Sudden Right-Side Abdominal Pain: When to See a Doctor? - Internal Medicine

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Stomach pain?


This morning, I woke up with sudden abdominal pain, but it's not in the middle; it's on the right side, and it feels like a cramping pain that comes and goes.
When I press on the affected area, it doesn't hurt, but the pain has been persistent for a long time.
Should I go to the hospital for a check-up? If so, should I see a general internist? Thank you.

james, 20~29 year old female. Ask Date: 2009/06/10

Dr. Sun Yizhen reply Internal Medicine


You can visit the internal medicine or gastroenterology outpatient clinic for medical care.

Reply Date: 2009/06/10

More Info


Sudden right-side abdominal pain can be concerning, and it’s important to approach this symptom with caution. Given the nature of your pain—described as intermittent and resembling cramping—it could be indicative of several underlying conditions. While some causes may be benign, others could require immediate medical attention.


When to See a Doctor
You should consider seeking medical attention if:
1. Severity of Pain: If the pain is severe and persistent, it warrants a visit to the doctor.

2. Duration: If the pain lasts for more than a few hours without improvement, it’s advisable to consult a healthcare professional.

3. Associated Symptoms: If you experience additional symptoms such as fever, vomiting, changes in bowel habits, or any signs of jaundice (yellowing of the skin or eyes), you should seek medical help immediately.

4. History of Medical Conditions: If you have a history of conditions such as gallstones, appendicitis, or any gastrointestinal disorders, it’s wise to consult a doctor sooner rather than later.


Possible Causes of Right-Side Abdominal Pain
1. Appendicitis: This is one of the most common causes of right-sided abdominal pain, especially if the pain is localized around the lower right abdomen. It often starts near the belly button and then moves to the right side.


2. Gallbladder Issues: Conditions such as gallstones can cause pain in the upper right abdomen, especially after eating fatty meals.

3. Kidney Stones: Pain from kidney stones can radiate to the lower abdomen and groin, often accompanied by urinary symptoms.

4. Muscle Strain: If you’ve recently engaged in physical activity or unusual movements, muscle strain could be a possibility, especially if the pain is tender to touch.

5. Gastrointestinal Issues: Conditions such as diverticulitis or inflammatory bowel disease can also present with right-sided abdominal pain.


What to Expect at the Doctor's Office
If you decide to see a doctor, you may be referred to a general practitioner or an internal medicine specialist. They will likely perform a physical examination and may order tests such as:
- Blood Tests: To check for signs of infection or inflammation.

- Imaging Studies: An ultrasound or CT scan may be necessary to visualize the organs in your abdomen and identify any abnormalities.


Recommendations
- Do Not Delay: If your symptoms worsen or you develop new symptoms, do not hesitate to seek medical care.

- Keep a Symptom Diary: Note when the pain occurs, its intensity, and any associated symptoms. This information can be helpful for your healthcare provider.

- Avoid Self-Diagnosis: While it’s easy to look up symptoms online, it’s crucial to get a professional evaluation to avoid misdiagnosis.

In summary, while some cases of right-side abdominal pain may resolve on their own, it’s essential to be vigilant and seek medical attention if the pain is severe, persistent, or accompanied by other concerning symptoms. Your health is paramount, and timely intervention can make a significant difference in outcomes.

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