Why Is My Right Abdomen Larger Than the Left? Digestive Concerns - Gastroenterology and Hepatology

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Why is the right side of the abdomen slightly larger than the left side?


Hello, doctor: I am a bit concerned about my intestinal issues.
I would like to ask, if my stool varies in thickness from time to time, sometimes well-formed and sometimes not, or if it often becomes loose and watery, is that normal? The color generally depends on what I eat.
I usually have a bowel movement once a day, but on weekends it can change to once every two days.
What worries me the most is that I experience a dull pain in the area about 10 centimeters to the right of my navel.
The pain is not very intense, and I don't notice any hard lumps when I press on it, nor is it particularly painful.
Sometimes it hurts, and sometimes it doesn't.
However, I can visually see that the right side of my abdomen is slightly larger than the left side (with the navel as the center).
Does this indicate a problem with my intestines?

mie, 30~39 year old female. Ask Date: 2015/10/21

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, based on the symptoms, it appears to be gastroenteritis or functional bowel disorder.
It is recommended to follow a low-fat and non-irritating diet.
If there is no improvement, please visit the Gastroenterology outpatient clinic at Taoyuan General Hospital, Ministry of Health and Welfare, to see Dr.
Chi-Feng Chen.

Reply Date: 2015/10/21

More Info


When you notice that your right abdomen appears larger than your left, it can understandably cause concern, especially when accompanied by digestive irregularities and discomfort. However, it is essential to understand that asymmetry in the abdomen is not uncommon and can be attributed to various factors.

Firstly, the human body is not perfectly symmetrical. Organs such as the liver, spleen, and intestines are positioned asymmetrically within the abdominal cavity. For instance, the liver is predominantly located on the right side, which can contribute to a slight bulge in that area. Additionally, the distribution of gas in the intestines can vary, leading to temporary swelling or asymmetry. If imaging studies like abdominal ultrasound or X-rays have returned normal results, this is a reassuring sign that there are no significant structural abnormalities.

Regarding your bowel habits, variations in stool consistency and frequency can be influenced by numerous factors, including diet, hydration, and stress levels. It is normal for stool to vary from formed to loose, and the color can indeed change based on what you eat. However, if you consistently experience discomfort or pain in a specific area, such as around the navel, it warrants further investigation.

The dull pain you describe, particularly if it is localized and fluctuates in intensity, could be related to several benign conditions. For example, it might be due to muscle strain, gas buildup, or even a mild case of appendicitis, especially if the pain is on the right side. However, if the pain persists or worsens, it is crucial to consult a healthcare professional for a thorough evaluation.

In terms of digestive health, it is essential to maintain a balanced diet rich in fiber, stay hydrated, and engage in regular physical activity. These practices can help regulate bowel movements and improve overall digestive function. If you notice that your bowel habits change significantly or if you experience additional symptoms such as weight loss, persistent pain, or changes in appetite, it is advisable to seek medical attention.

In summary, while asymmetry in the abdomen can be normal and may not indicate a serious issue, the combination of your symptoms—especially the localized pain—suggests that further evaluation may be necessary. It is always better to err on the side of caution when it comes to health concerns. Consulting with a gastroenterologist or a healthcare provider who can perform a detailed examination and possibly recommend additional tests will provide you with peace of mind and clarity regarding your digestive health.

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