Right Lower Abdominal Pain: Possible Causes and Concerns - Gastroenterology and Hepatology

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Right lower abdominal pain?


Hello Doctor: Recently, I've been experiencing intermittent pain above my navel.
However, when I palpate my abdomen, I find it strange that pressing on my lower right abdomen causes pain in the area above my navel.
I wonder if there is an issue in the lower right quadrant that is causing the pain above my navel.
I have no vomiting, but my bowel movements are loose.
Could you please advise what possible conditions this might indicate? Thank you.

Mr. Zhang, 20~29 year old female. Ask Date: 2022/09/18

Dr. Chen Shidian reply Gastroenterology and Hepatology


If symptoms persist or worsen, seek medical attention for examination and palpation.

Reply Date: 2022/09/18

More Info


Understanding right lower abdominal pain can be quite complex, as it can stem from a variety of causes, some of which may require immediate medical attention. Based on your description of experiencing pain above the navel that seems to radiate from the right lower abdomen, there are several potential conditions to consider.

1. Appendicitis: One of the most common causes of right lower abdominal pain is appendicitis, which is the inflammation of the appendix. This condition typically presents with pain that starts around the navel and then shifts to the right lower quadrant. Accompanying symptoms may include fever, nausea, and loss of appetite. If appendicitis is suspected, it is crucial to seek medical attention promptly, as it can lead to serious complications if not treated.

2. Gastrointestinal Issues: Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even constipation can cause abdominal pain. The fact that you mentioned having non-formed stools could indicate a gastrointestinal disturbance. In IBS, for example, pain can be intermittent and is often relieved by bowel movements.
3. Gynecological Concerns: In females, right lower abdominal pain can also be related to gynecological issues such as ovarian cysts, ectopic pregnancy, or pelvic inflammatory disease (PID). These conditions can cause referred pain that may be felt in the abdominal area, including above the navel.

4. Hernias: An inguinal hernia or other types of hernias can also present with pain in the lower abdomen. This pain may worsen with certain movements or activities, and you might notice a bulge in the affected area.

5. Musculoskeletal Pain: Sometimes, pain in the abdominal area can be due to muscle strain or injury, especially if you have engaged in physical activities that may have overexerted your abdominal muscles.
6. Referred Pain: It’s also important to consider that pain can sometimes be referred from other areas of the body. For instance, issues with the kidneys or gallbladder can manifest as abdominal pain, even if the source of the problem is not directly in the abdomen.

Given your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. They may perform a physical examination and possibly order imaging studies such as an ultrasound or CT scan to determine the underlying cause of your pain.
In the meantime, it may be helpful to keep track of any additional symptoms you experience, such as changes in bowel habits, fever, or any other unusual signs, as these can provide valuable information for your healthcare provider.

In summary, while there are many potential causes for your right lower abdominal pain, it is essential to seek medical advice to ensure an accurate diagnosis and appropriate treatment. Early intervention can often prevent complications and lead to better outcomes.

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→ Pay attention to posture, apply local heat compress, and observe the condition.

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