Pain Near the Belly Button: Possible Causes and Solutions - Gastroenterology and Hepatology

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I have pain in the skin near the lower right side of my navel, close to the belly button, and I'm not sure what the cause is?


I have pain in the skin of my abdomen near the lower right side of my navel.
I'm not sure what the cause is.
As mentioned, I started feeling something was off this past Wednesday when the pain began in that area.
It has been almost a week since the pain started.
I consulted a gastroenterologist, and after I described my symptoms, he performed an ultrasound.
He concluded that the pain is not caused by appendicitis but may be due to inflammation of the skin nerves.
He prescribed a three-day medication regimen, and I have taken about two to three doses, but so far, there has been no improvement.
I would like to ask the doctor what condition might be causing this abdominal skin pain.
Could you please provide a detailed explanation?

Binggan, 20~29 year old female. Ask Date: 2019/04/13

Dr. Chen Qifeng reply Gastroenterology and Hepatology


The likelihood of pain caused by skin nerve inflammation is higher and is not related to the internal organs.

Reply Date: 2019/04/13

More Info


Understanding pain near the belly button can be quite complex, as it may arise from various underlying causes. Given your description of the pain located in the right lower quadrant near the belly button, and the fact that you have already consulted a gastroenterologist who ruled out appendicitis through an ultrasound, it is essential to consider other potential causes.

One possibility is that the pain could be related to nerve irritation or inflammation, which your doctor suggested. This condition, known as neuralgia, can occur when the nerves in the abdominal area become inflamed or compressed. Symptoms may include sharp, shooting pain, or a burning sensation in the skin, which can sometimes be mistaken for issues related to the internal organs.

Another potential cause could be related to the skin itself, such as a condition called shingles (herpes zoster), which can cause localized pain and sensitivity in the skin. This condition is usually accompanied by a rash, but it can sometimes present with pain before any visible symptoms appear. If you have experienced any recent illnesses, stress, or changes in your immune system, this could be a factor.

Additionally, muscle strain or abdominal wall issues could also lead to localized pain. If you have engaged in any physical activities that may have strained your abdominal muscles, this could result in discomfort that feels like it is coming from the skin or deeper tissues.

Since you mentioned that you have been taking medication prescribed by your doctor for a few days without improvement, it may be beneficial to follow up with your healthcare provider. They may consider further diagnostic tests, such as blood tests or imaging studies, to rule out other conditions. It is also important to discuss the specific medications you are taking, as some may have side effects that could contribute to your symptoms.

In terms of management, here are some strategies that may help alleviate your discomfort:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen may help reduce pain and inflammation. However, consult your doctor before taking any new medications.

2. Heat Therapy: Applying a warm compress or heating pad to the affected area may help relax the muscles and alleviate pain.

3. Rest: Ensure you are getting adequate rest and avoiding activities that may exacerbate your pain.

4. Gentle Stretching: If the pain is muscular, gentle stretching exercises may help relieve tension in the abdominal area.

5. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall health and may help with recovery.

6. Stress Management: Since stress can exacerbate pain, consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

7. Follow-up Care: If your symptoms persist or worsen, it is crucial to return to your healthcare provider for further evaluation. They may refer you to a specialist, such as a neurologist or pain management specialist, for additional insights.

In conclusion, while the pain near your belly button may be related to nerve inflammation or other factors, it is essential to continue working closely with your healthcare provider to identify the underlying cause and develop an appropriate treatment plan. Your health and well-being are paramount, and seeking timely medical advice is the best course of action.

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