episodic right lower quadrant pain?

Posted by rachxx1 @rachxx1, May 15 6:21pm

I wonder if anyone has similar symptoms as me. I have been having RLQ abdominal pain that is similar to signs of appendicitis (positive obturator sign), which always brought me to the ER. I had this pain once in 2019 and twice in 2024. In the ER, my labs showed elevated CRP but negative imaging. I also have pretty bad nausea occasionally since last year. This year, I started to get stabbing RUQ pain that occurs only when I walk. I have been seeing a gastroenterologist since last year. My colonoscopy, endoscopy, abdominal ultrasound, and labs all came back normal. Idk if I should do a capsule endoscopy or a MR enterography. My gastroenterologist said the last part of my small intestine was normal in my colonoscopy, so there's probably nothing wrong. I'm sick of being invalidated.

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parrot53 | @parrot53 | May 16 7:20am

Please keep us posted if you find any answers. I too have same pain. Thank you

dlydailyhope | @dlydailyhope | May 16 7:56am

@rachxx1
Have you had an abdominal ultrasound and MRI? Do you have painful gas and are you constipated?

Have you ever had your gallbladder checked with a HYDA scan to check function (ejection fraction of bile)? This is called biliary dyskinesia and can cause abdominal pain. My gallbladder ejects only 7% bile when it should be a minimum of 35%-40% after a high fat meal).

Do you take a probiotic or have good fiber, fruits and vegetables in your diet? Do you drink at least 50% of your weight in ounces of water each day (including electrolytes to help your body retain the water in your body)? Do you drink coffee or alcohol? This can cause dehydration.

High CRP shows inflammation. Have you seen an immunologist for allergy testing? Have you seen a rheumatologist to check for autoimmune testing?
https://www.mayoclinic.org/tests-procedures/c-reactive-protein-test/about/pac-20385228

rachxx1 | @rachxx1 | May 16 8:46pm

In reply to @parrot53 "Please keep us posted if you find any answers. I too have same pain. Thank you" + (show)

Out of curiosity, what kind of symptoms do you get?

gamaryanne | @gamaryanne | May 17 5:52am

I had lower right pain with no abnormalities seen in ultrasound or blood work.
It first occurred in Spring then an episode in the Fall. I knew something wasn’t right. Changes doctors and had a CT scan. Liver tumors imitating from silent pancreatic cancer.
That was almost 4 years ago. The new primary care doctor I switched to was and is my angel!

member8675309 | @member8675309 | May 17 6:37pm

@Rachxxl,
I'm sorry for what you're going through.
You may want to read about "mobile cecum syndrome" or mobile colon syndrome.
Radiology reports may not tell you where your cecum is, but it's supposed to be attached in your right lower quadrant so that it doesn't move much.
During fetal development, it's not always attached and in some people it float arounds and causes pain. A lot of people aren't affected at all by having a mobile cecum or mobile colon. I don't know much about it but posted recently to try to learn more.
I am NOT trying to diagnose you and I don't know how often doctors see it or think of it as a cause for pain. It sounds like some people with this condition also have redundant colon.
Best of luck as you look for answers and relief.

parrot53 | @parrot53 | May 30 6:03am

In reply to @rachxx1 "Out of curiosity, what kind of symptoms do you get?" + (show)

I have right lower quadrant pain that gets very bad during the night. I have to toss and turn to get any rest at all. Lately I have been using a heat pad which seems to help me get through the night. Sometimes the pain moves to my right side especially in the afternoons. I am scheduled for a CT to look at my small bowel so we shall see what that shows. It was ordered after an MRI of the abdomen for liver cancer follow up showed some abnormalities in my small intestines.