Right-Sided Lower Back Pain: When to Seek Medical Advice

Q: Right-Sided Lower Back Pain: When to Seek Medical Advice

Hello： The liver does not have pain receptors, so inflammation will not present any symptoms unless it is in a very severe state. <br>Your condition is likely not serious. <br>Instead, you should pay attention to whether your sitting posture is correct or if you have been sitting

Right-sided lower back pain?

I apologize for the interruption.
Since I started staying up late to study for exams in middle school, I would even pull all-nighters.
Afterward, I would occasionally experience sharp pain in my lower right back that lasts for about a day, but then it would improve.
Recently, as a freshman in college, I don't pull all-nighters as much, or if I do, I tend to sleep in the morning (my sleep schedule is reversed).
However, I still experience sharp pain in my lower right back, and the frequency has been increasing.
I would like to know if this could indicate a liver issue, and whether I need to seek medical attention.
Thank you!

Mi, 10~19 year old female. Ask Date: 2020/03/23

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The liver does not have pain receptors, so inflammation will not present any symptoms unless it is in a very severe state.
Your condition is likely not serious.
Instead, you should pay attention to whether your sitting posture is correct or if you have been sitting for a long time without using the restroom, as symptoms may arise from the urinary tract.
If liver dysfunction is suspected, it can only be confirmed through a blood test.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2020/03/23

More Info

It's understandable to be concerned about persistent pain, especially when it has been ongoing for several years. Based on your description, it seems that you have been experiencing right-sided lower back pain intermittently since middle school, particularly after periods of sleep deprivation or irregular sleep patterns. While it is common for students to experience stress-related pain, especially during exam periods, the increasing frequency and persistence of your pain warrant further investigation.

Possible Causes of Right-Sided Lower Back Pain
1. Muscle Strain: Given your history of late-night studying and irregular sleep, it's possible that your pain is due to muscle strain. Poor posture while studying or sleeping can lead to muscle fatigue and discomfort, particularly in the lower back.

2. Nerve Compression: Conditions such as a herniated disc or spinal stenosis can lead to nerve compression, which may cause pain that radiates to the lower back. This is often accompanied by other symptoms like numbness or tingling in the legs.

3. Kidney Issues: Since you mentioned the pain is on the right side, it could potentially be related to kidney problems, such as a kidney stone or infection. Kidney pain is often felt in the lower back and can be accompanied by other symptoms like changes in urination.

4. Liver Problems: While liver issues can cause discomfort in the right upper quadrant, they typically do not present as lower back pain. However, if you have other symptoms such as jaundice, fatigue, or abdominal swelling, it would be wise to consult a healthcare provider.

5. Postural Issues: Spending long hours in a seated position, especially in a poor posture, can lead to musculoskeletal pain. This is particularly relevant for students who may spend extended periods studying.

When to Seek Medical Advice
You should consider seeking medical advice if:
- The pain persists for more than a few days without improvement.

- You experience additional symptoms such as fever, unexplained weight loss, or changes in bowel or bladder habits.

- The pain worsens or becomes more frequent, impacting your daily activities.

- You notice any numbness, tingling, or weakness in your legs.

Recommended Actions
1. Consult a Healthcare Provider: A visit to a healthcare professional is advisable to rule out any serious underlying conditions. They may recommend imaging studies such as X-rays or MRI to assess the spine and surrounding structures.

2. Physical Therapy: If muscle strain or postural issues are suspected, physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the back and improve posture.

3. Lifestyle Modifications: Consider adopting healthier sleep habits, including maintaining a regular sleep schedule and ensuring a comfortable sleep environment. Ergonomic adjustments to your study area may also help reduce strain.

4. Pain Management: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

5. Regular Exercise: Engaging in regular physical activity can strengthen the muscles supporting your back and improve overall flexibility, which may help alleviate pain.

In conclusion, while occasional lower back pain can be common, the increasing frequency and persistence of your symptoms suggest that it would be prudent to seek medical advice. Early intervention can help prevent potential complications and improve your quality of life.

Similar Q&A

Understanding Right-Sided Lower Back Pain: When to Seek Medical Help

Currently in the first year of high school, after about two months, I suddenly started feeling some pain in my lower back when exerting myself. Bending over or standing up, as well as making large movements, can trigger the pain, which is located on the right side of my lower bac...

Dr. Wu Huixiong reply Family Medicine
I recommend that you see a surgeon or an orthopedic specialist. Wishing you good health!

Severe Right-Sided Pain: When to Seek Medical Help?

Hello, doctor. I have been experiencing severe pain on the right side of my body for the past two days. The pain is located in the following areas: near the spine in the lower back, below the rib cage, above the hip, in the front of the thigh, and on the outer side of the knee. H...

Dr. Liao Yaopan reply Family Medicine
Hello, based on your medical history, it is advisable to return to your rheumatologist for further evaluation. Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you...

Understanding Right-Sided Muscle Pain: When to Seek Medical Attention

Hello doctor, I would like to ask about a condition I experienced about a week ago. I felt a stiff neck on the right side but did not seek medical attention. The symptoms improved somewhat, but there is still some mild pain. Then, the night before last, while sleeping, I started ...

Dr. Gao Chunde reply Neurology
Sometimes poor posture or improper use, as well as overuse, can lead to localized muscle inflammation and pain. Rest, heat therapy, and moderate massage usually help with recovery. However, if the pain persists or recurs frequently, it is important to seek medical attention for a...

Understanding Sudden Right-Sided Back Pain: Causes and Remedies

Sudden pain in the right side of the back, making it difficult to lie down or sit. Walking is also challenging. I've experienced this before and have taken pain relievers and muscle relaxants, along with a sensation of warmth.

Dr. Ye Qianyu reply Family Medicine
Hello! For acute pain, it is recommended that you seek treatment from an orthopedic or rehabilitation specialist as soon as possible.