Patient's question:
My lower right abdomen hurts a little, not often, but sometimes. However, I don't have symptoms like lower back pain or increased vaginal discharge with a bad odor. I went to the hospital for a gynecological ultrasound, and they said there is a little inflammation in the pelvis. I want to ask the doctor, could it be appendicitis?Doctor's answer:
Pelvic inflammatory disease (PID) occurs in a woman's lower abdomen, usually chronic, with dull pain, lower abdominal fullness, and back pain. Fever is rare, but acute cases may have fever. Chronic cases generally do not have fever. The onset process is slower. An ultrasound examination can confirm the diagnosis. Appendicitis usually has acute onset, with migrating right lower abdominal pain, fever, nausea, and vomiting. It follows an acute course, with right lower abdominal tenderness, rebound tenderness, and muscle tension. The right leg may be reluctant to extend backward. Chronic cases are typically preceded by acute episodes. Chronic cases also present with right lower abdominal pain. An ultrasound examination can also confirm the diagnosis. That's about it.