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Hi. I am having sharp pains in my lower right side. It is tender when I press on it. I usually do not feel relief until my body has force me to vomit up anything in my system. I was diagnosed with GERD about 6 years ago, but I have never had any major problems. This has been going on for about 2 months now, usually when I curl up in a ball after vomiting, I feel relief. What could possibly be wrong?

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  • Dr. Chris February 28, 2011

    When you say lower right side, I am assuming that you mean the right lower quadrant of the abdomen. There could be various acute causes from gastroenteritis to appendicitis but the fact that you have been experiencing this for two years with no other symptoms is a bit puzzling. The only way to know for sure is to have an upper GI endoscopy and possibly a colonoscopy as well. The most obvious causes would be gastritis, pancreatitis and various types of gallbladder disease but the pain would not be isolated to the right lower quadrant only.

    Of course, it can radiate or even refer lower down the abdomen but not for so many years with no obvious pain over the affected area, which would be the upper abdomen.

    Even with the conditions mentioned above, you should have seen some other symptoms after two years. A partial bowel obstruction is also a possibility. Once again, various investigations are required and only then can your doctor reach a possible diagnosis.

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