upper right abdominal pain alcohol
WAnting to know, appendicitis, maybe?
I know I am going to get alot of beef for this one, but I thought I would give it a try since My doc is on vacation… I am searching for some who have had problems with their appendix.. I have already had My gall bladder removed, so it is not that… I drank 2 days ago, not much, just a few drinks with some friends….I went to bed and a few hours later, woke up with fluid spewing out of every orifice, and this lasting through the night and all day the next day.. Even though I fif not frink much, I dismissed it as a hangover and left it alone… Last night I began having lower and upper right abdominal pain and it is not constant but every now and again.. I still have it today and nausea… Could it be appendicitis and can alcohol sort of spawn an attack? If I get serious responses, thanks a million:)
You stated “Last night I began having lower and upper right abdominal pain …. I still have it and nausea… Could it be appendicitis and can alcohol sort of spawn an attack?”
Its not appendicitis.
Appendicitis is a condition characterized by inflammation of the appendix and it has been recognized as one of the most common causes of severe acute (unbearable) abdominal pain. Your pain intensity is not severe.
The typical history includes pain starting centrally (periumbilical) before localizing to the right iliac fossa (the lower right side of the abdomen); this is due to the poor localizing (spatial) property of visceral nerves from the mid-gut, followed by the involvement of somatic nerves (parietal peritoneum) as the inflammation progresses. The pain is usually associated with loss of appetite and fever, although the latter isn’t a necessary symptom. Nausea or vomiting may occur, and also the feeling of drowsiness and the feeling of general bad health. With the typical type, diagnosis is easier to make, surgery occurs earlier and findings are often less severe.
Atypical symptoms may include pain beginning and staying in the right iliac fossa, diarrhea and a more prolonged, smoldering course. If an inflamed appendix lies in contact with the bladder, there is frequency of urination. With post-ileal appendix, marked retching may occur. Tenesmus or “downward urge” (the feeling that a bowel movement will relieve discomfort) is also experienced in some cases.
Unlike acute appendicitis, chronic appendicitis symptoms can vary from patient to patient—so much so that “There are no typical findings or routine diagnostic modalities to diagnose chronic relapsing appendicitis. It is a diagnosis of exclusion…”
Signs:
These include localized findings in the right iliac fossa. The abdominal wall becomes very sensitive to gentle pressure (palpation). Also, there is rebound tenderness. In case of a retrocecal appendix, however, even deep pressure in the right lower quadrant may fail to elicit tenderness (silent appendix), the reason being that the cecum, distended with gas, prevents the pressure exerted by the palpating hand from reaching the inflamed appendix. Similarly, if the appendix lies entirely within the pelvis, there is usually complete absence of the abdominal rigidity. In such cases, a digital rectal examination elicits tenderness in the rectovesical pouch. Coughing causes point tenderness in this area (McBurney’s point) and this is the least painful way to localize the inflamed appendix. If the abdomen on palpation is also involuntarily guarded (rigid), there should be a strong suspicion of peritonitis requiring urgent surgical intervention.
2pac – No More Pain
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