Right Lower Abdominal Pain: Causes and When to Seek Help - Gastroenterology and Hepatology

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Right lower abdominal pain can be a concerning symptom, and it’s important to understand the potential causes and when to seek medical help. Given your description of symptoms, including pain in the right lower abdomen, discomfort in the tailbone, and issues with constipation, there are several factors to consider.


Possible Causes of Right Lower Abdominal Pain
1. Gastrointestinal Issues:
- Constipation: This is a common issue that can lead to abdominal pain. Hard, infrequent stools can cause discomfort and pain in the abdomen, especially if there is straining involved during bowel movements. The sensation of incomplete evacuation can also contribute to discomfort.

- Irritable Bowel Syndrome (IBS): This functional gastrointestinal disorder can cause abdominal pain, bloating, and changes in bowel habits, including constipation.

- Diverticulitis: Inflammation or infection of diverticula (small pouches that can form in the walls of the intestines) can cause localized pain, often in the lower abdomen.

2. Gynecological Issues:
- Although you mentioned that previous examinations ruled out ovarian issues, it’s worth noting that conditions like endometriosis or pelvic inflammatory disease can still cause pain in the lower abdomen.

3. Musculoskeletal Issues:
- Pain in the tailbone area could be related to musculoskeletal problems, such as muscle strain or injury, which can sometimes radiate pain to the abdomen.

4. Other Considerations:
- Appendicitis: While you have had previous evaluations, appendicitis typically presents with more acute pain and may require immediate medical attention.

- Hernias: A hernia in the groin area can also cause pain and discomfort, particularly when straining.


When to Seek Medical Help
Given your symptoms, it is advisable to seek medical attention if you experience any of the following:
- Severe or worsening pain that does not improve with over-the-counter medications.

- Fever or chills, which could indicate an infection.

- Persistent changes in bowel habits, especially if accompanied by blood in the stool.

- Significant weight loss or changes in appetite.

- Any new or unusual symptoms that concern you.


Recommended Steps
1. Consult a Healthcare Provider: It would be beneficial to see a gastroenterologist or your primary care physician. They may recommend diagnostic tests such as blood tests, imaging studies (like an ultrasound or CT scan), or a colonoscopy to evaluate your gastrointestinal health more thoroughly.

2. Dietary Changes: Consider increasing your fiber intake through fruits, vegetables, and whole grains, which can help alleviate constipation. Staying hydrated is also crucial.

3. Regular Exercise: Engaging in regular physical activity can promote bowel regularity and help manage constipation.

4. Medication: If constipation is a recurring issue, your doctor may recommend over-the-counter laxatives or stool softeners, but these should be used under medical supervision.

5. Monitoring Symptoms: Keep a diary of your symptoms, including the frequency and consistency of bowel movements, any pain episodes, and dietary habits. This information can be valuable for your healthcare provider.

In summary, while right lower abdominal pain can arise from various causes, your symptoms, particularly the constipation and associated discomfort, warrant further evaluation. Seeking medical advice will help determine the underlying issue and guide appropriate treatment.