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Old 02-13-2013, 04:22 PM   #1
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Question Lower right side pain - any ideas?

I have been experiencing pain just above belt line, between hip and navel, but varies in position, for over three years. The pain/discomfort never goes away, but is tolerable for weeks at a time. During flare ups the pain is very uncomfortable and accompanied by significant nausea. Also associated with this are spasms, burning feeling and twinges.

I have seen my internist on several occasions, as well as a GI doc. Test ordered have been blood work, ultra sound, colonoscopy, and two MRI's and a CT scan. All tests were unremarkable and within normal ranges.

The flare ups have become more frequent in the last 6 months and last longer (3-4 days) I have also noticed a change in bowel habits with constipation ( even though I eat at least 40 grams of fiber a day) a big issue. Generally, the pain is more severe while seated and later in the day.

I am really hoping someone on these Boards has ideas because my doctors just dismiss this as "I don't know" or possibly scar tissue from prostate surgery 10 years ago.

I have not been able to associate this with anything in my diet or medications. Initially, I thought liver, but positioning of pain and normal blood test have my internist dismissing this possibility. I have been a regular user of alcohol for several decades however.

Any and all thoughts are certainly appreciated.

 
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Old 02-13-2013, 09:57 PM   #2
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Re: Lower right side pain-any ideas?

I'm not a doctor, but liver pain (which I have had!) for me was higher up under my right ribs. Ascending colon runs up the right flank.

The only thought I have is regarding your high fiber intake... Without adequate fluid intake, perhaps at the same time you take your fiber, that fiber may turn to concrete! Adequate fluid intake can sometimes help fix constipation better than fiber, and if you're going to take fiber, you need adequate fluids to keep the fiber from forming blocks of rocks in your colon!

You might try lowering the fiber a bit and increasing fluids and see if this helps. If not, you can always go back to your old dosage again.

Best of Luck to you!

 
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Old 02-14-2013, 06:36 AM   #3
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Re: Lower right side pain-any ideas?

Thanks for the reply. I try to get the fiber via food not meds and do drink as much water as possible. Usually, at least 6 glasses a day.

 
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Old 02-16-2013, 05:15 AM   #4
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Re: Lower right side pain-any ideas?

Quote:
Originally Posted by thedpboy View Post
I have been experiencing pain just above belt line, between hip and navel, but varies in position, for over three years. The pain/discomfort never goes away, but is tolerable for weeks at a time. During flare ups the pain is very uncomfortable and accompanied by significant nausea. Also associated with this are spasms, burning feeling and twinges.

I have seen my internist on several occasions, as well as a GI doc. Test ordered have been blood work, ultra sound, colonoscopy, and two MRI's and a CT scan. All tests were unremarkable and within normal ranges.

The flare ups have become more frequent in the last 6 months and last longer (3-4 days) I have also noticed a change in bowel habits with constipation ( even though I eat at least 40 grams of fiber a day) a big issue. Generally, the pain is more severe while seated and later in the day.

I am really hoping someone on these Boards has ideas because my doctors just dismiss this as "I don't know" or possibly scar tissue from prostate surgery 10 years ago.

I have not been able to associate this with anything in my diet or medications. Initially, I thought liver, but positioning of pain and normal blood test have my internist dismissing this possibility. I have been a regular user of alcohol for several decades however.

Any and all thoughts are certainly appreciated.

 
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Old 02-16-2013, 05:31 AM   #5
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Re: Lower right side pain-any ideas?

Hi. Has your doctor checked your pancreas and triglycerides ? This is if the pain is on your left side. If so the symptoms to me suggest Acute/chronic pancreatitis pain. Alcohol, gallstones and high sugar/ fat diet can contribute to the pain. Trying abstaining for a pain free life. I speak from experience. Good luck.

Last edited by Onlymythoughts; 02-16-2013 at 05:37 AM.

 
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Old 02-16-2013, 09:31 AM   #6
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Re: Lower right side pain-any ideas?

The pain is on the right side not left. I eat a low fat low sugar diet and have abstained from alcohol for several months at a time to see if this would help. No change. Triglycerides are 70.

Thank you for the reply.

 
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Old 04-04-2013, 07:48 AM   #7
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Re: Lower right side pain-any ideas?

I have had the same problem for about 5 years. At first I thought it was appendicitis, hurt so bad I went to the ER, but it wasn't. Since then, I have had colonoscopies, CTs, MRIs, small capsule endoscopy, but no diagnosis. The only thing they have found is small ulcers in my terminal ileum (by small capsule endoscopy, so no biopsy was taken). They suspect it may be Crohn's disease, but I have no other symptoms.

Right lower quadrant pain is a common symptom of Crohn's, even with no diarrhea or other symptoms.

I take no medications, but have been primarily gluten-free for 4 years, which seems to help a little. The pain is sometimes barely noticeable but at other times it is very sharp.

 
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Old 10-17-2014, 10:42 AM   #8
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Re: Lower right side pain-any ideas?

Have you seen any relief from your pain? I too have pain around my terminal ileum, latest tests show no inflammation, but also no cause for the pain. Since following an anti-candida diet and medication, I've noticed that the pain seems to happen more often shortly before a BM, but sometimes just off and on throughout the day. Direct heat is the only thing that provides relief. I did test negative for Chron's.

 
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Old 10-17-2014, 12:28 PM   #9
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Re: Lower right side pain-any ideas?

I have had no relief from my pain. I had a blood test for Crohn's recently and that was negative. I had another pelvic ultrasound that showed normal ovaries and possibly a mild case of adenomyosis. I read that many women with adenomyosis also have endometrosis and now I am wondering if my problem is endometriosis. The next step for me is laparoscopy.

Like you, direct heat gives me some relief but doesn't remove the pain, just blurs it. I sometimes feel pain when I am "due" for a BM, but it never hurts worse during a BM. It hurts deep when I (or a doctor) press on the spot where my appendix/terminal ileum is. Sometimes I feel a pulsing kind of pain. I was reading about functional abdominal pain which appears to be some sort of nerve related problem in the bowels. I am also wondering if that might be the problem.

Insurance company won't ok a pelvic MRI at this time and I am not thrilled about the idea of a laparoscopy. Not sure what I will do next. I could live with this pain if I knew it wasn't something that was going to kill me. I just wish I knew what it was.

Please keep me posted on your progress. I wish you well.

 
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