What could cause lower right abdominal and back pain?

My pain was always right lower abdomen and when I had a lower GI series with barium they were able to see the cecum spasm. They thought that may have been what was causing the pain. Unfortunately there are many things that can cause abdominal pain and it is difficult to rule out one or another. With appendicitis, you usually have fever, nausea and vomiting-presenting almost like a stomach flu but the pain keeps getting worse and worse. Ovarian cysts can cause pain in the area of the lower abdomen and so can IBS and you may not have any symptoms other than pain. Stress will most certainly aggravate IBS. Ideally, you should see a Dr and have some tests and imaging done. If you cant afford the ER, it is much cheaper just to go see a gastroenterologist in his office. Only go to the ER if it gets so bad one day, you cant stand it, and then Urgent Care is a better option than the ER because it is much less expensive. Office visits are much less expensive and he/she may be able to try treating symptoms first, like changing your meds around to better treat the IBS. Perhaps you may not even need imaging if you start to feel better with different medicines. Discuss your financial restraints with the Dr and let him know you cant afford any unnecessary tests. Most people never find out much in an ER anyway. They just stabilize you, then send you on your merry way to a specialist to follow up with, to find and treat the actual cause. ER is expensive and most times you wont even get a diagnosis, especially on something chronic. I wouldnt waste my money. If I could, I would just make an appt to see a specialist in his office and go from there. I would start with a gastroenterologist first. Good Luck! I hope you find answers and relief! Best of luck with your nursing! We sure need more nurses! Remeber though, it is a very stressful career! If you have difficulty managing stress, it may not be the career for you. I dont want to discourage you, I just want to give you a heads up so that you dont spend a lot of time only to find out you are going to be miserable.