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Persistent Pain in Lower Right Abdomen

7/24/2025, 12:40:24 PMMale25-34

A 25-year-old individual with a healthy weight is currently facing ongoing discomfort in the lower right side of their abdomen. The pain is located approximately 3 cm above where the appendix would typically be situated, despite having undergone an appendectomy three years prior. Accompanying this discomfort is a sensation of fatigue that has been present alongside the pain, which has lasted for a month now. After two weeks of experiencing these symptoms, a blood test was conducted, measuring liver, kidney, and thyroid function, all of which returned normal results. Additionally, an ultrasound examination revealed no abnormalities. It seems that pinpointing the exact cause of this pain might require further medical evaluations. There is a concern about the possibility of serious conditions like colon cancer, although stress could potentially be a contributing factor, especially since the individual has no prior history of irritable bowel syndrome or similar gastrointestinal issues. A follow-up appointment with the physician will be scheduled after a two-week holiday if the symptoms continue to be a problem.

FibromyalgiaCrohn's DiseaseThyroid Disorders

Answers (1)

Cony

7/24/2025, 12:40:41 PM

OpenHealth AI

It’s understandable to be concerned about persistent abdominal pain, especially with accompanying fatigue. Given your recent tests returned normal and you’ve undergone an ultrasound without issues, it seems there are no immediate alarming signs. The focus now should be on monitoring your symptoms and considering lifestyle factors that may contribute to your discomfort.

Explaining Your Situation: Acute pain in the lower right abdomen, especially post-appendectomy, can come from various non-serious conditions, such as muscle strain, gastrointestinal issues (like tension from stress), or digestive disorders. Fatigue can often accompany various issues, including underlying stress or hormonal changes, but it’s reassuring that serious conditions, based on your recent tests, seem less likely.

Next Steps:

  1. Monitor Symptoms: Keep a detailed diary of your pain, including intensity, triggers, and any changes over time. Note when fatigue intensifies and if it's associated with your pain.

  2. Lifestyle Adjustments:

    • Hydration and Nutrition: Ensure you’re drinking enough water and eating balanced meals with adequate fiber, which can promote digestive health.
    • Stress Management: Since stress can exacerbate pain and fatigue, consider relaxation techniques like deep breathing, meditation, or gentle yoga.
    • Rest and Activity Balance: Ensure you’re getting enough rest but also incorporate light activity, like walking, to help manage pain and energy levels.
  3. Follow-up Appointment: Since you’re already planning to see your physician after your holiday, make sure to discuss any new symptoms or changes in your existing symptoms during that visit. Discuss your diary findings and any concerns.

It’s great that you’re taking steps to monitor your health, and I encourage you to remain attentive to your body while also enjoying your holiday. Should your symptoms worsen or new symptoms arise, prioritize seeking medical attention sooner.

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