Comments on: Acute and Chronic Right Lower (RLQ) Abdominal Pain – Diagnosis http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html Current Health Care Articles Fri, 12 Mar 2010 15:00:45 +0000 http://wordpress.org/?v=2.9.1 hourly 1 By: Jan Modric http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-26668 Jan Modric Sat, 27 Feb 2010 16:17:18 +0000 http://www.healthhype.com/?p=3074#comment-26668 To les. Symptoms, you've described can appear in Crohn's disease. Colon extends as an arc starting in the lower right and ending in the lower left abdomen, and both ends can be affected: ulcers cause bleeding, polyps cause constipation, inflammation causes diarrhea. Mouth thrush can be related. X-ray with barium enema and colonoscopy are two of investigations that can reveal Crohn's disease. To les.

Symptoms, you’ve described can appear in Crohn’s disease. Colon extends as an arc starting in the lower right and ending in the lower left abdomen, and both ends can be affected: ulcers cause bleeding, polyps cause constipation, inflammation causes diarrhea. Mouth thrush can be related. X-ray with barium enema and colonoscopy are two of investigations that can reveal Crohn’s disease.

]]> By: les http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-26665 les Sat, 27 Feb 2010 14:34:10 +0000 http://www.healthhype.com/?p=3074#comment-26665 In dec 2007 I went to doctor, I had r/h lower abdominal sharp pain, diarrhea (chronic)and sometimes constipation, bleeding (chronic) from bottom. I had low fever also increased white blood cell count. doctor said infection of ileum. Since that time I have had all the symptoms as above except the r/h lower abdominal sharp pain, it cleared up after 2 weeks. But approximately 10 months ago for 1 week I had very=very bad pain left side abdomen, did not poop for a week. It cleared up itself when finally able to poop.For past 8 months been getting abcess in bottom. What do you reckon the problem could be. Also recently having periods of thrush in mouth and sore throat, not taking antibiotics though. And feel tired a lot. Am 50 years old, smoker, male. In dec 2007 I went to doctor, I had r/h lower abdominal sharp pain, diarrhea (chronic)and sometimes constipation, bleeding (chronic) from bottom. I had low fever also increased white blood cell count. doctor said infection of ileum. Since that time I have had all the symptoms as above except the r/h lower abdominal sharp pain, it cleared up after 2 weeks. But approximately 10 months ago for 1 week I had very=very bad pain left side abdomen, did not poop for a week. It cleared up itself when finally able to poop.For past 8 months been getting abcess in bottom. What do you reckon the problem could be. Also recently having periods of thrush in mouth and sore throat, not taking antibiotics though. And feel tired a lot. Am 50 years old, smoker, male.

]]> By: Jan Modric http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-25250 Jan Modric Wed, 17 Feb 2010 07:41:14 +0000 http://www.healthhype.com/?p=3074#comment-25250 Sotiredinseattle, chronically inflamed appendix does not burst soon (if at all), otherwise it wouldn't be chronic...If you check <a href="http://erstories.net/archives/421" rel="nofollow">these cases</a>, described by an ER doctor, you'll see that not any inflammed appendix is shown on CT. Acute appendicitis usually starts with pain around the navel that typically moves to the right lower quadrant. Low grade fever, high leukocytes and nausea are all common. I DO NOT say your daughter has appendicitis, it's possible, though. Crohn's disease affecting the first part of the colon (just near the appendix) could mimic appendicitis - this would not be seen on CT or laparoscopy, but probably only during colonoscopy or maybe X-ray with barium enema. I encourage you to speak further with her doctor or find another one, since, obviously, there is something to be solved in a reasonable time. Sotiredinseattle,

chronically inflamed appendix does not burst soon (if at all), otherwise it wouldn’t be chronic…If you check these cases, described by an ER doctor, you’ll see that not any inflammed appendix is shown on CT.

Acute appendicitis usually starts with pain around the navel that typically moves to the right lower quadrant. Low grade fever, high leukocytes and nausea are all common. I DO NOT say your daughter has appendicitis, it’s possible, though. Crohn’s disease affecting the first part of the colon (just near the appendix) could mimic appendicitis – this would not be seen on CT or laparoscopy, but probably only during colonoscopy or maybe X-ray with barium enema.

I encourage you to speak further with her doctor or find another one, since, obviously, there is something to be solved in a reasonable time.

]]> By: sotiredinseattle http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-25208 sotiredinseattle Wed, 17 Feb 2010 04:42:48 +0000 http://www.healthhype.com/?p=3074#comment-25208 Thank you so much for you're input. She is 29 years old. They have done a laparascopy and checked her fallopian tubes. That is whats so frustrating. I read that an appendix could be infected on the inside and wouldn't show on a CT. But I cannot convince a doctor here of that. They just say that if it were infected that it would have burst by now. Is that really the case always? I don't want to step on any doctors toes and make them feel that they may be wrong, but I just feel in my heart that this may be the case. Again, thank you for the input. Thank you so much for you’re input. She is 29 years old. They have done a laparascopy and checked her fallopian tubes. That is whats so frustrating. I read that an appendix could be infected on the inside and wouldn’t show on a CT. But I cannot convince a doctor here of that. They just say that if it were infected that it would have burst by now. Is that really the case always? I don’t want to step on any doctors toes and make them feel that they may be wrong, but I just feel in my heart that this may be the case. Again, thank you for the input.

]]> By: Jan Modric http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-24982 Jan Modric Tue, 16 Feb 2010 07:59:50 +0000 http://www.healthhype.com/?p=3074#comment-24982 To sotiredinseattle. How old is your daughter and which investigations she has had so far? High white blood cells and low grade fever are highly suspected for an inflammation anywhere in the body. Chronic appendicitis is one of the possible causes, but adjacent organs, like Fallopian tubes or a part of the colon could be also inflammed. CT could reveal appendicitis. Certain conditions, like twisted ovaries would be hardly recognized by a CT, but could be seen during laparoscopy. It's likely that something is wrong in her abdomen, so insist in further investigations - will be a CT or laparoscopy, a gastrologist should decide. To sotiredinseattle.

How old is your daughter and which investigations she has had so far?

High white blood cells and low grade fever are highly suspected for an inflammation anywhere in the body. Chronic appendicitis is one of the possible causes, but adjacent organs, like Fallopian tubes or a part of the colon could be also inflammed. CT could reveal appendicitis. Certain conditions, like twisted ovaries would be hardly recognized by a CT, but could be seen during laparoscopy.

It’s likely that something is wrong in her abdomen, so insist in further investigations – will be a CT or laparoscopy, a gastrologist should decide.

]]> By: Jan Modric http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-24978 Jan Modric Tue, 16 Feb 2010 07:44:52 +0000 http://www.healthhype.com/?p=3074#comment-24978 To sotiredinseattle. High leukocytes and low-grade fever could be from inflammation, and chronic appendicitis is one possible cause. It can be often detected by a CT. Adjacent organs, like Fallopian tubes or a part of the colon could be also inflammed, so she should get correct diagnosis before eventual surgery, if possible. To sotiredinseattle.

High leukocytes and low-grade fever could be from inflammation, and chronic appendicitis is one possible cause. It can be often detected by a CT. Adjacent organs, like Fallopian tubes or a part of the colon could be also inflammed, so she should get correct diagnosis before eventual surgery, if possible.

]]> By: sotiredinseattle http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-24911 sotiredinseattle Mon, 15 Feb 2010 20:33:44 +0000 http://www.healthhype.com/?p=3074#comment-24911 For the past 18 months my daughter has had chronic right abdominal pain, it starts at her navel and goes around her back. They have checked her kidneys, gallbladder, as well as her bladder, female organs and they still cannot figure out the cause. She is only 7 different meds for the pain, nausea, headache, sleeping, etc. I noticed after they took her tonsils out that were imbedded in her throat, and she stayed six days in the hospital that she seemed to get better. But then it came back. I had a friend that his daughter had dthe same thing and it was a slow leaking appendix. When they did the ct it did not show anything wrong with her appendix but as a long shot they took it out anyways. And sure enough she has not had any problems. Have you ever heard of a slow leaking appendix and how can one get your doctor to remove it. She also has high white blood count, no memies for 2 years, low grade fever, dizzy at times, please advise. For the past 18 months my daughter has had chronic right abdominal pain, it starts at her navel and goes around her back. They have checked her kidneys, gallbladder, as well as her bladder, female organs and they still cannot figure out the cause. She is only 7 different meds for the pain, nausea, headache, sleeping, etc. I noticed after they took her tonsils out that were imbedded in her throat, and she stayed six days in the hospital that she seemed to get better. But then it came back. I had a friend that his daughter had dthe same thing and it was a slow leaking appendix. When they did the ct it did not show anything wrong with her appendix but as a long shot they took it out anyways. And sure enough she has not had any problems. Have you ever heard of a slow leaking appendix and how can one get your doctor to remove it. She also has high white blood count, no memies for 2 years, low grade fever, dizzy at times, please advise.

]]> By: Liz http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-23965 Liz Tue, 09 Feb 2010 15:40:19 +0000 http://www.healthhype.com/?p=3074#comment-23965 Thank you very much for your help. This was the only medical condition I have ever had, I hope nothing serious. Foods high in soluble fiber explain perfectly the diarrhea. Thanks again! Thank you very much for your help. This was the only medical condition I have ever had, I hope nothing serious. Foods high in soluble fiber explain perfectly the diarrhea.

Thanks again!

]]> By: Jan Modric http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-23964 Jan Modric Tue, 09 Feb 2010 15:16:38 +0000 http://www.healthhype.com/?p=3074#comment-23964 Liz, from lowered proteins and minerals, sepsis, pain and enlarged kidney, it's obviously your right kidney was involved. Either that infection or antibiotics could cause some damage in your kidney. I strongly recommend you to have blood and urine tests again, from the results a nephrologist/urologist should know, if CT or MRI or other is needed. Write down your complete <a href="http://www.healthhype.com/patients-personal-and-family-medical-history-questionnaire-form.html" rel="nofollow">medical history</a> (from birth), what exactly happened three years ago, and how symptoms changed through the time. Also try to find results (positive or negative) of all investigations you've had so far. About the diet: maybe certain foods trigger or aggravate diarrhea: <a href="http://www.healthhype.com/foods-high-in-fructose-sorbitol-fructans-and-fodmaps.html" rel="nofollow">foods, high in fructose or sorbitol</a>, <a href="http://www.healthhype.com/list-of-high-fiber-foods-soluble-and-insoluble-fiber-chart.html" rel="nofollow">soluble fiber</a> or other. Any idea? Liz,

from lowered proteins and minerals, sepsis, pain and enlarged kidney, it’s obviously your right kidney was involved. Either that infection or antibiotics could cause some damage in your kidney. I strongly recommend you to have blood and urine tests again, from the results a nephrologist/urologist should know, if CT or MRI or other is needed. Write down your complete medical history (from birth), what exactly happened three years ago, and how symptoms changed through the time. Also try to find results (positive or negative) of all investigations you’ve had so far.

About the diet: maybe certain foods trigger or aggravate diarrhea: foods, high in fructose or sorbitol, soluble fiber or other. Any idea?

]]> By: Liz http://www.healthhype.com/acute-and-chronic-right-lower-rlq-abdominal-pain-diagnosis.html#comment-23961 Liz Tue, 09 Feb 2010 14:49:13 +0000 http://www.healthhype.com/?p=3074#comment-23961 Hi, the pain was 2 inches from my right side, just below the ribs. It started at the back, stayed there for a month or so, and then it worsened and moved to its permanent place. I did not have any urination problem, I don't have it now either. At that time the blood work showed sepsis, extremely poor protein, calcium and iron which are just above the limit now. It was extremely tender to touch (even now it is a bit tender). While having the antibiotic treatment, I had some king of skin irritation exactly on my side. I usually have diarrhea that I have always related to my vegetarianism. They won't even listen to me when I tell my story. Hi, the pain was 2 inches from my right side, just below the ribs. It started at the back, stayed there for a month or so, and then it worsened and moved to its permanent place. I did not have any urination problem, I don’t have it now either. At that time the blood work showed sepsis, extremely poor protein, calcium and iron which are just above the limit now. It was extremely tender to touch (even now it is a bit tender). While having the antibiotic treatment, I had some king of skin irritation exactly on my side. I usually have diarrhea that I have always related to my vegetarianism.

They won’t even listen to me when I tell my story.

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