Right Lower Abdomen Discomfort: Causes and Concerns

Dull pain in the lower right abdomen?

Hello Doctor, I previously asked a question about a dull sensation in my lower right abdomen.
I have undergone several tests, and the blood test results are all normal, including hemoglobin levels and liver function.
I also had a negative stool occult blood test.
The dull sensation is not painful; sometimes, deep breathing helps alleviate it.
On a scale of 1 to 10, it’s at most a 2 or 3.
I can only feel it in that area.
My weight has slightly returned, and my appetite has improved.
My bowel habits remain the same, with a bowel movement in the morning, but the second bowel movement is usually softer.
The doctor has scheduled me for a colonoscopy and gastroscopy in two weeks, but he mentioned that I could cancel the tests if I feel better.
I would like to ask, generally speaking, when we feel full, we sense something in the stomach, and when we feel the urge to defecate, we notice sensations in the lower left abdomen.
Is it normal to perceive sensations in the lower right abdomen as well (it's hard to describe)? What organs are located in the area approximately three fingerbreadths below and to the right of the navel? The stool occult blood test was negative, but recently I noticed a small amount of bright red blood on the toilet paper after a bowel movement.
Should I repeat the stool occult blood test? Additionally, sometimes after meals, I feel a slight bloating in an area about four fingerbreadths below the xiphoid process, slightly to the right (crossing the midline, not too far right).
Could this be due to indigestion? Thank you, Doctor.

Lin Xiansheng, 30~39 year old female. Ask Date: 2018/02/25

Dr. Chen Qifeng reply Gastroenterology and Hepatology

It is recommended to complete the examination; if there are no issues, it should be classified as a gastrointestinal dysfunction.

Reply Date: 2018/02/25

More Info

Understanding discomfort in the right lower abdomen can be a complex issue, as it may stem from various causes, ranging from benign to more serious conditions. Based on the information you provided, it seems that you have undergone several tests, including blood tests and a stool test, which returned normal results. This is a positive sign, as it suggests that there are no immediate concerns regarding your liver function or hemoglobin levels, and the negative stool test indicates that there is no evidence of gastrointestinal bleeding.

The sensation you describe as a "dull feeling" in the right lower abdomen, rated at 2-3 on a scale of 10, is noteworthy. It is important to consider the anatomy of the area. The right lower abdomen contains several organs, including the appendix, parts of the small intestine, the right ovary (in females), and the right ureter. Any discomfort in this region could potentially be related to these structures.
You mentioned that deep breathing sometimes alleviates the discomfort. This could suggest that the sensation is related to muscle tension or gastrointestinal activity rather than a serious pathological condition. It is also worth noting that the right lower quadrant can sometimes feel different due to bowel movements or gas, which can create sensations that might be perceived as discomfort.

Regarding your question about whether it is normal to feel sensations in the right lower abdomen, it is indeed possible. Many people experience various sensations in their abdomen, especially after eating or during digestion. The gastrointestinal tract is quite sensitive, and feelings of fullness or pressure can occur in different areas, depending on the individual's anatomy and digestive processes.

The presence of a small amount of bright red blood on toilet paper after a bowel movement is concerning and should not be overlooked. While it may be due to hemorrhoids or minor anal fissures, it is essential to investigate further, especially since you have already experienced discomfort in the area. It would be prudent to discuss this with your doctor, as they may recommend repeating the stool test or conducting additional examinations to rule out any underlying issues.

As for the sensation you feel below the xiphoid process (the lower part of the sternum), it could indeed be related to digestive issues, such as indigestion or gastritis. After eating, the stomach expands, and if there is any underlying sensitivity or inflammation, it could lead to feelings of fullness or discomfort in that area.

In summary, while your initial tests are reassuring, the ongoing symptoms warrant further investigation. The upcoming colonoscopy and gastroscopy are appropriate steps to take, as they will provide a clearer picture of your gastrointestinal health. If you notice any changes in your symptoms, such as increased pain, changes in bowel habits, or new symptoms, it is crucial to communicate these to your healthcare provider promptly. Your health and well-being are paramount, and staying proactive about any changes is essential.

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