Q. What is your opinion about my right-sided abdominal cramps?

Answered by
Dr. Veerpal Singh Uppal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 22, 2017

Hi doctor,

The following symptoms started about four hours ago. I am experiencing cramps on my right side, near my hip bone. I feel them more in the front but at times, can feel it in my back. At first, the cramps were minutes apart, but now they are roughly 30 seconds apart. I am a 43 year old female. My height is 5'4" and weight is 140 lbs. I am not having any sort of bathroom issues. I have not had a menstrual cycle in the last three years due to uterine ablation. Kidney stones do run in the family. What is your suggestion about my cramps?



Welcome to icliniq.com.

  • If it is manifested with high temperature and spasmatic pain, then we should think of acute conditions such as appendicitis, cholecystitis (gall bladder inflammation acute or chronic) or lower urinary tract infections.
  • If the pain is acute and worsening, then you must consider consulting your GP or family physician as soon possible.
  • If it is periodic, then I suggest you start antispasmodics or painkillers such as Ibuprofen 200 mg twice daily for three to four days to get temporary relief.

The Probable causes:

Previous chronic gynecological disorder or chronic GIT disease (gastrointestinal tract disease).

Investigations to be done:

1. CBC (complete blood count).
2. Abdominal ultrasound.
3. Biochemistry test includes CRP (C-reactive protein), ALAT (alanine aminotransferase), ASAT (aspartate aminotransferase), GGTP (gamma-glutamyl transpeptidase), etc.

Differential diagnosis:

1. Gallstones.
2. Kidney stones.
3. Oophoritis.

Probable diagnosis:

1. Salpingitis.
2. Oophoritis.
3. Gallstones.
4. Kidney stones.

Treatment plan:

pain killers, investigation and physician consultation.

Regarding follow up:

For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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