Right sided abdominal pain, diagnosed as abdominal strain. Treatment options?
Patient: I have pain in my lower right side abdomen just above my pubic hair . It wakes me up at night when I roll over to my left side. When I lay on my right side it is fine. When I get up in the morning my first few steps are very painful and then throughtout the day the pain goes away unless I move very quickly to the left with my leg. I have been to the doctor any he said it was an abdominal strain but it seems to be getting worse. I work out 5 days a week and have stopped for 6 days but it does not seem to be getting any better. Doctor: Dear ktirney, when doctors find nothing then they says its abdonial strain. It can be but if you really suffer cause of this pain then some serious disorders should be ruled out. You could have inguinal or ventral hernia, do you feel some mass when you cough on this place? if its intensity changes due to position than it can mean that gas in the colon and position of intestines trigger the pain. In that case you can have an intraadbominal lesion or infection. Also you can have some kind of superficial neuropathy which can cause such intermitent pain. So if pain progresses I advice you to do some of imaging tests and pelvic/hip rtg. And neurological examination...  Wish you good health, Dr. Ivan Romic (Rominho)