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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Lower Abdomen On The Right Side?

I had a colonoscopy 1 month ago. Woke up from it in extreme pain on lower right abdomen. Was given pain Meds which helped. The exact pain is still there but very dull. My doctor says he doesn t know what is causing it. Nothing showed on X-ray or Ct. In appendix area
Fri, 31 Mar 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history and understood your concerns.
Colonoscopy one month ago but report is not attached hence difficult to comment. Well, the severe pain in right lower abdomen followed by dull ache in spite of pain medicines indicate the commonest causes as follows:
Colitis, typhilits or any other inflammatory problems like lymph node mass.
If you are females then Salpingitis, ovarian pathology can be thought of as a cause.
Right ureteric stone with hydroureter can be another cause.
I would advise you the following in such a situation:
Consult a General Surgeon for clinical evaluation, examination and proper investigations like Ultrasonography of the abdomen, tests of stool, blood and urine.
CT scan of the whole abdomen is many a times diagnostic.
Colonoscopy may be repeated if colonic pathology is expected.
The treatment obviously depends upon the exact diagnosis thus made.
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What Causes Pain In The Lower Abdomen On The Right Side?

Hi. Thanks for your query. Noted your history and understood your concerns. Colonoscopy one month ago but report is not attached hence difficult to comment. Well, the severe pain in right lower abdomen followed by dull ache in spite of pain medicines indicate the commonest causes as follows: Colitis, typhilits or any other inflammatory problems like lymph node mass. If you are females then Salpingitis, ovarian pathology can be thought of as a cause. Right ureteric stone with hydroureter can be another cause. I would advise you the following in such a situation: Consult a General Surgeon for clinical evaluation, examination and proper investigations like Ultrasonography of the abdomen, tests of stool, blood and urine. CT scan of the whole abdomen is many a times diagnostic. Colonoscopy may be repeated if colonic pathology is expected. The treatment obviously depends upon the exact diagnosis thus made.