Undiagnosed Pain in Lower Right Abdomen with Multiple Symptoms
At the age of 36, assigned male at birth, I am currently managing multiple medications for my mental health, including gabapentin at 600 mg twice daily, propranolol at 20 mg as needed, and lithium at 300 mg daily. Additionally, I supplement with vitamins D and B. Since March of this year, I have experienced persistent pain on the right side of my groin, which initially raised concerns of torsion. I sought treatment at the emergency room where comprehensive tests including CT scans, X-rays, ultrasounds, and blood and urine analyses indicated there was no torsion. The advice was simply to return if the pain escalated. Regrettably, the pain intensified and radiated into my right abdominal area, just above the hip. A second ER visit mirrored the first, with extensive testing yielding no definitive results and ruling out appendicitis. A consultation with a urologist led me to receive tamulosin in case of a hidden kidney stone, but this too failed to provide relief. Following that, I underwent an endoscopy, an EMG—which assesses nerve conduction and muscle response—and finally a colonoscopy, each confirming my good health. Over several months, my discomfort escalated to the point where climbing stairs became unmanageable, confining me to my couch due to the sheer pain. My feet felt as if they contained shards of glass, and soon enough, my hands developed similar sensitivity. I also started noticing blue veins in my wrists and ankles around that time. Subsequently, after undergoing nerve testing, there was a brief period where my symptoms improved—I could walk and use my hands, though not completely pain-free. However, post-colonoscopy, the discomfort surged back. Despite numerous medical evaluations including CT scans, X-rays, and a range of blood tests, I remain with no diagnosis, facing daily challenges that disrupt my life significantly. I’ve shifted from being active in household chores and yard maintenance to relying on a cane, unable to engage in even light recreational activities within a short time frame. The core of my pain resides just above my right hip bone, described as if a hot golf ball is lodged there. The sensation radiates both upwards and downwards along my right side, extending into my genitals and across my lower back. I struggle with muscle weakness, possibly due to the necessity of resting most of the day to alleviate abdominal pressure. To find any comfort, I have to loosen my belt and avoid sitting upright at 90 degrees. The unexpected costs associated with my medical journey weigh heavily on me, with still no answers about my condition. I welcome any insights or suggestions regarding potential next steps in addressing this perplexing issue. In summary, I’ve undergone numerous health assessments, all indicating I’m in good health, yet I endure burning pain surrounding my right hip and down my right flank. I am seeking guidance on how to proceed from here.
Answers (1)
9/11/2025, 7:50:45 PM
OpenHealth AI
I'm sorry to hear that you've been experiencing persistent and debilitating pain without a clear diagnosis. It sounds like this situation is particularly frustrating, especially given the extensive medical evaluations you've undergone. Let's focus on how you can address your pain and improve your quality of life.
Main Points:
- Persistent pain without a diagnosis can stem from various causes, including nerve-related issues, musculoskeletal conditions, or even complications from medications.
- Immediate next steps should focus on managing pain levels and exploring possible underlying conditions that haven’t been fully addressed yet.
Explanation:
You’ve described a range of symptoms that could relate to nerve involvement or musculoskeletal issues, especially considering the radiating pain and sensitivity. The combination of your medications and ongoing symptoms might indicate that further exploration is required, perhaps involving different specialists or approaches.
Prioritized Next Steps:
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Pain Management Techniques:
- Heat Therapy: Applying heat to the affected area can help alleviate muscle tension and pain. Consider using a heating pad or warm baths.
- Physical Therapy: Engaging a physical therapist can help devise a tailored exercise regimen that addresses muscle weakness and promotes mobility without exacerbating pain.
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Re-evaluation of Medications:
- Consult with your prescribing physician about your current medication regime. Medications like gabapentin can sometimes contribute to fatigue or muscle weakness. Exploring alternative medications or adjusting dosages might help mitigate some symptoms.
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Nerve and Muscle Assessment:
- Since you mentioned nerve conduction tests, consider discussing with your healthcare provider about possible conditions such as complex regional pain syndrome or fibromyalgia, which can present with similar symptoms.
- An evaluation with a specialist in pain management or neurology may be beneficial to explore these conditions further.
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Lifestyle Adjustments:
- Gentle Exercises: Try low-impact activities like swimming or gentle yoga to maintain mobility without excessive strain.
- Nutrition and Hydration: Ensure you are eating a balanced diet and staying well-hydrated, as poor nutrition can exacerbate conditions.
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Regular Monitoring:
- Keep a detailed symptom diary that notes when the pain occurs, its intensity, any patterns, and how it responds to certain activities or treatments. This data can be invaluable for healthcare providers in finding a diagnosis.
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Mental Health Support:
- Since you are managing multiple medications for mental health, ensure you also have adequate support in this area, as chronic pain can severely impact mental well-being.
Your situation is complex, but focusing on these actionable steps may help you gain better control over your symptoms. Keep communicating openly with your healthcare team about your experiences and any changes in your condition. Remember, persistence is key in advocating for your health, and seeking the right support will hopefully lead you to relief soon.
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