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What are some possible reasons for pain under my diaphragm, intermittent fever & back pain?

I had a tubal ligation 2 months ago and I've had mild abdominal pain ever since, but nothing like this until yesterday. The pain is moderate. My fever has gone up & down. It was 100.2 yesterday. I took 800 mg ibuprofen for the fever & pain & felt better a couple hours later. Then I woke up around 2 am & my fever was 102.3. I took more ibuprofen. Around 4 am I started sweating & shaking. By 6 am the fever was gone & has not returned, but I'm still having pain under my diaphragm & in my low back.
Your symptoms are very concerning for a serious infection in your abdomen. A patient who has recently had abdominal surgery, even if a minor procedure, with new onset fever, chills, and abdominal pain should be evaluated in the emergency department immediately. It is possible that you have developed an abscess somewhere in your abdomen as a consequence of your surgery. You will need an urgent physical examination including evaluation by a surgeon, stat laboratory tests to determine if you have markers of infection, quite possibly some kind of abdominal imaging (ultrasound or CT scan) to evaluate for possible abscess or infection, and then likely a course of intravenous antibiotics. Hopefully you do not have a serious infection, but it is impossible to tell without completing a thorough history, physical examination, and evaluation of your labs. If you do have an infection in your abdomen it will be important to treat it right away, either through observation with antibiotics or possibly through removing the source of infection through a surgical or interventional radiology procedure. The sooner this evaluation can be performed, the more likely you will have a good outcome from the procedure and get back to your regular good health. You should seek care at an emergency room right away.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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