Intermittent Right Abdominal Pain: Causes and Concerns

Q: Intermittent Right Abdominal Pain: Causes and Concerns

Hello Ms. <br>En： You have been experiencing pain in the right upper abdomen for two months, along with constipation and decreased appetite over the past two weeks. <br>Given the complexity of your symptoms and the presence of the gallbladder, bile ducts, stomach, duodenum, colon

Right abdominal pain?

Hello doctor, for the past two months, I have occasionally felt a dull pain in the area to the right of my navel.
Sometimes the pain is located more towards the upper right, and other times it is more towards the lower right.
The discomfort is not persistent and is not very severe; it is an intermittent dull ache that occasionally feels sharp.
I experience this about 3 to 4 times a day.
My bowel habits are quite irregular; sometimes I have normal bowel movements, other times I experience diarrhea or constipation.
However, for the past two weeks, I have mostly been constipated, and even when I try very hard, I still feel like I can't pass stool, as if it is stuck.
It takes about 3 to 4 days before I have a somewhat normal bowel movement or diarrhea.
The stool color is normal.
As for my appetite, it has decreased slightly compared to before, but my weight has not changed significantly.
Thank you for your assistance.

En, 30~39 year old female. Ask Date: 2021/03/19

Dr. Zhang Kebin reply Gastroenterology and Hepatology

Hello Ms.
En: You have been experiencing pain in the right upper abdomen for two months, along with constipation and decreased appetite over the past two weeks.
Given the complexity of your symptoms and the presence of the gallbladder, bile ducts, stomach, duodenum, colon, and pancreas in that area, it is recommended that you go directly to a hospital's hepatobiliary and gastroenterology department to discuss further examinations and treatment with the attending physician.
Thank you for your inquiry!

Reply Date: 2021/03/19

More Info

Intermittent right abdominal pain can be a concerning symptom, especially when it occurs alongside changes in bowel habits, such as constipation or diarrhea. Given your description of the pain being intermittent and located around the navel, with occasional shifts to the upper or lower right abdomen, there are several potential causes to consider.

1. Gastrointestinal Issues: One of the most common causes of intermittent abdominal pain is related to gastrointestinal issues. Conditions such as irritable bowel syndrome (IBS), which can cause alternating constipation and diarrhea, may lead to discomfort in the abdominal area. Additionally, constipation itself can cause pain due to the buildup of stool in the intestines, leading to distension and cramping.

2. Appendicitis: Although your pain is intermittent and not severe, appendicitis can sometimes present with milder symptoms initially. Typically, the pain starts around the navel and then shifts to the lower right abdomen. If the pain worsens or is accompanied by fever, nausea, or vomiting, it would be prudent to seek immediate medical attention.

3. Ovarian Issues: In females, right-sided abdominal pain can also be related to ovarian conditions, such as ovarian cysts or torsion. These conditions can cause intermittent pain and may be accompanied by changes in menstrual cycles or other symptoms.

4. Musculoskeletal Pain: Sometimes, pain in the abdominal area can be referred from the muscles or ligaments in the back or sides. If you have been engaging in activities that strain your abdominal or back muscles, this could lead to intermittent pain.

5. Hernias: An inguinal or other type of hernia can cause intermittent pain, especially if there is a change in activity level or if the hernia becomes incarcerated or strangulated.

6. Dietary Factors: Changes in diet can also lead to gastrointestinal discomfort. If you have altered your eating habits, this could contribute to your symptoms. Foods that are high in fat or fiber can sometimes exacerbate gastrointestinal issues.

Given your symptoms of irregular bowel movements, particularly constipation, it is essential to address this issue as well. Chronic constipation can lead to significant discomfort and may require dietary changes, increased hydration, and possibly the use of laxatives or stool softeners. Incorporating more fiber into your diet through fruits, vegetables, and whole grains can help regulate bowel movements.

It's also important to monitor your symptoms closely. If the pain becomes more severe, persistent, or is accompanied by other concerning symptoms such as fever, significant changes in appetite, or weight loss, you should seek medical evaluation promptly. A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, and laboratory tests to rule out any serious conditions.

In summary, while intermittent right abdominal pain can stem from various causes, it is crucial to consider the accompanying symptoms and any changes in bowel habits. Keeping a symptom diary may help you and your healthcare provider identify patterns and potential triggers. Always consult with a healthcare professional for a thorough evaluation and personalized advice based on your specific situation.

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