Right-Sided Pain in the Triangle Area: When to Seek Help - Obstetrics and Gynecology

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Right-sided pain in the flank area?


Hello Doctor, I previously experienced cramping pain in my lower abdomen and pelvic area.
Last Thursday, I went to the gynecologist for an abdominal ultrasound, and the doctor reported no abnormalities.
However, after drinking cold soda today, I started to feel cramping pain again on the upper right side of the pelvic area, but it subsided after about a minute.
Could you please advise me on what this might indicate? Do I need to see a doctor again? Additionally, my menstrual period lasted three days, with very light bleeding on the third day, and the doctor mentioned that this was normal.
I would like to know your opinion on this.
Thank you for your response.

A, 20~29 year old female. Ask Date: 2022/06/28

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the factors that can affect menstrual blood volume may include hormonal imbalances, emotions, diet, age, and others.
However, the most important aspect is to rule out the presence of uterine tumors, endometrial hyperplasia, cervical lesions, vaginal lesions, and so on.
The cause of pain cannot be diagnosed solely based on description; it is advisable to consult a physician for further examination if symptoms persist.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2022/06/28

More Info


When experiencing right-sided pain in the lower abdominal area, particularly in the triangle region (which typically refers to the area around the pelvis), it is essential to consider various potential causes and when to seek medical attention. Given your recent ultrasound results indicating no abnormalities, it is reassuring, but the recurrence of pain after consuming cold soda raises some questions.

Firstly, the pain you experienced could be related to several factors, including gastrointestinal issues, musculoskeletal problems, or even gynecological conditions. The fact that the pain resolved quickly after about a minute suggests it may not be a serious issue, but it is still worth monitoring. Here are some possible explanations for your symptoms:
1. Gastrointestinal Issues: Consuming cold beverages can sometimes lead to temporary cramping or discomfort in the abdomen, especially if you have a sensitive digestive system. This could be due to gas or bloating, which can cause sharp, fleeting pains.

2. Musculoskeletal Pain: If you have been engaging in activities that strain your abdominal or pelvic muscles, this could lead to localized pain. Muscle spasms can occur, especially if you have underlying tension or weakness in those areas.

3. Gynecological Factors: Since you mentioned your menstrual cycle, it is important to consider that hormonal changes can lead to various symptoms, including cramping or discomfort. The fact that you have a lighter flow on the third day of your period is generally not a cause for concern, as menstrual flow can vary significantly from person to person.

4. Ovarian Issues: While your ultrasound showed no abnormalities, conditions such as ovarian cysts can sometimes cause intermittent pain. If the pain persists or worsens, further evaluation may be necessary.

Given that your pain was brief and resolved quickly, it may not be urgent to seek immediate medical attention. However, you should monitor the situation closely. If you experience any of the following, it would be wise to consult your healthcare provider:
- Persistent or worsening pain
- Pain accompanied by other symptoms, such as fever, nausea, vomiting, or changes in bowel habits
- Any unusual changes in your menstrual cycle, such as significantly heavier or prolonged bleeding
- Pain that interferes with your daily activities or quality of life
In summary, while your recent ultrasound results are reassuring, it is essential to remain vigilant about any changes in your symptoms. If the pain recurs or if you develop new symptoms, do not hesitate to reach out to your healthcare provider for further evaluation. It is always better to err on the side of caution when it comes to health concerns.

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