Episodic right-lower quadrant pain. Do I need further testing?
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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It sounds like you are having a much tougher time of it than I am, but I will throw this out just in case it does apply to you. Do you think it can be your ileocecal valve causing the pain? It connects the small and large intestines and sometimes it can get stuck, is how it was explained to me. You can find massages online for the valve, or try a low FODMAP diet. The latter really helped me, so even tho I never had any formal testing, feeling relief by not eating highly fermentable carbs like watermelon and beans gave me an answer. Good luck in your search. I hope you find relief soon.