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physician123
physician123, Doctor
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Experience:  MD
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I had a question concerning abdominal pain and was hoping for

Resolved Question:

I had a question concerning abdominal pain and was hoping for a second opinion.
Submitted: 4 years ago.
Category: Health
Expert:  physician123 replied 4 years ago.

physician123 :

Hello,

physician123 :

Welcome to just answer

physician123 :

I am sorry to hear of your discomfort

physician123 :

Please enter the chat .

Customer:

hello

Customer:

thanks for agreeing to chat with me

physician123 :

You are welcome

Customer:

may i ask what kind of doctor you are

physician123 :

Could you tell me how can I help you ?

Customer:

sure

Customer:

I was talking to another doctor, but was curious about a second opinion

physician123 :

Sure tell me what are the complaints you have at present ?

Customer:

if I show you a picture of where I am often experiencing discomfort, could you talk about possible causes, and specifically, how it might relate to possible colon or appendicitus pain

physician123 :

Yes

Customer:

http://i.imgur.com/ZJQFe.jpg

Customer:

that is my picture, i diagrammed where i experience this pain

Customer:

red is more sever and common location, green is medium common and severity, and blue is least common and severity

physician123 :

Yes

physician123 :

I got it 11

physician123 :

it

Customer:

ok cool, thanks for looking

physician123 :

Do you have any other complaints apart from the pain ?

Customer:

does it seem clear what im trying to communicate with the colors

physician123 :

Yes

Customer:

well, i had other symptoms monday night

physician123 :

Perfectly clear .

Customer:

i felt nauseas and had a nasty headache and felt weak and shaky

Customer:

but no fever

physician123 :

Do you have a problem with your urine or stools ?

Customer:

and tuesday was better, but still weak, then yesterday and today, better still, but still have the pains from the picture on and off , coming and going, seems to be related to meals

Customer:

and food,

physician123 :

Okay

Customer:

but ive had these pains going back 2 years now, on and off, sometimes they come for a couple weeks, then i go without any pain for awhile, then it might come back

Customer:

but this week, it occurred with the other symptoms, may or may not be related

physician123 :

There are a few possibilities that need to be considered in here

Customer:

but really, i was curious about the locations and if that means apendix

physician123 :

Appendicitis is a common cause of the pain in the area you mentioned but it is not usually related to meals

physician123 :

Thus as it is related to meals then it could be related to the bowel

physician123 :

A CT scan with contrast though helps know the exact cause of this as well .

Customer:

so based on my pictures, where the red is, i thought maybe that is too low for eppendix pain

Customer:

its almost groin area

physician123 :

Appendix can cause the pain in the red area . The pain usually starts around the umbilicus and radiates down to the right

Customer:

http://ww w.google.ca/imgres?um=1&hl=en&client=firefox-a&sa=N&rls=org.mozilla:en-US:official&biw=1076&bih=949&tbm=isch&tbnid=FDFF2PXQV_byzM:&imgrefurl=http://www.healthhype.com/appendix-pain-location-and-symptoms.html&docid=UisScM_DKh6khM&imgurl=http://www.healthhype.com/wp-content/uploads/appendix_location.jpg&w=528&h=373&ei=-UXIT42SNsmX6QH73e34Dw&zoom=1&iact=rc&dur=779&sig=101746695029360743613&page=1&tbnh=119&tbnw=168&start=0&ndsp=27&ved=1t:429,r:5,s:0,i:133&tx=119&ty=48

physician123 :

Another possibility of a pain in the area is also a ureteric stone

Customer:

that seems higher and more between the hip and belly button

physician123 :

Well it is a possibility as there can be a little variation in the location of the pain

Customer:

i see

Customer:

how is the pain usually described

physician123 :

A CT scan with contrast would be a step in the right direction along with a blood count

Customer:

now im nervous again :)

Customer:

right

physician123 :

No there is no reason to be nervous

Customer:

i have been nervous i have had it

Customer:

worry about it quite a lot

physician123 :

As you did mention it comes on with meals it points more to something within the bowels

Customer:

i do feel that

physician123 :

There is really no reason to get stressed

Customer:

it feels food related as i can almost feel the food passing and irritating it

Customer:

many times

Customer:

but maybe im imagining that, but it seems like it to me

physician123 :

A pain like this is a common occurrence and once we have the diagnosis in hand then the treatment can be started in accordance with the same .

Customer:

most often it occures around 3 hours after meals and sometimes in the morning right as i awake

physician123 :

Do not think too much about it

physician123 :

Anxiety can make things worse .

physician123 :

So please relax and see your doctor for this and he will be able to take you through this .

Customer:

true, i feel that as well, and i mean stress can make it worse for real

physician123 :

Yes!!

Customer:

but your feeling is its not an acute condition?

physician123 :

No it does not seem like an acute condition as you have the pain on and off since the past 2 years

physician123 :

Nonetheless as the pain has been chronic it is worth getting it checked .

Customer:

well, if we discard that part for now, and just measure from monday night

Customer:

lets say, it started monday night

Customer:

and its thursday right now

Customer:

could it be accute?

physician123 :

If it is only 3 days back then it can be acute

physician123 :

The pain in an acute condition is usually quite severe though

Customer:

by the third night it would be escalating? not coming and going

physician123 :

Yes usually that is the case

Customer:

i have heard appendicitus usually escalates in hours

Customer:

like you are in the ER within 12-24 hours with extreme pain

Customer:

not guessing about things

Customer:

its not subtle, that is what the other doc hinted

Customer:

or said

physician123 :

Well yes the pain with an inflamed appendix is usually very severe .

Customer:

but i have to say, im nervous again, as the location is not ruling it out, and the timeframe as well is suspect, now im worrying i have it again

Customer:

i thought the red would be too low for it

Customer:

or less common at least

Customer:

based on the other picture it seemed too low

physician123 :

As I mentioned as it is related to the meals it makes appendicitis less likely

Customer:

well, i think it is

Customer:

but i guess i have no proof of that

physician123 :

So please do not worry , though you should still get a check

Customer:

but it seems to be the case

Customer:

when you say check, do you mean go to the ER?

physician123 :

The pain with the appendix is quite severe too and you would have found it difficult to chat with a pain like that

Customer:

oh i see, i wouldnt be here chatting with you, i would be in great distress

physician123 :

If the pain is not as severe then you can also get it checked in your doctors office

physician123 :

Yes exactly

Customer:

well i can walk and jump and act normal right now

Customer:

but i do feel some sensations in there even now as we talk

physician123 :

Well a person with an acute condition cannot do all of that

Customer:

i think the pain at its height might hit a 3 on the 1-10 scale

physician123 :

Sensation and a severe pain are two different things

Customer:

varies from 0-3

physician123 :

So please relax and do not think about it as much

physician123 :

As I see it you are an anxious person

Customer:

maybe a tiny hit of a 4, very infrequently and short lasting

physician123 :

Thus do not worry

Customer:

yes i am, i am sorry about that

Customer:

i have anxiety and a bit of hypochndria as well

physician123 :

So please relax

Customer:

i should has said that first

physician123 :

Ii can see that , that is the reason I mentioned it

physician123 :

So please calm down and relax and rest

Customer:

but, i worry then i wont be taken seriously too, my symptoms do feel real

physician123 :

You should try and get some sleep .

Customer:

i will soon, good advice, the other complication is I am in canada right now, so seeing my doctor is not easy unfortunately

Customer:

but this site does help

physician123 :

Your pain is not as severe

physician123 :

Please do not worry

physician123 :

You can ask for me later when you have questions .

Customer:

ok, thank you very much for your patience and time

Customer:

have you seen many appedix cases in real life?

Customer:

just curious

physician123 :

Yes

physician123 :

Have seen many of them

Customer:

so you can feel pretty confident about my situation, seems not likely to be it

physician123 :

It is a very common condition so yes have seen innumerable cases

physician123 :

Yes

physician123 :


I wish your all the best and great health
Take care and god bless.

I hope this answers you and helps you with your apprehensions.
Do let me know if you have any further doubts or any clarifications.
Please click on the green accept button if this answers you as it is only then that will I be credited for my work.
Thank you

Customer:

yes, thanks so mucj

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