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Lower right abdominal pain

hello, I have had frequent lower right abdominal pain since I had my appendix removed over 13 years ago, mainly when I sneezed or coughed, lately the pain has become very pronounced (sharp stabbing feeling) and at times it unexpectantly brings me to my knees and takes my breath away.  I have also noticed bright red blood every now and then comming from the rectum, not alot but noticable. Should I be concerned?
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Avatar universal
Hi,

'Lower right abdominal pain shall be defined as abdominal pain occurring to the right of an imaginary line drawn below the belly button or umbilicus.'

http://www.abdopain.com/lower-right-abdominal-pain.html

You need to consult a doctor to rule out appendicitis, kidney stones, diverticulitis, crohn's disease, pelvic inflammatory disease etc.

The bleeding is not normal and you would need to be investigated and examined for haemorrhoids, anal fissure or any other rectal pathology.

The further plan of management would involve -

'-Blood tests including full blood count, electrolytes, urea, creatinine, liver function tests, pregnancy test and lipase.
-Urinalysis
-Imaging including erect chest X-ray and plain films of the abdomen
-An electrocardiograph to rule out a heart attack which can occasionally present as abdominal pain

If diagnosis remains unclear after history, examination and basic investigations as above then more advanced investigations may reveal a diagnosis. These as such would include

-Computed Tomography of the abdomen/pelvis
-Abdominal or pelvic ultrasound
-Endoscopy and colonoscopy'

http://en.wikipedia.org/wiki/Abdominal_pain

Let us know about what your doctor advises and if you need any further information.

Regards.
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Avatar universal
HDP
You may want ot have this looked at. A procedure called a colonoscopy (camera up the rear end!) can examine the site from the inside and see what is causing the bleeding.
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