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Gastroenterology (Expert Forum)
Right Lower Quadrent Pain
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Right Lower Quadrent Pain
by whitbeck, Jun 29, 2009 07:34AM
I have recently been having issues with my RLQ and abdominal area. I have had accute pain in the RLQ that moves from there to my ab, to my back, and can cause cramps that feel like a mix of contsipation and diarhea (diarrhea). I had a CT scan done about 2 weeks ago, and they said my appendix is fine and there is no signs of diverticluitis. they said i had mesenteric adenitis. i was given some medicine for the cramps and that was it. the pain or "annoyance" as it really is went away for a few days, and now is back. it is very accute in the RLQ. Could Mesenteric Adenitis cause this or could this still be an appendix issue? Going back to the Doc today in hopes for a better answer. any advise?
Doctor's Answer
by Kevin Pho, MD, Jun 30, 2009 07:27AM
, Jun 30, 2009 07:27AM
There are a variety of reasons for RLQ pain. I agree with the CT scan, which would exclude appendicitis. I would also consider inflammatory bowel disease, such as Crohn's disease, as well as irritable bowel syndrome.
A colonoscopy would be a reasonable next step, and if negative, blood tests can be done to evaluate for celiac disease.
Adenitis by itself is less likely to lead to the abdominal symptoms you are describing.
These options can be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin Pho, M.D.
KevinMD.com
Twitter.com/kevinmd
A colonoscopy would be a reasonable next step, and if negative, blood tests can be done to evaluate for celiac disease.
Adenitis by itself is less likely to lead to the abdominal symptoms you are describing.
These options can be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin Pho, M.D.
KevinMD.com
Twitter.com/kevinmd
