Do I have a hernia?

[nharrellmt]

I have had pain in my right lower quadrant for months. It is just right of midline between my belly button and pubic bone. Often it is mild, dull pain but at other times it is constant, worse pain and a few times it has been sharp to the point where it took my breath away. There have even been sometimes when I don’t feel it at all but it comes back. I have had pelvic ultrasounds, a CT scan and an MRI, nothing was found. I was diagnosed with chronic pelvic pain and have been seeing a Physical Therapist but it is not helping my RLQ pain. My doctor has felt several times for a hernia and feels nothing. The pain does go away when I lay down. I used to be very active, going to the gym everyday but now I am so worried that I will make the pain worse and frankly very depressed because I have this pain that no one can explain. I would love input as to what you think my be causing it and if it could be a hernia. Thank you.

[sngoldstein]

Do I have a hernia?

My guess is a nerve being irritated or pinched as it comes through the connective tissue. Have a pain specialist inject some local anesthetic into the area and see if it gets better temporarily. If so, a nerve ablation may solve your problem. It could also be a small spigelian hernia, but with all those negative studies, that is less likely.

[drtowfigh]

Do I have a hernia?

If you are debilitated by the pain, it’s worth seeking another opinion and have your studies re-reviewed. Spigelian hernias, Abdominal cutaneous nerve entrapment syndrome, incisional hernias, endometriomas, and inguinal hernias can all cause similar pain. The key is the history and review of the tests you’ve already had.

Which area do you live? Perhaps we can help make a referral for you.

[Author]

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