Family, Internal Medicine, General Medical Questions/Side Pain

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Question
Hello! I've had a side ache on my right side for over 48 hours now. It's a dull ache along the waist line on the right side. I am a 27 year old female, I have both ovaries & I have my appendix. I have no fever, no vomitting, no nausea & the pain has not increased. It has just been a steady, dull ache. Could this be a UTI or kidney infection? I've never had a side ache for a prolonged period of time before. It didn't start from anything in particular, like exercise. It started randomly when I got home from work 2 days ago. Thanks so much!

Answer
Dear Shannon,

The appendix is located in the right lower quadrant of the abdomen. It generally causes referred pain near the umbilicus (belly button). Nothing in medicine is ever always or never. The ascending colon is on the right side of the abdomen and can become irritated with constipation or other bowel disorders, the gallbladder sits under the liver in the right upper quadrant and generally causes pain which may radiate to the epigastric region (stomach) or the right side of the back. The right kidney sits retro peritoneal in the abdomen. It is located close to the mid back. The ureters carry fluid from the kidneys to the bladder. If this is related to the kidney or a kidney stone you would generally experience pain along the right side of the abdomen, the flank area, or close to the bladder.

My point through this discussion is that your pain can be something as simple as a tired muscle or as serious as a kidney stone. If the pain worsens or does not subside, I recommend you seek medical attention.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Organizations
Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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