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

There is an unexplained dull pain in the lower right abdomen?

On the afternoon of October 17, I suddenly began to feel a dull pain in my lower right abdomen, which sometimes spreads to the entire lower abdomen, but primarily remains in the lower right area.
I have a history of chronic constipation, and I'm unsure if this is related.
The pain has persisted for 6 hours; it is not particularly severe, but feels like a dull ache or cramping.
During this time, my stomach occasionally makes some noises.
I am very concerned that this might be related to a gynecological issue.

Xiao Ying, 10~19 year old female. Ask Date: 2022/10/17

Dr. Chen Shidian reply Gastroenterology and Hepatology

If symptoms persist, it is advisable to seek medical attention to determine the cause.

Reply Date: 2022/10/17

More Info

Right lower abdominal pain can be concerning, especially when accompanied by symptoms like constipation and unusual bowel sounds. There are several potential causes for this type of pain, and understanding them can help alleviate your fears and guide you toward appropriate care.

Common Causes of Right Lower Abdominal Pain
1. Appendicitis: One of the most common causes of right lower abdominal pain is appendicitis, which occurs when the appendix becomes inflamed. This condition typically presents with sharp pain that starts around the navel and then moves to the right lower abdomen. It may be accompanied by fever, nausea, and vomiting.

2. Gastrointestinal Issues: Given your history of constipation, it’s possible that your pain is related to bowel issues. Constipation can lead to fecal impaction, which may cause discomfort and pain in the abdomen. Additionally, conditions like irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD) can also manifest as abdominal pain.

3. Gynecological Concerns: For women, right lower abdominal pain can be associated with gynecological issues such as ovarian cysts, ectopic pregnancy, or pelvic inflammatory disease (PID). If you are experiencing any unusual menstrual symptoms or have a history of gynecological problems, it’s essential to consider these possibilities.

4. Musculoskeletal Pain: Sometimes, pain in the lower abdomen can be due to muscle strain or injury, especially if you have been engaging in physical activity that may have overexerted your abdominal muscles.

5. Urinary Tract Issues: Conditions like urinary tract infections (UTIs) or kidney stones can also cause pain in the lower abdomen, particularly if the pain radiates to the back or groin.

Symptoms to Monitor
While the pain you describe is not severe, it’s crucial to monitor for any additional symptoms that may indicate a more serious condition. These include:
- Fever: A fever may suggest an infection, such as appendicitis or a UTI.

- Nausea or Vomiting: These symptoms can indicate gastrointestinal issues or appendicitis.

- Changes in Bowel Habits: If you experience diarrhea, blood in your stool, or significant changes in your bowel habits, seek medical attention.

- Severe Pain: If the pain escalates or becomes unbearable, it’s essential to seek immediate medical care.

When to Seek Medical Attention
If your pain persists for more than 24 hours, worsens, or is accompanied by any of the concerning symptoms mentioned above, it’s advisable to consult a healthcare professional. They may perform a physical examination, order imaging studies like an ultrasound or CT scan, and run laboratory tests to determine the underlying cause of your pain.

Conclusion
In summary, while right lower abdominal pain can stem from various causes, including gastrointestinal, gynecological, and musculoskeletal issues, it’s essential to pay attention to accompanying symptoms. Your history of constipation may be contributing to your discomfort, but it’s crucial to rule out more serious conditions. If your symptoms persist or worsen, don’t hesitate to seek medical advice for a thorough evaluation and appropriate treatment. Remember, early intervention can often lead to better outcomes and peace of mind.

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