Lower Right Abdominal Pain Accompanied By Headaches And Fever?
Hello! I have been suffering from lower right abdomen for four days, headache, earache, nausea, vomiting, high fever, frequent urination and have not defecated for three days. Two days ago I was admitted to a hospital, diagnosed with an infection due to high leukocytes. When I asked where the infection was, the doctor igd only answered that it was “if the earache is likely to be an ear infection, if the stomach ache is likely to be a digestive infection”. That day I was allowed to go home and was treated with outpatient antibiotics, paracetamol, and gastric medication (ranitidine). The next day, there has been no progress. In fact, my stomach hurts and I vomit more often, antibiotics that are said to be finished always come out with the food I eat. Feeling worse, yesterday afternoon I returned to the same hospital igd, then asked to be hospitalized. The drugs given were more or less the same as before, stomach medicines taken before meals, paracetamol, antibiotics but this time the antibiotics were injected, and the nausea drugs were injected. Until today the condition still hasn’t changed much. I have not vomited even though sometimes I still feel nauseous, my stomach still hurts, even when I move, cough and sneeze. Until now I have not met with an internist who treats me. The last update of the nurse, the last diagnosis was a digestive infection and a slight typus. Earlier the guard nurse had asked for a test to bend the right leg toward the stomach, and the results were very painful. My question was, how likely was I to get appendicitis? If the internal medicine doctor comes later, should I ask for a rotgen / ultrasound to confirm if I have appendicitis or not? What action should I do next? Sorry, it’s rather long, I’m trying to give an overall picture of my current condition. Thank you very much 😁
Hello Annisa, Thank you for the question.
The causes of right lower abdominal pain are very diverse and to find out the cause requires further examination by a doctor. Some of the causes of lower right stomach pain are:
urinary tract infections (UTI)
If the complaint is accompanied by a fever and an increased number of white blood cells, then the complaint is caused by an infection in the body. Regarding what infection happened to you, it depends on the symptoms you are experiencing and depends on the doctor's examination and the results of investigations. It is true that middle ear infections (otitis media), urinary tract infections, gastrienteritis (including typhus) can cause white blood cell counts to increase. Appendicitis can also cause complaints and similar signs. In appendicitis, patients will usually experience abdominal pain starting from the middle of the stomach and then moving to the lower right, accompanied by symptoms of nausea, vomiting, fever, diarrhea / constipation, decreased appetite. For mediagnosis of this disease the doctor needs to examine you and if necessary do other tests such as blood tests, urine tests, and ultrasound.
My advice, you should convey your complaint back to the doctor and let the doctor do the examination first on you. From this examination the doctor may perform other tests such as urine or ultrasound examination. You may ask the doctor about the need for an ultrasound examination. If indeed from the examination the doctor thinks it is necessary to do an ultrasound then the doctor will definitely recommend the examination. The next treatment will be determined according to the cause that you are experiencing. If it is caused by appendicitis, the doctor will refer you to a surgeon.
Hopefully this information is useful.