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1361959 tn?1277687317

Weird pain in LRQ same after appendix out

I am a 21 year old female. For the past 2 years I have had pain in my lower right abdomen, almost close to the inside of my hip bone. It began like appendicitis, fever throwing up but the doctors couldnt see anything on ultrasound so they left it alone and called it a pulled muscle.

It started out aching (even into my back as would be if you were on your period), progressively it felt like it was burning me on the inside and as if an organ was being stretched out like a balloon. During these flair-ups it would start to growl only in that spot and if u felt my side it felt like air bubbles pushing out, especially when I inhaled. I was negative for Crohns, Celiac and cysts.

What I dont understand is how they found calcified stones in my appendix, removed it 11 months ago and am still having the same pain except that it doesnt growl anymore. Does anyone have an idea what this could be? Ive since been to another doctor and she put me on birth control 3 months ago to see if that would change anything but it hasnt. I'm at the end of my rope. I was so relieved when I had my appendix out b/c I thought it was over.

I dont know if my weight has anything to do with it but I'm 75lb, 4'9 tall. (have some issues with body image but im not bulimic or anything). Also some things that set it off is just the pressure on my stomach when im lying on my back, my clothes against it, if i even touch or rub the area, sometimes after a bm, coughing or sneezing feels like i move something out of place. I havent noticed anything relating to my diet.

Please if not advice, I hope to find someone who may be able to relate in some way; its very exhausting knowing theres an endless number of things it could be and that you may never get down to the bottom of it, or worse, that its all in your head!  
Thanks so much! Take care x0x0
2 Responses
351246 tn?1379685732
Welcome to the MedHelp forum!
Crohn’s disease, diverticulitis, infection in kidney, kidney stones, constipation, ovary involvement in women, ectopic pregnancy in women, mesentry (a thin tissue that carries the blood, nerves and lymphatics for the intestine) involvement, and an abscess in rectus abdominis muscle or psoas muscle can all cause lower right abdomen pain. Hence these causes should be eliminated by a CT scan of the abdomen. Crohn’s disease is a difficult entity to diagnose. Along with gut symptoms skin disorders and arthritis too are commonly seen with Crohn’s. An upper GI series using barium dye is done to see the condition of small intestines. The degree of involvement of the large and small intestine may vary from person to person.  A biopsy is the most confirmatory.
An elevated ESR does confirm inflammation in the body. Low protein, minerals and iron in blood are the other findings in Crohn’s which may or may not be present. A recent advancement in Crohn’s diagnosis is video capsule endoscopy.
If all these are ruled out then the pain could be due to adhesions.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
1356258 tn?1277667850
In addition to the possibilities docternee medical suggested, I would like to add that it could also be gallbladder pain caused by gallstones. Mine started out like an appendix attack (except no vomiting), but then went down to intermittent stabbing, burning, gnawing, aching, sore pain that steadily became more frequent over 3 years. If this is the case, you may also have diarrhea (may alternate with constipation) and the pain may be worse after eating high fat food (starvation diets can also worsen it). If it diverticulitis, the pain might be worse after eating nuts or something with seeds, and you could get a fever and need antibiotics or it may resolve on its own (a colonoscopy should reveal pouches in the intestine). Endometriosis could also cause pain here (the uterine lining can grow beyond the uterus and wrap around other organs) and it may be worse at certain times in your menstrual cycle, like during your period, and it can be hard to diagnose. Another possibility is a hernia, especially if you can feel something bulging and it is not related to diet or accompanied by diarrhea. Goodluck!
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