USG for right-sided lower abdominal pain showed epiploic appendagitis. Kindly help.

Hello doctor,

My wife has stomach pain in the lower right side of the abdomen. She use to feel this pain over the last one to two years with frequent recurrence in the past two months and typically lasts for less than 24 hours on every occasion without any medication. It is a consistent pain in the lower right abdomen without much fluctuation. It is already more than 48 hours and it is not vanishing.

We got her whole abdomen USG done, yesterday. Please see the report as under:

Liver is normal in size, outline and echotexture. No focal lesion is seen. IHBRs are not dilated.

Gall bladder is well distended and shows anechoic lumen. The wall thickness is normal.

No evidence of any mass or calculus is seen. No pericholecystic fluid is seen.

CBD is normal.

Pancreas is normal in size, outline, and echotexture. No focal lesion is seen.

Spleen is normal in size, outline and echotexture. No focal lesion is seen.

Right kidney is normal in size (10.4 x 4.0 cm) and outline. Cortical thickness and echogenicity are normal. The CM differentiation is maintained. No obvious calculus or hydronephrosis is seen.

Left kidney is normal in size (10.0 x 4.8 cm) and outline. Cortical thickness and echogenicity are normal. The CM differentiation is maintained. No obvious calculus or hydronephrosis is seen.

Urinary bladder appears well distended. The wall thickness is normal. No evidence of any calculus or mass lesion could be seen within the bladder or at UV junctions.

Uterus measures approximately 69 x 44 x 30 mm. It is anteverted. A small intramural fibroid is seen in the posterior wall of the uterus, measuring 11 x 14 mm. No other focal myometrial lesion is seen.

Endometrium is central and measures 5.3 mm.

Bilateral ovaries are normal.

No obvious adnexal mass lesion is seen on either side.

Minimal free fluid is seen in the cul-de-sac.

There is evidence of small focal hyperechoic area along the peritoneal fat in the region of right iliac fossa with associated probe tenderness - suggesting focal inflammatory changes.

The appendix appears normal.

Finding are suggestive of possibility of epiploic appendagitis (confirmed on complimentary CT scan).

Advice: Clinical correlation and follow up.

The radiologist also suggest to consult a doctor and usually this condition can be cured with some antibiotics or other medicine. Kindly look into this situation and suggest best possible treatment for her.

Thank you doctor,

What can I expect that with these medicines for five days? Will the situation be back to normal? Also, are there any complications in the future? Is there any reason for concern? If things are getting normal post five days, what is the chance of recurrence? Kindly respond to all the above queries.

Just now, I showed her to one doctor in my current vicinity, and he prescribed the following medicines.

1. Tablet Cefunus 500 mg (Cefuroxime Axetil).

2. Tablet Metrogyl 400 mg (Metronidazole).

3. Tablet Rabicip 20 mg (Rabeprazole Sodium).

4. Tablet Neurocap.

Kindly suggest what the difference between these medicines and the ones prescribed by you is. I am a bit worried hence asking such detailed answers to get her correct treatment. Therefore, I need your detailed response on all the above points. Please help.