Abdominal Pain

[lovedisney09]

Hi I am a 20 year old female, and I have been having pain in my right side for a couple of weeks. I have been to urgent care to receive an answer, but I did not have much luck. I had asked if it was appendicitis, but the doctor said it was not. But I am wondering what else it could be then or do you think the doctor misdiagnosed?  

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Lower right abdomen pain is commonly due to appendicitis. The pain, can at times come and go and not give the classic picture. Crohn’s disease, diverticulitis, infection in kidney, kidney stones, constipation, ovary involvement in women (cysts, hemorrhage, tumor, torsion—torsion is a medical emergency and a long standing pain is not due to this), ectopic pregnancy in women, mesentry (a thin tissue that carries the blood, nerves and lymphatics for the intestine) involvement low blood supply, enlarged lymphnodes, and an abscess in rectus abdominis muscle or psoas muscle (these two are unlikely is there is no localized patch of heat or lump) can all cause lower right abdomen pain. It can also be due to inguinal hernia. Other than that at times pelvic inflammatory disease causes a lower abdominal pain along with a pelvic pain.
Right upper abdominal pain can be due to cholecystitis (inflammation of gall bladder), stones in gall bladder, abscess under the diaphragm, liver problems or due to duodenal ulcer.
Right flank pain is generally due to kidney stones.
An ultrasound or CT scan of abdomen is definitely required. Take care!

[jvb571]

go to your family dr. or back to emerg if you don't have a fam. dr.  Don't let anything go.

[cheshchesh819]

It could be gastro acid build up maybe IBS,i would ask for further tests so you can be properly diagnoised.

[nnelg101]

Hi... usually appendcitis can be diagnosed clinically. It presents firstly as a generalized abdominal pains which later shifts to the right lower quadrant. Some physical exam findings which support its diagnosis includes rebound tenderness, orbturator's sign, psoas sign. You can also present with fever. If the doctor said it was not, probably he/she must have noted that you don't have an acute abdomen. And since you are a female, it can also be UTI. Again, there are a lot of causes of abdominal pain but requires further history and physical examination and some lab tests if you want it diagnosed.