Right side, lower abdominal pain, groin pain

[vnenov]

’m a 35 y/o male, 178cm and 155 lbs. I’ve been experiencing right sided abdominal pain for about 6 months now. The pain is under my right ribs. The pain radiates to my right side back as well. I’ve practiced weight lifting, swimming and karate for years. I'm completely unsure what caused it. It started as very minor pain, more like pressure. I’m fairly athletic and exercise 3-4 days per week, or used to… I haven’t been able to since I’ve had this side pain. The odd thing about the pain is that over few weeks it has gotten a lot worse, rather than getting better and since then stayed almost at the same pain level. This pain has stayed with me every single day for the last 7 months. It gets worse when I sit down. It’s not a sharp stabbing pain, it’s more of a severe ache. It feels like a warm/burning/almost tingly sensation on my right side. The pain goes over to the right side of my back, above my hip bone just below my ribs. It’s like my whole right torso is affected! Sometimes I feel the pain in my right testicle, which feels swollen and painful at the bottom of the right sac. I have a hard time sitting at my desk for work. Also, driving long distances is very uncomfortable and painful now. It feels like someone is poking me right below my right ribcage and I feel a lot of pressure and a pulling sensation on the right side of my back at times. My right oblique muscles are felt very tight on examination. When sneezing I feel a strong tingling in my right side. Sleeping on my right side doesn’t bother it at all, and when I wake up in the morning, the pain is pretty much gone! But of course within the first 10-15 minutes I start walking around a little bit and sitting down to eat my breakfast, it starts. It progresses throughout the day. (I have a desk job, and of course sitting makes it worse….) I can no longer exercise, all I can do is walk, and even that aggravates it sometimes. Food doesn’t seem to make any difference. What I eat doesn’t bother it. Nobody can figure out what I have. I’ve had many different types of blood tests, I’ve had a CT scan of my right side abdomen, a colonoscopy, an ultrasound of my right side, MRIs on my abdomen and thoracic spine and everything has shown up normal. I’ve been checked for kidney stones, gall stones, kidney problems, liver problems, gallbladder problems, hernia but so far, everything is normal! I did go to physical therapy for a couple of weeks, but it did not help, it only caused me more pain. Same thing with a chiropractor. I have also tried acupuncture and injury massage therapy with no luck. I think it is an abdominal muscle tear - sports hernia (athletic pubalgia), inguinal hernia or something urological (epididymitis, varicocele, prostatis, etc). It looks like some of the nerves are affected, because of the tingling sensation, but the spinal MRI did not reveal anything. Do you have any idea what this can be and how can be treated? What other diagnostic tests should I have?

Please, help if you can.

Vlad

[curtishughes]

I have the same problem.  It has been about a year now.  I have had every test know to man and I'm still have this minor pain on the right side just above my waist line.  I first noticed it when I took Cipro and another antibotic together a year ago and worked out a day later.  I'm almost a hundred percent sure I have a abdominal muscle tear (small sports herna) - I only feel it when I sit down.  Now that I'm less active I have gain a considerable about of stomach fat.  The pressure from my stomach fat causes the pain when I sit.  Also, I noticed when I lost the weight the pain almost completely went away.  I'm ready to take the pain shots.  It seems like this muscle tear or GI issue will never heal.  Thanks for sharing

[chevykimmis0007]

every morning when i wake up i have to do certain exercise to stop the pain in my right hip and my right foot go's to sleep alot...i have to be moving or im in pain....i hurt in my right gron area or how ever you spell that....my hip has been this way since 04 and my foot has always went to sleep but its worse now and its painful now...sometimes i cant handle been in a car very long without being in pain

[xcpromise]

Hi Brian,

you describe similar symptoms to what I currently have as well. I have costochondritis as well as undiagnosed potentially trigger point caused oblique and psoas and illeacus pain.

Costochondritis might take up to a year to go away, it's been 5 months for me so far and I've noticed a drastic improvement, but its far from a full recovery. I suggest physiotherapy as it has helped me tremendously, in particular infra red and laser treatments and ultra sound treatment, as well as strengthening the muscles so less stress is placed on your chest.

Good luck,

Tyler

[xcpromise]

Hi Acawaz,

I'm currently trying to decide with my GP whether or not to consider this injection. Is this a last resort if your chronic pain does not let up? How did you feel after, were there any side effects? And how long did the shot's effects last? How mobile are you now compared to before your shots, and did you also attempt physio before the injections???

Thanks,

Tyler

[xcpromise]

Hi Vlad,

your symptoms and experience with doctors seem very similar to mine. My right and left side oblique pains started at around the same time as my costochondritis as well, the difference is that I had suffered repeated strains on my oblique muscles and physical trauma as well.

I was diagnosed with costochondritis and also a few trigger points near the psoas muscle as well as multiple sites of scar tissue on the obliques.

How is your pain now, have you found anything that works so far?

I have found physiotherapy to help with the deconditioning, as the pain got so bad for me I could no longer feed or dress myself for a few months and I lost 50 pounds from atrophy. It has been 3 months of physiotherapy so far, with 6 more minimum.

thanks,

Tyler

[m24655]

I just stumbled upon your post and you describe my symptoms perfectly too. they started 2 mos. ago and the pressure is like a dull ache that starts on the left side and goes throughout the whole torso. I pulled my groin recently as well exercising which i believe is related and my testes are hard more often than not and have groin pain after exercise and the feeling like i have to urinate. .I've also noticed a change in bowels like there is some sort of obstruction and I don't think its related to stomach issues b/c I still eat whatever I want. I think it's a hernia of some sort b/c when I sleep it goes away, which I read is consistent w/a hernia. I also have lower back pain and tightness which is odd for me. I'm able to push through exercise but feel very fatigued.