Right Lower Abdomen Bumps: Gastrointestinal or Gynecological?

There is a noticeable lump in the lower right abdomen?

When lying flat and palpating the lower right abdomen, a raised area can be felt on the right side that is not present on the left side.
There is not much pain.
Could this be related to the intestines or a gynecological issue? An ultrasound was performed a month ago, and the doctor stated that the ovaries are normal.

xuan, 10~19 year old female. Ask Date: 2017/04/23

Dr. Huang Jianzhong reply Obstetrics and Gynecology

When lying flat and feeling the right lower abdomen, a raised area can be felt on the right side that is not present on the left.
There is not much pain.
Could this be related to the intestines or a gynecological issue? An ultrasound was performed a month ago, and the doctor said the ovaries were normal.
Answer: It should be fine.

Reply Date: 2017/04/23

More Info

When it comes to the right lower abdomen, the presence of a noticeable bump or protrusion can be concerning and may lead to questions about whether it is related to gastrointestinal issues or gynecological conditions. Given your description of a palpable structure on the right side of your abdomen, and the fact that you had an ultrasound a month ago that showed normal ovaries, we can explore some potential explanations and considerations.

Firstly, the right lower abdomen is home to several important structures, including parts of the intestines (such as the ileum and cecum), the appendix, and in females, the right ovary and fallopian tube. The fact that you can feel a bump that is more prominent on the right side than the left could suggest several possibilities.

1. Gastrointestinal Causes:
- Ileus or Bowel Distension: If there is a buildup of gas or stool in the intestines, it can cause localized distension that may be felt as a bump. This could be due to dietary factors, constipation, or even functional bowel disorders like irritable bowel syndrome (IBS).

- Appendicitis: Although typically associated with pain, early appendicitis can sometimes present with a palpable mass if there is significant inflammation or an abscess formation.

- Hernia: An inguinal or femoral hernia could also present as a bulge in the lower abdomen, particularly when standing or straining. However, these are usually associated with pain or discomfort.

2. Gynecological Causes:
- Ovarian Cysts or Masses: Even though your recent ultrasound showed normal ovaries, it is still possible for functional cysts to develop and resolve quickly. If a cyst were to rupture, it could cause localized pain and swelling.

- Ectopic Pregnancy: This is a critical condition where a fertilized egg implants outside the uterus, often in a fallopian tube. While this typically presents with pain and possibly bleeding, it is worth mentioning if there is any chance of pregnancy.

- Pelvic Inflammatory Disease (PID): This infection of the reproductive organs can lead to the formation of abscesses that may be palpable.

Given that you mentioned the bump is not painful, this could lean more towards a benign cause, but it is essential to monitor any changes in symptoms.

Recommended Actions:
- Follow-Up with Your Physician: Since you have already had an ultrasound, it may be beneficial to discuss your symptoms with your healthcare provider. They may recommend further imaging studies, such as a CT scan, to get a clearer picture of the abdominal structures.

- Monitor Symptoms: Keep track of any changes in the bump, such as size, tenderness, or associated symptoms like changes in bowel habits, nausea, or any new pain.

- Dietary Considerations: If gastrointestinal issues are suspected, consider evaluating your diet for potential triggers of bloating or constipation. Increasing fiber intake and staying hydrated can help alleviate some gastrointestinal discomfort.

In conclusion, while the bump in your right lower abdomen could be related to either gastrointestinal or gynecological issues, the absence of pain and the normal ultrasound findings suggest that it may not be an urgent concern. However, ongoing monitoring and communication with your healthcare provider are crucial to ensure that any potential issues are addressed promptly.

Similar Q&A

Unexplained Lump in Lower Abdomen: What You Need to Know

Recently, I suddenly noticed a small, firm lump on the right side of my lower abdomen, near the junction with my thigh. It feels raised but is not painful to the touch. I'm unsure what it could be and which specialist I should consult. Thank you.

Dr. Cai Dongqi reply Family Medicine
It could be lymphadenopathy; please consult a general internist or family medicine physician first.

Understanding Right Lower Abdominal Pain: Causes and Insights

Hello Doctor, I have been experiencing frequent pain in my lower right abdomen recently, and I feel bloated even after eating a small amount. About a month ago, I sought medical attention for this issue, and at that time, I was diagnosed with a right ovarian cyst (5.5 x 2.5 x 0.5...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello, the X-ray report indicates that there is a significant amount of intestinal gas, with some parts of the intestines appearing distended and the presence of fecal impaction. Additionally, there are some calcifications noted in the pelvic cavity, which may be due to vascular ...

Understanding Bumps Above the Navel: Gastrointestinal Concerns Explained

As a female patient, I have a slight bulge on the surface of my abdomen above the navel. There are no hard lumps when I touch it, but when I press on the area above the navel, I can feel many small, smooth, and slippery lumps that are uneven and distributed throughout various are...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Unable to confirm, may observe first; if necessary, can visit obstetrics and gynecology or gastroenterology outpatient clinics for a physical examination.

Understanding Right Lower Abdominal Pain: When to Consult a Gynecologist

Hello, Doctor: I have been experiencing irregular menstrual cycles for about 2 to 3 years now, sometimes my period only comes every two months. However, I have not reached menopause yet; it just varies in timing. Since mid-October this year, I have felt a dull ache in my lower ri...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, I have pain in the lower right abdomen. The gynecological ultrasound did not reveal any significant findings or tumors, and I have also seen a gastroenterologist, who found no major issues. The general treatment approach would primarily involve conservative supportive ther...