Severe pain in right side of the body along with nausea,fatigue and appetiteloss.Could it be appendicitis?
Patient: I have been having right side pain for 2 months now along with nausea, fatigue and appetite loss. The pains range from sharp and stabbing, tearing, burning and stinging, mild to severe, My temperature has gone all the way down to 94 degrees and up to a fever. Some days the pains are not so bad but constant and other days the pain is so severe and I can't stand up straight and can hardly move. The pain gets worse with deep breathing, a lot of movement, being hungry, eating, some days I do nothing unusual and the pain gets super severe. I have had an upper abdominal Ultra Sound, An upper UGI with barium and they both came out normal. The doctor said those were to test my gallbladder but they did not find gallstones. They have not mentioned appendicitis. I am wondering what is causing the pain. Thanks Doctor: Hello,  Thanks for the query  to H.C.M. Forum. This is a very peculiar history. Nausea  , fatigue, loss of  appetite are due to PAIN. Now  the nature of pain . Pain threshold is  different in  different persons so at present keep it a side.  As temperature goes down i.e. 94 F i.e. HYPOTHERMIA.  Hypothermia obscures most of the symptoms and signs of INFECTION, notably fever and leukocytosis. Excessive ,extensive cultures and repeated physical examinations are essential.  As I mentioned above Infection may obscures so we have too consider for abscess in Liver in initial phase, tuberculosis of intestine, Kidney functions ( MAIN EMPHASIS over this). Once again get in U/S whole of abdomen  at least from  3 ( three ) different centers and than consult a doctor who will match these reports and adjudge what is  the  disease. Once  again I would advice you please get in Blood  for E S R ( C B C). Good luck  Dr. HET