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Doctor insights on: The Difference Between Appendicitis And Ovarian Cysts

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What are the symptoms of appendicitis vs ovarian cyst?  

What are the symptoms of appendicitis vs ovarian cyst?  

Onset of pain.: On physical examination, it is often very difficult to distinguish a ruptured right ovarian cyst from appendicitis; however, with a ruptured cyst, the onset of the pain is typically "hyperacute", whereas, with appendicitis the pain often begins like a typical "stomach ache" in the upper or mid abdomen before "moving" to the right lower abdomen. ...Read more

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


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How do I know if I have appendicitis or ovarian cyst leaking?

How do I know if I have appendicitis or ovarian cyst leaking?

Go to your doctor.: Self diagnosis is very risky, especially with appendicitis. Go to your doctor or the er. A ct would be the best test to distinguish between a cyst and appendicitis. Get checked though because if it is appendicitis, delay in diagnosis can lead to rupture which can cause fertility problems in the future, or even death. ...Read more

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What type of ovarian cyst when ruptured can be mistaken with appendicitis?

Corpus luteum: The most common would be the corpus luteum cyst, that which can develop in an ovary after egg delivery. However, any cyst which ruptures into the abdominal cavity can cause irritation of the pelvis and right lower quadrant, and is in the differential diagnosis of rlq pain in a female. Good luck. ...Read more

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I thought my severe pain was appendicitis, but turned out to be an ovarian cyst. I'm in excrutiating pain w/a consistant lowgrade fever. Worry or not?

I thought my severe pain was appendicitis, but turned out to be an ovarian cyst. I'm in excrutiating pain w/a consistant lowgrade fever. Worry or not?

Not to: "worry" but "excruciating" pain and fever from an uncomplicated ovarian cyst is very unusual...contact your GYN for further treatment.

Hope this is helpful
Dr Z ...Read more

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Sharp pain in lower right side but down near hip, close to pubic region. More likely ovarian cyst or appendicitis?

Hard to say: Nauseated? Pain duration? Quality of pain? Fever? Time of month? You should see a doctor for an exam and lab work to be safe. ...Read more

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If I did have an ovarian cyst rupture, how long does the pain last? I am completing 2 days. Appendicitis and kidney stones were ruled out.

If I did have an ovarian cyst rupture, how long does the pain last? I am completing 2 days. Appendicitis and kidney stones were ruled out.

3-5days: 3-5 days is typical. But the pain should always be gradually getting better. If it gets worse at any time, you should seek care again. Also it is 100% important that pregnancy is not a possible cause of the symptoms. ...Read more

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Severe ovarian cyst pain I was diagnosed with ovarian cysts 13 months ago, in the ER they thought it was appendicitis. I hadn't had any severe pain since my diagnosis until this last month. I had mirana placed 25 months ago. I've been to my gynecologist t

Severe ovarian cyst pain I was diagnosed with ovarian cysts 13 months ago, in the ER they thought it was appendicitis. I hadn't had any severe pain since my diagnosis until this last month. I had mirana placed 25 months ago. I've been to my gynecologist t

I: I am very concerned about several things here. That is way too much Ibuprofen (advil and Motrin are other words for ibuprofen). Taking 800 mg every 6 hours for a few days is a lot, but taking 800 mg every two hours is very concerning, and can cause side effects with your stomach and your kidneys. You need to be immediately evaluated for this pain and irregular bleeding. It is not normal. Sometimes these symptoms can occur in the first few months after a mirena, (levonorgestrel) but you state you are 25 months out, so these symptoms are very abnormal. Please have a complete gynecological evaluation. You likely need an imaging study such as an ultrasound. There are other pain medications that you can be treated with. Please be seen immediately for your symptoms. ...Read more

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Diagnosed w/a hemorrhagic ovarian cyst. Everyone (ER docs) thought appendicitis. CT &ultra sound showed cyst. High WBC. Severe pain again. Any advice?

Diagnosed w/a hemorrhagic ovarian cyst. Everyone (ER docs) thought appendicitis. CT &ultra sound showed cyst. High WBC. Severe pain again. Any advice?

Pelvic abscess: The high WBC count worries me. Hemorrhagic cyst may be associated with an abscess. It may not have been infected before but is now infected (abscess is usually due to a focal bacterial infection). I suspect that your doctor put you on antibiotics. If you are getting worse on the antibiotics, they may not be working. Call your doctor right away to let the doctor know it is worsening. ...Read more

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I have suffered with ovarian cysts and now I have this really bad pain, feels numb &aches, and it hurts when I pee. Got ultrasound. Not appendicitis.

I have suffered with ovarian cysts and now I have this really bad pain, feels numb &aches, and it hurts when I pee. Got ultrasound. Not appendicitis.

Bladder infection?: You might have a bladder infection. Needs a urine test to confirm. Sometimes they are treated without the test. See your primary care provider today to find out. Hope this helps! ...Read more

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Ever since my ovarian cyst rupture I can't seem to feel better from my abdomen it makes me think it's appendicities but ER said it's not what it is?

Ever since my ovarian cyst rupture I can't seem to feel better from my abdomen it makes me think it's appendicities but ER said it's not what it is?

Please see a gyn: As you need followup, the er should have referred you to or consulted with the gyn on call as you may need a laparoscopy to see what is going on a ruptured cyst can cause in some cases an infection or peritoneal irritation or peritonitis so you need to see a gyn. ...Read more

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What is the difference between ovarian cyst and tumor?

What is the difference between ovarian cyst and tumor?

Any growth is tumor: A cyst is one type of tumor which, by definition is a fluid filled structure. This is different than a solid growth which is more often cancerous. But most ovarian cancers are cystic. So you should seek advice from your gynecologist and make sure this cyst is not cancerous (size matters in this regard....Benign cysts are small...2-4 cm in size...Bigger ones are more likely to be cancerous). ...Read more

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Is there any difference between mittelschmerz and an ovarian cyst?

Is there any difference between mittelschmerz and an ovarian cyst?

Yes: Mittleschmertz is pain at the time of ovulation that can happen with bursting of the follicle and release of the egg. The follicle is a small normal ovarian cyst. The term ovarian cyst usually refers to a larger or abnormal cyst in the ovary. You can have ovarian cysts without pain/ mittleschmertz and vice versa. ...Read more

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How can you test the difference between an ovarian cyst and tumor?

How can you test the difference between an ovarian cyst and tumor?

Imaging & Biopsy: There are several ways in which a physician may determine the difference between a benign ovarian cyst and a tumor (neoplasm). Blood tests for some tumor markers may be helpful. In addiiton, ultrasound studies of the ovary may be helpful. Following these tests over time may be especially helpful.
If needed, a tissue or cell biopsy may be necessary to exactly classify the process. ...Read more

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What is the difference between ovarian cysts, tumors and cancer?

What is the difference between ovarian cysts, tumors and cancer?

Lot of difference: Cyst are benign lesions containing fluid inside, cystocarcinomas also contain fluid inside are cancers which need to be differentiate from benign cyst, by test, by removal & microscopic examination. Some malignant tumors are solid not cystic. Go to your gynecologist. ...Read more

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I want to know what is the difference between grumbling appendix & ovarian cyst pain?

Not much: An appendicitis and ruptured ovarian cyst can mimic each other. You don't see as much of a temp elevation or increase in the white count with a rupture cyst. Both can p/w pain nausea and vomitting. ...Read more

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What is the difference between a ovarian follicle and an ovarian cyst. And how can you tell the difference?

What is the difference between a ovarian follicle and an ovarian cyst. And how can you tell the difference?

Can be the same: A developing ovarian follicle is actually cystic, so all follicles are cysts, but not all cysts are follicles. Most follicles are small so the biggest differentiating factor is size and consistency. If a cyst is large (>7cm) or causing pain it needs to be further evaluated ...Read more

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What's the difference between polycystic ovaries and ovarian cysts?

Totally different: It is normal for a small cyst to develop on the ovaries from time to time. Most resolve in 6-8 weeks on their own and the discomfort can be controlled with ibuprofen. Pcos is totally different. These are multiple tiny cysts throughout the ovary. The main problem being weight gain, lack of periods and abnormal hair growth. The ovarian cysts are a side effect of the hormonal imbalance with pcos. ...Read more

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What is the difference between polycystic ovaries and ovarian cysts?

Good question: Pcos is a condition which patient may have multiple cysts in the ovary, irregular period, increased male hormone production, et al. Ovarian cyst is a very common condition which means a cyst present in the ovary. There are many kind of ovarian cysts, and most of them are benign and physiological. Pcos patients may have ovarian cysts, but patients with cyst usually do not have pcos. ...Read more

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What is the difference between a follicle and a ovarian cyst? Can a follicle grow to a golf ball size?

What is the difference between a follicle and a ovarian cyst? Can a follicle grow to a golf ball size?

Size: Follicles come and go normally in menstruating women. Cysts are just somewhat bigger follicles, around 2 cm. Follicles can sometimes develop into large cysts. A golf ball size cyst would not be uncommon. In any event these are not cancerous and usually resolve after a couple of menstrual cycles. ...Read more

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How to really know the difference between ovarian cysts and ovarian cancer? Search engines are freaking me out on the subject.

Ca125: Ca125 is a blood test frequently elevated in ovarian cancer, not elevated in cyst. An ultrasound will also show characterists of benign vs cancer but if persisting may need to be removed. ...Read more

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Need advice on what is the the difference between polycystic ovaries and getting ovarian cysts?

Need advice on what is the the difference between polycystic ovaries and getting ovarian cysts?

Different cysts: Polycystic ovaries contain many very small follicles - "cysts." these are less than 1cm, and related to anovulation and hormone alterations. Ovarian cysts would normally be 2cm or larger, may happen after ovulation, or be related to some type of ovarian tumor, endometriosis, or other reasons. ...Read more

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How can you tell the difference between an ovarian cyst and ectopic pregnancy?

How can you tell the difference between an ovarian cyst and ectopic pregnancy?

A pregnancy test: The pain associated with an ovarian cyst can be indistinguishable from an ectopic (or tubal)pregnancy. A negative pregnancy test however, effectively rules out an ectopic pregancy. If the pregancy test is positive, an ultrasound is needed to be certain that the developing baby is located inside the uterus and not in the fallopian tube (which connects the ovaries to the uterus). ...Read more

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Call you tell the difference between a ruptured ovarian cyst and an ovarian torsion?

Yes: Ruptured ovarian cyst happen often it is associated with the cycle some time is more painful than other it depend on the content of the cyst if it is clear or bloody, this how pain will vary
torsion of the ovary when the ovary turn and twisted the bloos supply now the pain is unbareable very bad pain and it required emergency surgery either to save the ovary or to eliminate the pain.
big difference ...Read more

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Difference between ovarian cyst and pelvic inflammatory disease?

Difference between ovarian cyst and pelvic inflammatory disease?

One is infection: An ovarian cyst is a fluid collection in the ovary. It is usually due to ovulation, or less commonly a tumor. Pelvic inflammatory disease (pid) is an infection of the pelvic structures (cervix, uterus, fallopian tubes, ovaries). An ovarian cyst will usually resolve spontaneously. Pid requires antibiotic treatment. It can cause abscesses, which will appear on ultrasound, and can be serious. ...Read more

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What is a complex ovarian cyst? And what is the difference between that and a regular one that appears and stays even after menstruation.

What is a complex ovarian cyst? And what is the difference between that and a regular one that appears and stays even after menstruation.

Ultrasound: Can distinguish between simple and complex ovarian cysts. Simple cysts are entirely fluid filled. Complex cysts contain echoes indicating solid areas mixed with fluid filled areas. Most complex cysts are benign but some are borderline or malignant. Most cysts go away on their own with time. Ultrasound descriptions help us know if they are growing, changing, or going away. ...Read more

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Can a CT show difference between ovarian cyst and ovarian cancer?

Can a CT show difference between ovarian cyst and ovarian cancer?

Depends.: A cystic ovarian lesion can be a benign cyst or a cystic neoplasm. Even a benign cyst can be difficult to diagnose on ct if it has blood (hemorrhagic) or debris inside it. A ct may not be able to discern a hemorrhagic cyst from a solid tumor. A cyst with a growth along its wall may be suspicious. An ultrasound may be useful. Short term follow may tell if the cyst resolve/improve. ...Read more

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Does a CT show a difference between ovarian cyst and ovarian cancer?

Ovarian cancer: A ct of the abdomen and pelvis can give clues but surgery gives the only answers. In general, ovarian cancers are larger, more complex, often involve the omentum and lymph nodes. Ascites (excessive fluid in the abdomen) is often seen on ct also. ...Read more

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What's the difference between the symptoms of ovarian cysts and an ectopic pregnancy? Can I tell the difference based on symptoms?

What's the difference between the symptoms of ovarian cysts and an ectopic pregnancy? Can I tell the difference based on symptoms?

Rarely even for MD's: Differentiating between ovarian cyst pain and ectopic pregnancy is difficult for the laymen/patient. Even trained GYN MD's have to have an "index of suspicion" to look for ectopic pregnancies. The biggest clue for you is a missed or abnormal period (lighter than normal) and intermittent pain. The urine PG test may even be negative. See a MD and obtain an ultrasound & blood PG test when that occurs ...Read more

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What is the difference bet painful ovarian cyst and a cyst with no pain? I have one with a lot of pain.

What is the difference bet painful ovarian cyst and a cyst with no pain? I have one with a lot of pain.

Gynecologist can ans: A gynecologist can answer this question best. They can also discuss with you procedures, treatments, and help evaluate the cyst. ...Read more

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I am concerned whether I have the symptoms of an ovarian cyst or I am pregnant? . What's the difference?

I am concerned whether I have the symptoms of an ovarian cyst or I am pregnant? . What's the difference?

Loss of period: Typically an ovarian cyst will not cause you to miss your period. An ovarian cyst can cause pain, bloating, nausea, pressure and fullness. Some of those symptoms are associated with pregnancy, but a simple drugstore urine pregnancy test will discriminate between the two! ...Read more

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I had a 27cm ovarian cyst filled with reddish brown fluid. What causes a cyst fill with fluid opposed to tissue? What's the difference in symptoms?

I had a 27cm ovarian cyst filled with reddish brown fluid. What causes a cyst fill with fluid opposed to tissue? What's the difference in symptoms?

Cyst: A cyst by definition is a fluid filled sac. In the ovary you can have solid tumors (benign and cancerous), mixed solid and cystic and just cystic (fluid filled). Each growth is a tissue type, which is the key to what type you get. You probably had a serous (fluid type) cystadenoma or an endometrioma (bloody fluid filled cyst) ...Read more

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Is there a difference in symptoms associated with ovarian cysts and ovarian cancer?

Is there a difference in symptoms associated with ovarian cysts and ovarian cancer?

Difficult: Difficult to discern just by symptoms, needs an evaluation by a physician to work up in detail. ...Read more

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Miscarriage, ovarian cyst or period? How can I tell the difference?

Interesting question: I assum you have period, but you want to know it is a miscarriage, or normal period, and want to know it is caused by ovarian cyst. First of all, you know what your normal period should be, if you missed your period for few days, especially after pregnancy test, then you know it is miscarriage. Sometime, functional ovarian cyst may delay your period, you may find out by ultrasound and blood test. ...Read more

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How can radiologist tell the difference from a malignant and benign ovarian cyst on ultrasound. And is the sympthoms the same.

How can radiologist tell the difference from a malignant and benign ovarian cyst on ultrasound. And is the sympthoms the same.

Imaging findings: Radiologist can simply raise suspicion of malignancy based on imaging findings. These may include internal separation, solid component and presence of fluid in the pelvis.

This may alarm the gynecologist to further investigate the cyst. Final diagnosis is often based on surgical and histopathological evaluation. ...Read more

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Doctor says I either have kidney stones or a ruptured ovarian cyst, and ultrasound isn't for another 2 weeks. Is there a way to tell the difference?

Doctor says I either have kidney stones or a ruptured ovarian cyst, and ultrasound isn't for another 2 weeks. Is there a way to tell the difference?

Another doctor: The stone in the ureter is not going to be adequately diagnosed by a pelvic ultrasound. If you're continuing to have significant abdominal and pelvic pain I would see a physician willing to do the definitive study which would be a CT scan ...Read more

Dr. Barry Rosen
1,104 Doctors shared insights

Appendicitis (Definition)

The inflammation of the appendix which can cause right lower quadrant pain that radiates and ...Read more


Dr. Steven Griggs
2 Doctors shared insights

Ovarian Cyst (Definition)

A growth (often balloon like) on an ovary. It is often thin walled ...Read more