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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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

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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!

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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.

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Can chronic appendicities cause pelvic pain? Or can that be due to my ovarian cyst rupture a month ago & late period?

Can chronic appendicities cause pelvic pain? Or can that be due to my ovarian cyst rupture a month ago & late period?

Either possible: This needs to be examined and diagnosed by an experienced clinician. See a gynecologist or general surgeon, or perhaps your family doctor. Good luck.

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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).

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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.

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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.

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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.

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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.

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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

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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.

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Dr. Barry Rosen
1,102 Doctors shared insights

Appendicitis (Definition)

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


Dr. Milton Alvis Jr
2 Doctors shared insights

Ovarian Cyst (Definition)

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