What causes severe pain in lower right abdomen and under rib cage?
Patient: Hi. I am experiencing severe pain in my lower right abdomen and higher under rib cage on right side. I have recently been trying to recover from Lyme disease and mono. I have been told that my Lyme has become dormant, but the mono is still active. I was helping my husband move some heavy furniture about an hour ago and now the pain is unimaginable. I have had a hysterectomy, 2 years ago. They removed my uterus, cervix, both tubes, and right ovarie, and my appendix. They also had to remove a large amount of scar tissue and cysts, on nearly every aspect of my abdomen. I have severe endometriosis, and had scar tissue removal, and cysts removed from my abdomen, 4 separate times.  I have been doctors so much in the past, I don't want to go if not necessary. Do you think the pain I am experiencing is something serious? Doctor: Welcome to healthcare magic for your health concernsI am Dr Fahim, and I will be helping you with your query . . .      I have gone through your question and understood your concerns. It appears to be pain of the gall bladder because of gall bladder stones called Cholelithiasis. Symptomatic gall stones is very common in middle age women, with presenting complaint of pain in the right upper quadrant. To confirm our diagnosis we need Ultrasonography Abdomen along with blood complete picture and liver function tests to rule out infection and gall stones effects on liver functions. If such a patient walk into my clinic I start treatment with tab paracetamol 500mg 8hourly, tab Nospa 40mg 12hourly, tab metoclopramide 10mg 12hourly, cap omeprazole 40mg 24hourly. Mean while counselling and preparing patient for cholecystectomy, preferably laparascopic cholecystectomy. I hope my answer will help you. Please do rate my answer if you like itRegards