Pain in the Lower Right Abdomen: Possible Causes and When to See a Doctor - Gastroenterology and Hepatology

More Info

---

Pain in the lower right abdomen can be concerning, especially when it is localized and tender to touch. Given your description, there are several potential causes for this pain, and understanding them can help determine whether you need to seek medical attention and which specialist to consult.


Possible Causes of Lower Right Abdominal Pain
1. Appendicitis: This is one of the most common causes of pain in the lower right abdomen. It typically starts as a vague pain around the belly button and then localizes to the right lower quadrant. If the pain worsens, especially with movement, coughing, or pressing on the area, this could indicate appendicitis, which is a medical emergency.

2. Muscle Strain: If you have recently engaged in physical activity or heavy lifting, a muscle strain could cause localized pain. This type of pain is often exacerbated by movement or pressure but may not be present at rest.

3. Hernia: An inguinal hernia can cause pain in the lower abdomen, particularly if there is a bulge that can be felt. This pain may increase with activities that increase abdominal pressure, such as lifting or straining.

4. Ovarian Issues: In females, ovarian cysts or other ovarian conditions can cause localized pain in the lower abdomen. This pain may be cyclical and related to the menstrual cycle.

5. Gastrointestinal Issues: Conditions such as diverticulitis or inflammatory bowel disease can cause localized pain, although these are often accompanied by other symptoms like changes in bowel habits, fever, or nausea.

6. Urinary Tract Issues: A urinary tract infection or kidney stones can sometimes present with pain in the lower abdomen, although these conditions typically have additional symptoms such as burning during urination or blood in the urine.


When to See a Doctor
You should consider seeking medical attention if:
- The pain worsens or becomes severe.

- You experience fever, chills, or nausea.

- There are changes in bowel habits, such as diarrhea or constipation.

- You notice any swelling or a bulge in the abdomen.

- The pain persists or does not improve with rest.


Which Specialist to See
Given the nature of your symptoms, starting with a visit to a primary care physician or family doctor would be advisable. They can perform a physical examination and may order imaging studies, such as an ultrasound or CT scan, to help diagnose the issue. Depending on their findings, they may refer you to a specialist, such as:
- Gastroenterologist: If gastrointestinal issues are suspected.

- Urologist: If urinary tract problems are a concern.

- Gynecologist: If ovarian or reproductive issues are suspected in females.


Conclusion
While localized pain in the lower right abdomen can have various causes, it is essential to monitor your symptoms closely. If the pain persists or worsens, do not hesitate to seek medical attention. Early diagnosis and treatment can prevent complications, especially in cases like appendicitis. Always prioritize your health and well-being, and consult with a healthcare professional for personalized advice.