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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain, Vomiting And Fever?

My 22 year old daughter (5'5" 230 lbs) is having severe pains that started in her abdomin and is now on here right side. She said she hurts all the time. She has also been vomiting and running a low grade fever at times. She had an ultrasound which didn't show anything unusual.
Wed, 9 Jul 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.
Pain in abdomen which has shifted to the right side, hurting all the time, associated with fever and vomiting has the biggest suspicion of appendicitis or right ovaian problem or tubal problem.
If the ultrasonography is normal , it is always better to get the confirmation by CT scan of the abdomen.
In the meantime see a Doctor , preferable a surgeon for clinical evaluation and diagnosis.
Get started with antibiotics and symptomatic treatment.
Follow the advise as decided by CT scan .
If the CT scan is also normal, this is a form of gastroenteritis and will settle with antibiotics and supportive treatment.
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What Causes Severe Abdominal Pain, Vomiting And Fever?

Hi. Thanks for your query. Pain in abdomen which has shifted to the right side, hurting all the time, associated with fever and vomiting has the biggest suspicion of appendicitis or right ovaian problem or tubal problem. If the ultrasonography is normal , it is always better to get the confirmation by CT scan of the abdomen. In the meantime see a Doctor , preferable a surgeon for clinical evaluation and diagnosis. Get started with antibiotics and symptomatic treatment. Follow the advise as decided by CT scan . If the CT scan is also normal, this is a form of gastroenteritis and will settle with antibiotics and supportive treatment.