Chloe Garcia10 said:Hey, I’ve got a question. I've been dealing with this pain in my lower right abdomen since May of last year, with just a few months of breaks here and there. Now it's been five months straight. I have gone through an absolute gauntlet of tests, but still no diagnosis. I've done several abdominal UZV scans, pelvic exams, a colonoscopy, an endoscopy, seen surgeons, had two different MRIs of my abdomen and pelvis, and countless blood draws... I'm totally fixated on the idea of chronic appendicitis. My most recent scan was a high-res 3T MRI specifically looking at the ileocecal region, and they found nothing. Would chronic appendicitis actually show up on an MRI or all those UZV scans? My blood work looks fine, inflammatory markers are normal... The surgeon thinks chronic appendicitis isn't even a thing. I’m honestly at a loss. The pain hits near my hip and groin, that whole lower right area. Hip X-rays came back clear, and the MRI of my sacroiliac joint was okay too...
Best,
Man, you've certainly been through the ringer with all those tests...
The thing is, there's a massive hole in the history here—we don't know what you do for a living, if you sit a certain way, if you play sports, any old injuries, or even what was happening in the days leading up to the pain starting. We need to know the vibe of the pain, what makes it flare up (is it movement, posture, food?), and what actually gives you relief...
Honestly, you can't make any real moves toward treatment or further testing without a thorough physical exam first.
Sometimes in medicine, you really have to strip everything back and start from square one.
And quite often, you just have to watch and wait; some conditions are incredibly elusive and don't always show themselves—there are periods where a condition is detectable and then it just vanishes from the radar...
Chronic appendicitis—man, that's such a headache for surgeons. Some schools of thought say it doesn't exist, others have tossed the idea out, and then they bring it right back, and pathologists all have their own conflicting takes on it...
Pelvic Inflammatory Disease (PID) is another one of those "mystical" things that can be a total nightmare to pin down.
You definitely need more follow-ups, and it might be best to go back to basics—which means a deep dive into your medical history and a full clinical assessment (not just checking your abdomen, but looking at your musculoskeletal system and other areas that could be feeding into this same story...).