Along with appendicitis, inflammatory bowel disease or any type of colitis can cause right lower quadrant pain. Non-GI causes can include a hernia or kidney stones.
To work up any GI, I would suggest an abdominal CT scan. This can rule out any masses as well as appendicitis. If negative, I would suggest a colonoscopy to evaluate for any inflammation or colitis that may be causing the inflammation. A colonoscopy would be a more comprehensive test than the barium enema.
The the abdominal CT and colonoscopy are negative, you may want to look for non-GI causes (i.e. musculoskeletal or kidney causes).
Followup with your personal physician is essential.
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.
Thanks,
Kevin, M.D.
also to add the pain is not constant it comes and goes when i sleep its usually perfect the pain start after 3-4 hours ow being awake then it goes away towards the night i had days when it was not there at all
i recently completed that 14 days ordeal called PREV PAC.
prev pac consists of 2 antibiotics and 30 mg prevacid.
watch carefuly what this trio does to your body,you may start getting diarhea from the two antibiotics after 7 days/
if so,stock up on good quality yogurt and add them to your system.
what worries me is those dull pains i am having is that normal, it does not hurt its just feels like something is there
I will tell you this. I had 2 bouts of IBS, enough to have a whole slew of tests done, CAT scans, MRIs, Barium Enemas, Colonoscopy, EGD, Upper GI Series.. and all the blood work, etc.
The pain was there all the time, kind of like a cramp, but not so much so, sometimes really bad, but most of the time just there all the time. After I would wake till I slept.
Sitting also made it worse. I can recall telling my boss "I am find when I stand up, so that is the kind of work I want to be doing right now"
This was my lower left quadrant that hurt, and sometimes my lower right. 90% LL though.
About you:
I think you need to have a pelvic CT done to rule out any pathologic reasons for this pain. (Am i saying that right? in other words to make sure there is nothing physically there causing it). I am not saying it is in your head, but the sooner you get enough convincing evidence that it is nothing, the better off it will be.
About me:
My pain was worse when sitting, apparently due to the IBS causing my intestines to distend.. and sitting making it not having much room, while standing let it free. If something hurts it usually doesn't feel better when you put pressure on it.
While IBS patients usually have triggers which cause there bowels to act up, I couldn't find it. I know I stopped the sodas and spicy stuff -- that can only do better for someone.
-- Finally --
I think that if you ruled out kidney, bladder, and appendix problems, + had a CT scan - then you should be okay in time.
Good luck and do some reading on Irritable Bowel Syndrome, see if that sounds like what you got. It kind of did, but kind of didn't for me.
thank you all for all replies, i will do some more research and follow up with my physician