Right Lower Abdominal Pain: Causes and When to Seek Help - Family Medicine

More Info

---

Understanding right lower abdominal pain can be quite complex, as it can stem from various causes, and the symptoms you describe warrant careful consideration. Given that you have been experiencing this pain for two weeks, it is essential to explore potential underlying issues and determine when to seek further medical help.


Possible Causes of Right Lower Abdominal Pain
1. Gastrointestinal Issues: Conditions such as appendicitis, irritable bowel syndrome (IBS), or even constipation can lead to pain in the right lower abdomen. The fact that your doctor noted increased gastrointestinal motility suggests that your intestines may be moving too quickly, which can sometimes cause cramping and discomfort.

2. Urological Concerns: Since you mentioned that the pain feels similar to a sensation of trauma to the testicles, it is important to consider potential urological issues. Conditions like epididymitis or testicular torsion can cause referred pain to the abdomen.
3. Musculoskeletal Factors: Sometimes, pain in the abdomen can be related to muscle strain or injury, especially if you have been engaging in physical activities that might have led to such an injury.

4. Anxiety and Stress: Your doctor’s suggestion that anxiety could be a contributing factor is also valid. Anxiety can manifest physically, leading to gastrointestinal symptoms, including abdominal pain. Stress can exacerbate existing conditions or create new ones, such as muscle tension, which can lead to discomfort.

5. Gynecological Issues: If you are female, it is also essential to consider gynecological conditions, such as ovarian cysts or ectopic pregnancy, which can cause pain in the lower abdomen.


When to Seek Help
Given the persistence of your symptoms, it is advisable to seek further evaluation, especially if:
- The pain worsens or changes in character.

- You experience additional symptoms such as fever, vomiting, or changes in bowel habits.

- You notice any swelling or tenderness in the abdomen.

- The pain interferes significantly with your daily activities.


Recommended Specialists
If you decide to visit a larger hospital, you may want to consider seeing:
- Gastroenterology: For further evaluation of gastrointestinal issues, especially if your symptoms are related to bowel movements or digestion.

- Urology: If you suspect that the pain may be related to a urological issue, this specialty can provide targeted assessments.

- General Surgery: If there is a concern about appendicitis or other surgical conditions, a general surgeon can perform the necessary evaluations.

- Psychiatry or Psychology: If anxiety is suspected to be a significant factor, consulting with a mental health professional can be beneficial.


Conclusion
In summary, while your symptoms may be linked to anxiety, it is crucial to rule out any serious underlying conditions. The right approach would be to consult with a gastroenterologist or urologist, depending on how your symptoms evolve. Keeping a detailed record of your symptoms, including their frequency, duration, and any accompanying signs, can be very helpful for your healthcare provider in making an accurate diagnosis. Remember, it is always better to err on the side of caution when it comes to persistent abdominal pain.