Right Lower Abdominal Pain: Causes and When to Seek Help

Abdominal pain

Hello, Doctor: I have been experiencing occasional dull pain in the lower right abdomen (about 5 centimeters to the right of the navel), which is more noticeable when lying flat before sleep.
I would like to ask: which organ is located in that area? If I want to seek medical attention, which department should I register with? Can I have an abdominal ultrasound examination done immediately in the outpatient clinic? Thank you for your response.

jess, 30~39 year old female. Ask Date: 2006/10/10

Dr. Cai Jueren reply Family Medicine

Hello, there are basically no organs in the lower right abdomen (even in females).
There are a few exceptions where the kidney may be positioned too low or the ovary too high, but these cases are quite rare.
Your situation may be caused by constipation or fecal impaction.
If you are concerned, I recommend consulting a family medicine physician for an initial examination.
An abdominal ultrasound would typically be a later step in the diagnostic process.
Thank you for your inquiry, and I hope the above information helps address your concerns.
Dr.
Chai Jue-ren, Hualien Hospital.

Reply Date: 2006/10/10

More Info

Right lower abdominal pain can be a concerning symptom, and understanding its potential causes is crucial for determining the appropriate course of action. The area you are referring to, approximately five centimeters to the right of the navel, is associated with several important organs, including the appendix, parts of the intestines, and in females, the ovaries and fallopian tubes.

Potential Causes of Right Lower Abdominal Pain
1. Appendicitis: One of the most common causes of pain in this area, especially if the pain is sharp and worsens over time. Appendicitis typically requires surgical intervention.

2. Ovarian Issues: In females, conditions such as ovarian cysts, ovarian torsion, or ectopic pregnancy can cause pain in the right lower abdomen. These conditions may present with additional symptoms such as changes in menstrual cycles or unusual discharge.

3. Gastrointestinal Issues: Conditions like diverticulitis, inflammatory bowel disease (IBD), or even constipation can lead to discomfort in the lower right abdomen. These issues may be accompanied by changes in bowel habits or abdominal bloating.

4. Hernia: An inguinal hernia can also manifest as pain in the lower abdomen, especially if there is a bulge present.

5. Musculoskeletal Pain: Sometimes, pain in this area can be due to muscle strain or injury, particularly if you have engaged in physical activity that may have stressed the abdominal muscles.

When to Seek Medical Help
You should consider seeking medical attention if:
- The pain is severe or worsening.

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

- There is swelling or a noticeable bulge in the area.

- You have a history of gynecological issues or other abdominal conditions.

Recommended Medical Specialties
For your symptoms, it would be advisable to consult a gastroenterologist or a gynecologist (if you are female). A gastroenterologist specializes in digestive system disorders, while a gynecologist can address any potential reproductive health issues.

Diagnostic Procedures
Regarding your question about immediate ultrasound examinations, many clinics and hospitals can perform abdominal ultrasounds on an outpatient basis. However, the availability may depend on the facility and whether the physician deems it necessary based on your symptoms. It’s best to discuss this with your doctor during your visit.

Conclusion
In summary, right lower abdominal pain can stem from various causes, ranging from benign to serious conditions. It is essential to monitor your symptoms closely and seek medical advice, especially if the pain persists or worsens. Early diagnosis and treatment can significantly improve outcomes, so don’t hesitate to reach out to a healthcare provider for a thorough evaluation.

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