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    Appendicitis

    Other than pain and possible fever, what would be the symptoms of appendicitis be for a person with a SCI?

    I was having a sharp pain in my lower right abdomen last night/early morning and it has returned this evening. I thought it might be gas so I did my trick to get rid of it, but it wasn't gas.

    If not appendicitis or gas, I'm thinking possible kidney stone passing through the ureter maybe? Or possible phantom pain?

    #2
    Lie on your back with your heels near your butt (knees bent). Straighten your legs (unbend knees). If pain spikes in your lower right abdomen, go to the ER. Nausea can also be a symptom of appendicitis.
    Chas
    TiLite TR3
    Dual-Axle TR3 with RioMobility DragonFly
    I am a person with mild/moderate hexaparesis (impaired movement in 4 limbs, head, & torso) caused by RRMS w/TM C7&T7 incomplete.

    "I know you think you understand what you thought I said, but what I don't think you realize is that what you heard is not what I meant."
    <
    UNKNOWN AUTHOR>

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      #3
      Gallbladder may also be the issue best way to tell is by either CT scan or ultrasound.
      T6 Incomplete due to a Spinal cord infarction July 2009

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        #4
        If you have sensation in your abdomen, you can often get a pain response with appendicitis by pushing firmly on the abdomen in the right lower quadrant with a finger 1/2 way between your belly button and your hip (pelvic bone).

        In people without sensation, it can be difficult. Appendicitis is usually accompanied by fever, sometimes nausea and vomiting. An ultrasound or CT of the abdomen is the best test for this. Blood work would also reveal an elevated white blood count (WBC).

        A ureteral stone usually causes more low back pain than abdominal pain, but that can be variable too. Gall bladder pain is usually right upper quadrant, but can also refer pain to the right shoulder in many.

        If the pain continues, you need to go to the ER and have the tests above completed.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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          #5
          Thanks... I had pain last night again for a while, but it died off. I had pain like this last year, really bad for a while but ct's and blood work came back normal.

          I do have a weird abdominal muscle spasm that only effects a 2 inch wide swath of abs and when it kicks in, my belly pooch deforms by tightening up and sinks in and the pain I have is just above the pelvic/pubic bone area where that muscle attaches. Could it be a strained/pulled muscle pain?

          I don't have external sensation there so pushing on it doesn't cause extra pain.

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            #6
            You need to be evaluated by a Physician. It is very hard to diagnose something without having lab or radiologic images.
            please call your PCP as soon s possible.
            ckf
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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              #7
              Appendicitis can have an unusual presentation, as in my case. My white count was normal, I had no fever, and no right lower quadrant or rebound pain; the only symptoms I had were nausea and a distinctly unusual discomfort (not exactly pain, more like tenderness) around the navel. I called my PCP and he told me to go to the ER, where bloodwork and clinical examination were normal (as above), but ultrasound clearly indicated an inflamed appendix. Surgery took place within an hour, and indeed, the appendix was so inflamed that it ruptured on the way to the lab. So…as SCI-Nurse says, it can be tough to diagnose these things without appropriate studies, and if you're still experiencing discomfort it would be wise to see what's what.
              MS with cervical and thoracic cord lesions

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                #8
                If I have blood work done to check for elevated white blood cells, could it be skewed if I currently have a bladder infection?
                I've been trying to get rid of a pseudomonas & mrsa UTI for about two months and I'm having another sample taken Friday (I think the UTI is still in full force but had to wait for a bit before checking it again).

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                  #9
                  Any bacterial infection could cause a rise in WBC count. When you go for your repeat blood test on Friday, you might mention your concerns about appendicitis and ask for recommendations about ruling it in or out.
                  MS with cervical and thoracic cord lesions

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                    #10
                    I'm gonna call the home health agency tomorrow and see if I can get the blood work and urine sample both on Friday.

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                      #11
                      Please do not wait until Friday to get this checked out. You need more than blood work and a urine specimen to make a clear diagnosis. See your PCP or go to the ER! This could be nothing to fool with!
                      ckf
                      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                        #12
                        Bloodwork and urine will not rule anything with appendix out you need either an ultrasound or ct scan i suggest you get to the ER and have these tests done there. Why have you waited almost a month since we told you before.
                        T6 Incomplete due to a Spinal cord infarction July 2009

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                          #13
                          Well it wasn't appendicitis. I few weeks earlier, I ran out of probiotics and felt maybe I could go without them... apparently not. I had also been taking zinc supplements for more than 6 months which could have also contributed to the pain. (possible side-effect)

                          Anyhow, since I've had that pain before and probably will have in the future, would a doctor ever opt to do a preventative appendectomy on someone like myself? If I go to the ER for a CT scan every time I get gas pain or do the opposite and not do anything thinking it is only gas pain, would it not be prudent (given the simplicity of current appendectomy procedures) to remove a somewhat unnecessary and potentially deadly part of the body, so that in the future I wouldn't die from the lack of the said simple procedure? I realize every time you go under anesthesia you're in danger but given the situation could it not be justified?

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                            #14
                            Well did the provider say that your appendix was inflamed? It doesn't sound like it from your report. And no surgeon would take out your appendix just because you wanted it out

                            It sounds like you had abdominal cramping due to zinc supplements that was determined from your visit. What did the CT scan show?

                            A thorough review of all your medications would be in order, including all of your supplements. might be a good idea to know what your bowel program.

                            pbr
                            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                              #15
                              The appendix wasn't inflamed. The colon also looked normal but asked about my bowels. They saw some stool, but my bowels are regular and very easy, especially considering what most SCI's deal with. After the scan came back clear of appendicitis, I started eating my pro-yogurt and ordered my probiotics that I prefer from amazon and started feeling better. It was only a couple days ago that I read that zinc could cause abdominal pain, so I'm hoping that will help relieve what little pain I have left. I was also diagnosed with arthritis in that hip a few years ago and while that isn't exactly where I feel the pain, SCI pain isn't an exact science.
                              Anyhow, life goes on.

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