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Undiagnosed Symptoms Community

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Stabbing Abdominal Pain

by stephcamp, Jul 15, 2008 12:11PM
I have been suffering from severe sharp stabbing pains in the RLQ of my abdomen. It comes on for about 10 seconds, so strong that I have fallen to the floor or screamed, then goes away. I have also had loose stools for one week. I have major loss of appetite and have lost approx. 7 lbs in 1 week.

I am on vacation and my mom suggests that I go to the ER, but since the pain comes and goes, I feel stupid going to sit at an ER.

I have had ovarian cysts before, but it is not this kind of pain, also, I haven't had a period in well over a year (hormonal imbalance due to tumor on pituitary gland)

I am fairly certain that they are not related to my abdominal pain. Has anyone had anything like this?

My brother suggested appendicitis, but I have always heard that that is the worst pain ever and you would know it. Plus, it wouldn't be prolonged like it is for me....

Any thoughts?
Member Comments (1)

by BhumikaMD, Jul 15, 2008 02:53PM
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 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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