other end I am having more laziness and sleep 12-14 hours in a day and no interest in work and in job and no creativity. In cold I become lazier and on the bed for 14-18 hours doing nothing. What is happening with me, i don’t know. And because of this i stammer a lot and heaviness in mind. I am 34 years old because of this i am not getting married. Because I don’t eat and taking anti-depression medicines and now appendices. So please help me what i should do? Two months back i went through a details physical examination but nothing came in my blood report, X-ray and ultrasound. It showed only a small 2 mm stone in my kidney and now appendices. So please guide and help because I am fed up. i dont have Thyroid. And after working 2-3 hours regularly my both hands palm become very cold and i stammer suddenly a lot and on that time i try to eat something to reduce heaviness in mind and reduce stammering and i take tea and snacks. What is happening with me. Thanks.
Brief Answer:
Antidepressants that increase appetite are needed
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your problem. You are under antidepressants since last 15 years and taken Escitalopram 20, Fluvoxamine 400. Currently you are on 15 mg Escitalopram. You have been recently diagnosed with Appendicitis and were given medicines for that, paid subsided but still tenderness is there. If we consider mood symptoms then you have complaints of laziness, drowsiness, heaviness in mind, coldness of extremities and lack of appetite. These symptoms are persistent even you are on medicines. You couldn't get married because of depression.
Now coming to management-
- As per my opinion you had attack of appendicitis and even tenderness is still there. This could be due to formation of appendicular lump. This can be an indication of surgery. Though a surgical examination is needed still you should go for its removal, otherwise it may prove harmful. You can take opinion for one more surgeon for that to resolve your doubts.
- Renal stone of 2 mm is very insignificant and I would advise you to increase the intake of citrus fruits and fluids. Excess diuresis will help in passing stone out spontaneously.
- Even on Escitalopram your symptoms are persistent. Your main concern is poor appetite and in such case antidepressant that increase appetite should be considered. Paroxetine is a SSRI drug and can be considered, the drug helps in increasing appetite. As the medicine cause sedation so should be taken in evening times only. Other antidepressant drug like Mirtazapine can also prove beneficial. The drug is useful in moderate to severe depression and helps to increase appetite. You can discuss wit your psychiatrist for prescription of these drugs. This will improve the problem of stammering and coldness of extremities also.
Thanks, hope this solves your doubt. Please ask again for more doubts.
Antidepressants that increase appetite are needed
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your problem. You are under antidepressants since last 15 years and taken Escitalopram 20, Fluvoxamine 400. Currently you are on 15 mg Escitalopram. You have been recently diagnosed with Appendicitis and were given medicines for that, paid subsided but still tenderness is there. If we consider mood symptoms then you have complaints of laziness, drowsiness, heaviness in mind, coldness of extremities and lack of appetite. These symptoms are persistent even you are on medicines. You couldn't get married because of depression.
Now coming to management-
- As per my opinion you had attack of appendicitis and even tenderness is still there. This could be due to formation of appendicular lump. This can be an indication of surgery. Though a surgical examination is needed still you should go for its removal, otherwise it may prove harmful. You can take opinion for one more surgeon for that to resolve your doubts.
- Renal stone of 2 mm is very insignificant and I would advise you to increase the intake of citrus fruits and fluids. Excess diuresis will help in passing stone out spontaneously.
- Even on Escitalopram your symptoms are persistent. Your main concern is poor appetite and in such case antidepressant that increase appetite should be considered. Paroxetine is a SSRI drug and can be considered, the drug helps in increasing appetite. As the medicine cause sedation so should be taken in evening times only. Other antidepressant drug like Mirtazapine can also prove beneficial. The drug is useful in moderate to severe depression and helps to increase appetite. You can discuss wit your psychiatrist for prescription of these drugs. This will improve the problem of stammering and coldness of extremities also.
Thanks, hope this solves your doubt. Please ask again for more doubts.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thanks Doctor.
some points i want to clear that i had some ocd issues (some repetitive thoughts) also in past that has been stopped but now some other thoughts have been started as to check lock 20-25 times when i go outside, to check Gas stove button after using approx 20-25 times and major thing appetite, sometimes i eat a lot and sometimes I don’t eat whole day. I used also Arip MT 10 mg, after taking this medicine my stammering had been increased and my vision was blurred so i stopped it. I saw one thing that some these medicines increase stammering. This treatment was in Nimhans XXXXXXX but now i am in XXXXXXX So i can’t go now XXXXXXX So please suggest me any good psychiatrist or hospital in XXXXXXX or XXXXXXX with cost effective. Second thing how many years i have to take these medicines. Third thing i afraid a lot from marriage, some of my friends got divorced and facing 498 a legal tragedy in court, so i am too afraid from marriage. My parents are very annoying with me on this. What i should do so that this fear of marriage and laziness reduced and can go for marriage? And please guide good psychiatrist in XXXXXXX and XXXXXXX
some points i want to clear that i had some ocd issues (some repetitive thoughts) also in past that has been stopped but now some other thoughts have been started as to check lock 20-25 times when i go outside, to check Gas stove button after using approx 20-25 times and major thing appetite, sometimes i eat a lot and sometimes I don’t eat whole day. I used also Arip MT 10 mg, after taking this medicine my stammering had been increased and my vision was blurred so i stopped it. I saw one thing that some these medicines increase stammering. This treatment was in Nimhans XXXXXXX but now i am in XXXXXXX So i can’t go now XXXXXXX So please suggest me any good psychiatrist or hospital in XXXXXXX or XXXXXXX with cost effective. Second thing how many years i have to take these medicines. Third thing i afraid a lot from marriage, some of my friends got divorced and facing 498 a legal tragedy in court, so i am too afraid from marriage. My parents are very annoying with me on this. What i should do so that this fear of marriage and laziness reduced and can go for marriage? And please guide good psychiatrist in XXXXXXX and XXXXXXX
Brief Answer:
OCD and depression present together as co morbid
Detailed Answer:
Hello thanks for asking again
You also have OCD issues which could be a reason behind your depressive symptoms. Obsessions of doubt and compulsive checking is common symptom of this OCD. Stammering increased with Aripiprazole because of increase in anxiety due to medicine. As your main concern is low appetite so medicines like Clomipramine can help. The medicine have excellent efficacy in OCD and it also increases appetite. It is also a good antidepressant drug.
You can visit XXXXXXX or GB Pant hospital for treatment in XXXXXXX Both are state run hospitals and have good doctors.
There is a fear and anxiety about marriage in you, probably this is due to depression only. Improvement of depression will result in decrease in fear of marriage.
Thanks, hope this helps you.
OCD and depression present together as co morbid
Detailed Answer:
Hello thanks for asking again
You also have OCD issues which could be a reason behind your depressive symptoms. Obsessions of doubt and compulsive checking is common symptom of this OCD. Stammering increased with Aripiprazole because of increase in anxiety due to medicine. As your main concern is low appetite so medicines like Clomipramine can help. The medicine have excellent efficacy in OCD and it also increases appetite. It is also a good antidepressant drug.
You can visit XXXXXXX or GB Pant hospital for treatment in XXXXXXX Both are state run hospitals and have good doctors.
There is a fear and anxiety about marriage in you, probably this is due to depression only. Improvement of depression will result in decrease in fear of marriage.
Thanks, hope this helps you.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thanks Doctor,
Could you please clarify below points?
1. Stress, depressions caused appendices?
2. Eating disorders, irregular eating, snacks, 5-6 times tea caused appendices?
3. I am taking Nexito 15(10+5) mg approx for last 1 year, is that enough for my mental illness? or i should take some more medicines along with this. It means Nexito 15 mg is enough for my illness?
4. i went XXXXXXX 8 years ago and lot of crowd, and whole the day and sometimes two days take for appointment for doctor, and i think same situation of GB pant and other Govt hospitals would be there? Could you suggest some trust or private hospital with cost effective.
5. Any alternate therapy apart or along with these medicines?
6. Could you suggest homeopathy for this.
7. Would i need to take these medicines whole my life.
8. i have noticed one thing that i become so in-active and so lazy in winter season. and after taking food as Roti and Paratha again become so lazy.
9. Why not hunger for last 15 years?
10. i never enjoy food when i see others having enjoying a lot of and varieties of food. This cause little bit stress. i don't have feeling of hunger and appetite.
11. sometimes it has been observed, that doctors give more anti-depressant medicines and because of that a lot of stammering happen and sometimes doctors give very less medicines that create a sleep problem and many other problems. What i should do? Should i continue nexito 15 mg for always or something else?
12. i dont have any interest in marriage because of these all problems for last 15 years but my parents dont understand me and always force me to get married soon, because of i am 34 years old. i like loneliness not crowd or people more. My father is like a dictator, he always abuse, force, fight because of his nature, i become too upset and not in mood of marriage.
13. should i go to Nimhans XXXXXXX again, if i dont find any psychiatrist here.
Thanks.
Could you please clarify below points?
1. Stress, depressions caused appendices?
2. Eating disorders, irregular eating, snacks, 5-6 times tea caused appendices?
3. I am taking Nexito 15(10+5) mg approx for last 1 year, is that enough for my mental illness? or i should take some more medicines along with this. It means Nexito 15 mg is enough for my illness?
4. i went XXXXXXX 8 years ago and lot of crowd, and whole the day and sometimes two days take for appointment for doctor, and i think same situation of GB pant and other Govt hospitals would be there? Could you suggest some trust or private hospital with cost effective.
5. Any alternate therapy apart or along with these medicines?
6. Could you suggest homeopathy for this.
7. Would i need to take these medicines whole my life.
8. i have noticed one thing that i become so in-active and so lazy in winter season. and after taking food as Roti and Paratha again become so lazy.
9. Why not hunger for last 15 years?
10. i never enjoy food when i see others having enjoying a lot of and varieties of food. This cause little bit stress. i don't have feeling of hunger and appetite.
11. sometimes it has been observed, that doctors give more anti-depressant medicines and because of that a lot of stammering happen and sometimes doctors give very less medicines that create a sleep problem and many other problems. What i should do? Should i continue nexito 15 mg for always or something else?
12. i dont have any interest in marriage because of these all problems for last 15 years but my parents dont understand me and always force me to get married soon, because of i am 34 years old. i like loneliness not crowd or people more. My father is like a dictator, he always abuse, force, fight because of his nature, i become too upset and not in mood of marriage.
13. should i go to Nimhans XXXXXXX again, if i dont find any psychiatrist here.
Thanks.
Brief Answer:
Poor hunger is probably due to depression only
Detailed Answer:
Hello thanks for asking a follow up question
Coming to your queries
- Stress and depression are not found as cause for appendicitis in most of research studies.
- Bad eating habits, junk foods, food poor in fibres increase the risk. Tea has nothing to with appendicitis.
- As per my opinion for symptoms of depression and anxiety doses of Escitalopram 15 mg per day are more than sufficient. Though I haven't seen your condition still these doses are sufficient.
- GB Pant will be little less crowded. You can go to VIMHANS for treatment if you wish to go to a private hospital. The hospital is a psychiatric hospital with good doctors.
- Behaviour therapy and Cognitive therapy both help to reduce symptoms of anxiety and depression. These therapies supplement the effects of medicines.
- As per my opinion as allopathic medicines are supported by research studies and drug trials so are best for psychiatric illnesses. I don't believe in homeopathic treatment, but it ultimately depends upon patient profile.
- No you need not to take medicines for life. With improvement of symptoms tapering of doses can be done and medicines can be stopped with proper psychiatric advise.
- Winter season is associated with poor light and this may potentiate symptoms of depression. It is common in winters to see some worsening of symptoms. No need to worry about that.
- Poor appetite could be symptom of non remitting depression. Poor enjoyment of food is also due to depressive symptoms.
- In high doses some antidepressants may cause stammering and other symptoms. If NEXITO is causing improvement then continue to take medicines. Do visit your psychiatrist regularly.
- Getting married is a personal choice, but if your symptoms improve please give a thought about marriage. Marriage will help you in improving your personality and as per my opinion you will gain positively with marriage.
- No at XXXXXXX you will find a number of good psychiatrist. No need to go to NIMHANS.
Thanks, hope this helps you
Dr. Seikhoo Bishnoi
Poor hunger is probably due to depression only
Detailed Answer:
Hello thanks for asking a follow up question
Coming to your queries
- Stress and depression are not found as cause for appendicitis in most of research studies.
- Bad eating habits, junk foods, food poor in fibres increase the risk. Tea has nothing to with appendicitis.
- As per my opinion for symptoms of depression and anxiety doses of Escitalopram 15 mg per day are more than sufficient. Though I haven't seen your condition still these doses are sufficient.
- GB Pant will be little less crowded. You can go to VIMHANS for treatment if you wish to go to a private hospital. The hospital is a psychiatric hospital with good doctors.
- Behaviour therapy and Cognitive therapy both help to reduce symptoms of anxiety and depression. These therapies supplement the effects of medicines.
- As per my opinion as allopathic medicines are supported by research studies and drug trials so are best for psychiatric illnesses. I don't believe in homeopathic treatment, but it ultimately depends upon patient profile.
- No you need not to take medicines for life. With improvement of symptoms tapering of doses can be done and medicines can be stopped with proper psychiatric advise.
- Winter season is associated with poor light and this may potentiate symptoms of depression. It is common in winters to see some worsening of symptoms. No need to worry about that.
- Poor appetite could be symptom of non remitting depression. Poor enjoyment of food is also due to depressive symptoms.
- In high doses some antidepressants may cause stammering and other symptoms. If NEXITO is causing improvement then continue to take medicines. Do visit your psychiatrist regularly.
- Getting married is a personal choice, but if your symptoms improve please give a thought about marriage. Marriage will help you in improving your personality and as per my opinion you will gain positively with marriage.
- No at XXXXXXX you will find a number of good psychiatrist. No need to go to NIMHANS.
Thanks, hope this helps you
Dr. Seikhoo Bishnoi
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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