<s>[INST] I am scheduled to have a cystic neoplasm removed (right ovary) and an appendectomy next Friday. I have new onset of acute pain in my lower right quadrant that began about 15 minutes ago. My pain is at a 6. Prior to this it has not passed a 3. Could this be related to appendicitis? How long should I wait to seek medical attention? [/INST] Hi! Good morning. I am Chat Doctor answering your query. This could either be due to an attack of appendicitis or a torsion of the ovarian cyst on the right side. In any case, if the pain increases steadily, I would suggest you to report at the ER of the nearest hospital for a clinical assessment and related investigations to institute appropriate treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. </s>