Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Severe Pain In The Lower Right Abdomen?
Posted on
Sat, 10 Dec 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 10 Dec 2016
Answered on
Fri, 30 Dec 2016
Last reviewed on
Question : I had severe abdominal pain in my right lower quadrant on Wednesday 12/7/2016. Went to the hospital had a cat scan and ultrasound done. Everything came back normal. They sent me home. Two days later still have minor pain maybe 1-2/10. Just took a bowel movement and it was green.
What could that mean?
Also they said I have leukocytosis??
What could that mean?
Also they said I have leukocytosis??
Brief Answer:
Information
Detailed Answer:
Hello -
Green colored stool can be from eating green foods, especially leafy greens, but it can also happen when food is moving through the digestive tract too fast, as with diarrhea. In that case, there isn't time for the bile pigments to be broken down, so the stool looks green. If they gave you contrast when you had your CT, or other medicine, that can cause the green color some times too.
I wouldn't make much of it being green if it only happens once or twice.
Leukocytosis means you had more white blood cells than normal. It may mean that you had or have an infection. So it's possible your abdominal pain was due to an infection, perhaps in your bowels.
Depending on how high the white blood cell count was (and which white cells were high in number), you may need to follow up with a repeat CBC to make sure it has come down.
Information
Detailed Answer:
Hello -
Green colored stool can be from eating green foods, especially leafy greens, but it can also happen when food is moving through the digestive tract too fast, as with diarrhea. In that case, there isn't time for the bile pigments to be broken down, so the stool looks green. If they gave you contrast when you had your CT, or other medicine, that can cause the green color some times too.
I wouldn't make much of it being green if it only happens once or twice.
Leukocytosis means you had more white blood cells than normal. It may mean that you had or have an infection. So it's possible your abdominal pain was due to an infection, perhaps in your bowels.
Depending on how high the white blood cell count was (and which white cells were high in number), you may need to follow up with a repeat CBC to make sure it has come down.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much, you were more helpful than the nurse at the hospital. She told me i might have an std becuase i have a high count of white blood cells. So im going to get checked for stds. I am married so i yell at my husband and he swears hes clean. Does that also mean std of having high wbc?
Brief Answer:
Information
Detailed Answer:
A high white blood cell count is non-specific. It can be from any infection or inflammation.
If they did a pelvic exam and thought the pain was pelvic in origin, then there is the possibility that it is pelvic inflammatory disorder which is usually from an STD.
Pain in the lower right, if not from appendicitis, can be ovulatory pain too. If the maximal pain was approximately 2 weeks before you expect your period, then it could be from ovulation.
Pain from STDs are often accompanied by an abnormal discharge, usually with an odor.
Usually STD cause of pain doesn't gradually get better. That's why it is more likely due to either a bowel problem or ovulation.
Were you only seen by a nurse, or did a doctor see you too? Because I've found that Physicians Assistants and Nurse Practitioners are often limited in their ability to generate a differential diagnosis. She might have seen "high white count plus pelvic pain alway means STD". It can, but there are other possibilities too.
Information
Detailed Answer:
A high white blood cell count is non-specific. It can be from any infection or inflammation.
If they did a pelvic exam and thought the pain was pelvic in origin, then there is the possibility that it is pelvic inflammatory disorder which is usually from an STD.
Pain in the lower right, if not from appendicitis, can be ovulatory pain too. If the maximal pain was approximately 2 weeks before you expect your period, then it could be from ovulation.
Pain from STDs are often accompanied by an abnormal discharge, usually with an odor.
Usually STD cause of pain doesn't gradually get better. That's why it is more likely due to either a bowel problem or ovulation.
Were you only seen by a nurse, or did a doctor see you too? Because I've found that Physicians Assistants and Nurse Practitioners are often limited in their ability to generate a differential diagnosis. She might have seen "high white count plus pelvic pain alway means STD". It can, but there are other possibilities too.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have no discharge. I started my period on 12/6 a day before i had the severe abdomin pain. It was more higher than my ovaries it was to the right of my belly button. But its getting better. Ive been doing gas and bowels once a day since wednesday 12/7.
Brief Answer:
Information
Detailed Answer:
To the right of your navel is too high for PID from STDs. To the right of your navel would more likely be a gastrointestinal cause.
If you are feeling progressively better then it will likely resolve on it's own.
If the white blood cell count was considerably elevated, then check in with your doctor in a couple of weeks for a repeat CBC to make sure that it went down.
Information
Detailed Answer:
To the right of your navel is too high for PID from STDs. To the right of your navel would more likely be a gastrointestinal cause.
If you are feeling progressively better then it will likely resolve on it's own.
If the white blood cell count was considerably elevated, then check in with your doctor in a couple of weeks for a repeat CBC to make sure that it went down.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
