Kind of scared...need some advice
Hello, I'm just a little nervous so would appreciate some advice if anyone's around now. I'm suddenly having lower right abdominal pain and it's become really severe. I've had this before but not as bad and gone to emergency worried that it was appendicitis but it's never been that so I don't want to waste another trip for that same result. It's considerably worse this time though, so I'm not sure what to do. It's hard to stand up straight cause it hurts. I've been told though on other visits that there are glands or lymph nodes or something around your appendix that can swell in some cases and cause syptoms similar to appendicitis and knowing that us lupies tend to get swollen glands as a symptom I'm thinking that might be it again. Don't know what to do, safest is probably go get checked, but I hate going there, they're starting to think I'm a hypochondriac I think...oh well, we'll see what happens I think. Thanks for your help.
Andy, go to ER or call doctor
Just because it wasn't appendicitis before doesn't mean it isn't now - medications like prednisone suppress fever and can mask the symptoms of appendicitis and other abdominal problems, so it's important to make sure the ER docs know you have lupus, and what meds you're taking. At the very least you need a complete blood count and urinalysis, and an abdominal ultrasound or CT, so be sure the doctors do a thorough exam and labs before ruling out anything. Some people have atypical symptoms because their appendix is located in a slightly different place, and a skimpy medical exam can miss this. If you feel you are not getting a thorough examination, ask for an attending physician or a GI consult, many ER doctors, especially in larger ERs, are interns or residents who may not be familiar with lupus. You should also make sure the ER calls your own doctor.