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Appendicitis or Ovarian Cysts? No hospital unless it’s appendicitis but how to tell?

Is it possible for one to have both ovarian cysts and appendicitis? Also if pain in the appendix area has been felt over the course of a couple weeks wouldn’t it be impossible for it to go as long as two weeks before it becomes inflammed and needing to be removed. Over this last few months I had one night where I thought it was my appendix but the symptoms went away. I noticed symptoms again about two weeks ago on and off.

Will an ultrasound show abmormalities on the appendix if it has a good chance of becoming inflammed or rupturing?

If a gynecologist prescribes an ultrasound to check for ovarian cysts can the same one be used to check the appendix or does the patient have to see a different type of doctor such as gastroenterologist to find out about the appendix?

I know that no treatment or surgery is done for ovarian cysts but is for appendicitis so I’m trying to find out if it’s worth seeing two different types of doctors or just go to one and hope that the appendix is still o.k. even if ovarian cysts are present.
I was diagnosed with ovarian cysts about five years after hysterectomy even though I didn’t have symptoms & doctor ordered kept an eye on the cysts with updated ultrasounds with the last ultrasound about three years ago. The cysts got small enough and I didn’t need further ultrasounds.
One doctor I didn’t like or agree with said to get my ovaries removed because of the history of cysts and he wouldn’t help me with why I went in there (complication from hysterectomy) and Ithink he was just trying to get more money (the wait was over 3 hours in his office).3 other doctors agreed to not take out my ovaries including my surgeon if it wasn’t cancerous as it could prevent me from going into surgical menopause. I wish there was a procedure to remove take out the cysts without removing the ovaries.

Ok.
The only sure way to tell if it is an appendix that needs to come out is visualization during surgery. You cannot confirm it 100% by ultrasound, though it can sometimes be conclusively diagnosed with CT scan or ultrasound. Appendicitis can come and go over the course of several months, and can even resolve, though not usually. Typical symptoms include pain in the right lower quadrant of the abdomen. The pain usually worsens with movement, especially jarring movement, such as going over a bump while riding in the car. It is sometimes accompianied by nausea and vomiting. If the appendix ruptures, you may feel better briefly, but then feel worse again. This can cause more complications than if it had not ruptured.

Call your local emergency department or emergency medical service (such as 911) if:
Your pain is severe, sudden and sharp
You have a fever along with your pain
You are vomiting blood or have bloody diarrhea
You have a rigid, hard abdomen that is tender to touch
You are unable to pass stool, especially if you are also vomiting
You have chest, neck, or shoulder pain
You are dizzy or light-headed

Usually ovarian cysts do not produce symptoms and are found during a routine physical exam or are seen by chance on an ultrasound performed for other reasons. However, the following symptoms may be present:
•Lower abdominal or pelvic pain, which may start and stop and may be severe, sudden, and sharp
•Irregular menstrual periods
•Feeling of lower abdominal or pelvic pressure or fullness
•Long-term pelvic pain during menstrual period that may also be felt in the lower back
•Pelvic pain after strenuous exercise or sexual intercourse
•Pain or pressure with urination or bowel movements
•Nausea and vomiting
•Vaginal pain or spots of blood from vagina

Some cysts do require surgery. Some require no treatment, some can be managed with observation and medications.

You do not need to see two different doctors, and especially not a gastroenterologist. Your gyn can check you for both, as can your family doctor/internist. I would see one or the other and describe your symptoms. Good luck!

Comments

  • Rachel November 20th, 2009 at 7:11 am

    well which one are you more concerned of, i say go to whatever that one is . and ask them if they can do an ultrasound for the other maybe you can call and ask before scheduling to save some time and possibly money. there is a good change that it could just be ovarian cysts. I would go see a doctor and explain to them.
    References :

  • TylerM November 20th, 2009 at 7:37 am

    Symptoms of appendicitis are severe right abdominal pain and sometimes nausea and fever. Only a CAT scan can see the appendix. You need to go to the ER, appendicitis is a potentially fatal condition. Better be safe than sorry.
    References :
    Medical Student

  • JLM November 20th, 2009 at 7:48 am

    Ok.
    The only sure way to tell if it is an appendix that needs to come out is visualization during surgery. You cannot confirm it 100% by ultrasound, though it can sometimes be conclusively diagnosed with CT scan or ultrasound. Appendicitis can come and go over the course of several months, and can even resolve, though not usually. Typical symptoms include pain in the right lower quadrant of the abdomen. The pain usually worsens with movement, especially jarring movement, such as going over a bump while riding in the car. It is sometimes accompianied by nausea and vomiting. If the appendix ruptures, you may feel better briefly, but then feel worse again. This can cause more complications than if it had not ruptured.

    Call your local emergency department or emergency medical service (such as 911) if:
    Your pain is severe, sudden and sharp
    You have a fever along with your pain
    You are vomiting blood or have bloody diarrhea
    You have a rigid, hard abdomen that is tender to touch
    You are unable to pass stool, especially if you are also vomiting
    You have chest, neck, or shoulder pain
    You are dizzy or light-headed

    Usually ovarian cysts do not produce symptoms and are found during a routine physical exam or are seen by chance on an ultrasound performed for other reasons. However, the following symptoms may be present:
    •Lower abdominal or pelvic pain, which may start and stop and may be severe, sudden, and sharp
    •Irregular menstrual periods
    •Feeling of lower abdominal or pelvic pressure or fullness
    •Long-term pelvic pain during menstrual period that may also be felt in the lower back
    •Pelvic pain after strenuous exercise or sexual intercourse
    •Pain or pressure with urination or bowel movements
    •Nausea and vomiting
    •Vaginal pain or spots of blood from vagina

    Some cysts do require surgery. Some require no treatment, some can be managed with observation and medications.

    You do not need to see two different doctors, and especially not a gastroenterologist. Your gyn can check you for both, as can your family doctor/internist. I would see one or the other and describe your symptoms. Good luck!
    References :
    RN,
    Google Health https://health.google.com/health/ref/Appendicitis
    http://www.emedicinehealth.com/ovarian_cysts/article_em.htm

  • Hasan November 20th, 2009 at 7:56 am

    yes it is possible to have both at one time.
    consult the surgeon,he is the one to treat u well in both respect,either appendicitis or ovarian cyst.
    appendicitis is usually the pain in right illiac fossa.with nausea and fever,pain started from umbilicus which radiate to right illiac fossa,if not treated,it may rupture and cause sever complication,needs laprotomy to open ur abdominal cavity to wash out all coontents leaked..

    while ovarian cyst,sometimes painless and sometimes painfull,
    incase of painfull ovarian cyst,the sypmtomsare like appendicitis,but ur surgeon will rule it out before he/she is going to do surgery

    other symptoms which mimic the same presentation is mesenteric lympheadinitis,or diverticulitis,or sometime right ureteric stone,or large bowel inflammation(in ceacal part) etc etc

    consult ur sergeon,general surgeon,
    get well soon
    References :

  • tim g November 20th, 2009 at 8:26 am

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