<s>[INST] I have burning pain in my lower right abdominal region, sometimes it shoots up to me belly button or hip bone and its mainly up to the belly button and on the right side in the bikini line area. I had the burning sensation pain for 4 almost 5 days now. Could this be my appendix? I have no fever or nausea or anything just uncomfortable burning sensation pain all around this area. [/INST] Hellos you mentioned that there is burning sensation pain in right lower abdominal area, radiating to belly button. Appendix is ruled out in my opinion because in appendicular pain there is excruciating pain at typical point known as McBirney point and not radiate to belly button. Usually in appendicitis there are nausea, fever, vomiting. So this type of pain in your case may be due to these possibilities, This includes.1 Right renal calculus as pain is also radiating to hip bone, so this is a characteristic feature of renal calculus. Diagnosis can be confirmed by ultrasound of both kidney. However, pain anywhere in urinary tract system causes pain in this area. 2 Ovarian cyst or salpingitis is the another most common cause of this type of pain. Get in an ultrasound of both ovaries .3 Amoebic colitis is another cause of such pain, so please get in blood as stool examination to rule out amoebic colitis. In this case physical examination also play an important role. Hip joint pain is also once such cause, besides this there are so many other causes, so in my opinion deal as I mentioned above and consult a physician and get his opinion as physical examination will find the exact disease. Good luck. </s>