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episodic right lower quadrant pain?
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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Please keep us posted if you find any answers. I too have same pain. Thank you
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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