Appendix Concerns Without Pain
29-year-old male, weighing 161 pounds, currently taking Ezetimibe at a dosage of 10mg. For the past six days, I have been experiencing some issues related to my abdomen. It all began with slight bloating accompanied by difficulty in passing stool and gas. Although the bloating has diminished after the third day, I continue to feel a persistent pressure in my lower right abdomen, near the appendix area, along with occasional discomfort in my lower back. I visited an Urgent Care facility where a urine analysis returned normal results, and a physical examination for appendicitis proved negative. The healthcare provider's leading thought is that I may have Diverticulitis; however, I am still concerned about the ongoing pressure and tenderness in the vicinity of my appendix. Additional observations include the fact that my stool appears normal, and while I can pass gas, it requires some effort. I also underwent a breath test at the Urgent Care and expect the results in a day or two. In the meantime, I’ve been maintaining a diet primarily of soft and liquid foods, ensuring I stay well-hydrated, and I’ve been using stool softeners every couple of days. I understand that appendicitis typically presents with rapid onset and severe pain; however, I’ve read that there can be atypical cases that manifest more subtly. This potential for a less common presentation is what causes me concern.
Answers (1)
7/25/2025, 2:50:48 PM
OpenHealth AI
It sounds like you're experiencing some ongoing abdominal pressure and discomfort, which can understandably be concerning, especially given the location near the appendix. While your initial medical evaluation led to a negative result for appendicitis, let's break down your situation to provide clearer guidance moving forward.
Main Points:
- Your symptoms—pressure in the lower right abdomen, occasional discomfort in the lower back, and previous bloating—can be related to various gastrointestinal issues, including diverticulitis, but not exclusive to it.
- Normal urine analysis and physical examination are reassuring, but continued monitoring of symptoms is essential.
- Staying hydrated and following a gentle diet are good immediate strategies.
Explanation: The pressure you're feeling may not point exclusively to appendicitis, especially since there's no significant pain and tests have returned normal. Conditions like diverticulitis can cause abdominal discomfort without the classic symptoms. Stress, irregular bowel movements, or dietary issues can also contribute to these sensations.
Next Steps:
- Symptom Monitoring: Keep track of your symptoms. Note any changes such as pain intensity, new symptoms (like fever, vomiting, changes in bowel habits), or anything that worsens or improves your condition.
- Diet Adjustment: Continue with a diet of soft and liquid foods but gradually introduce high-fiber foods (like fruits, vegetables, and whole grains) when you feel comfortable. This helps promote regular bowel movements.
- Hydration: Continue to drink plenty of water to aid digestion and stool consistency.
- Stool Softener: Continue using stool softeners if needed, but try to increase dietary fiber for natural bowel regulation as tolerated.
- Follow-Up: Once you receive your breath test results, discuss them with your healthcare provider. If symptoms persist beyond a week or worsen, consider a follow-up appointment for further evaluation or imaging, such as an abdominal ultrasound or CT scan if necessary.
Rest assured, staying attentive to your body and maintaining open communication with your healthcare providers are key steps in managing your symptoms effectively. I'm here to help if you have more questions or need further clarification.
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