Right Abdominal Pain Near the Navel: Causes and Insights

Pain to the right of the navel?

Hello, doctor.
I would like to ask: I started feeling pain about three finger widths to the right of my navel two days ago.
I also feel a general discomfort and bloating in my abdomen.
The pain is persistent and there is a specific point that is particularly tender when pressed.
Sometimes the pain becomes more intense.
My bowel movements and urination are normal, and I have not experienced diarrhea.
What could be the possible cause of this?

Anne, 30~39 year old female. Ask Date: 2020/11/11

Dr. Zhang Kebin reply Gastroenterology and Hepatology

Hello Anne! You report abdominal pain on the right side of your belly button for two days, along with bloating and tenderness in your abdomen, while your bowel and urinary functions are normal.
Based on your symptoms, diverticulitis, pelvic inflammatory disease, appendicitis, and other conditions are possible.
It is recommended that you visit a nearby gastroenterology clinic or hospital for further evaluation.

Reply Date: 2020/11/11

More Info

Right abdominal pain, especially localized near the navel, can arise from a variety of causes, and understanding these potential reasons is crucial for appropriate diagnosis and treatment. Given your symptoms of persistent pain, localized tenderness, and a sensation of bloating without gastrointestinal disturbances like diarrhea, several possibilities should be considered.

1. Appendicitis: One of the most common causes of right-sided abdominal pain, especially in younger individuals, is appendicitis. This condition occurs when the appendix becomes inflamed, leading to pain that typically starts around the navel and then shifts to the lower right abdomen. Although you mentioned that your pain is located slightly above the navel, it is still worth considering, especially if the pain worsens or if you develop additional symptoms like fever or nausea.

2. Gastrointestinal Issues: Conditions such as irritable bowel syndrome (IBS), constipation, or even a mild case of gastroenteritis could lead to discomfort and bloating. If you have been experiencing changes in your bowel habits or dietary changes, these could contribute to your symptoms.
3. Hernia: An inguinal or umbilical hernia could also present as localized pain near the navel. If there is a bulge or if the pain increases with certain movements or activities, a hernia could be a possibility.

4. Musculoskeletal Pain: Strain or injury to the abdominal muscles can cause localized pain, especially if you have recently engaged in physical activity that may have stressed these muscles. This type of pain often worsens with movement or palpation.

5. Urinary Tract Issues: Although you mentioned normal urination, conditions such as a urinary tract infection (UTI) or kidney stones can sometimes present with referred pain in the abdominal area.
6. Gynecological Issues: In females, conditions such as ovarian cysts or ectopic pregnancy can cause right-sided abdominal pain. If you are of reproductive age, it’s important to consider these possibilities, especially if your menstrual cycle is irregular or if you have other gynecological symptoms.

Given your description of the pain being particularly tender at a specific point and the sensation of bloating, it is advisable to seek further medical evaluation. A physical examination by a healthcare provider can help determine the exact location of tenderness and assess for any signs of acute abdominal conditions.
Diagnostic imaging, such as an ultrasound or CT scan, may be warranted to visualize the abdominal organs and rule out conditions like appendicitis, hernias, or other structural abnormalities. Blood tests may also be useful to check for signs of infection or inflammation.

In conclusion, while there are several potential causes for your right abdominal pain near the navel, it is essential to consult a healthcare professional for a thorough evaluation. Early diagnosis and treatment can prevent complications and improve your overall well-being. If the pain worsens or if you develop additional symptoms such as fever, vomiting, or changes in bowel habits, seek medical attention promptly.

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