Right Abdominal Pain: Causes and Gastrointestinal Issues

Q: Right Abdominal Pain: Causes and Gastrointestinal Issues

Hello： For right upper abdominal pain, based on the anatomical location of the human body, you should consider： (1) peptic ulcer (duodenal ulcer) (2) ascending colon issues (constipation) (3) biliary diseases (gallstones) (4) kidney diseases (kidney stones with hydronephrosis) (5

Frequent intermittent dull pain in the right side of the abdomen?

Irregular bowel movements are causing abdominal pain.
Sometimes I experience constipation, going only once every 2 to 3 days with just a little bit.
Other times, after eating something stimulating, I have a large bowel movement.
The most troubling part is that after eating, drinking, during busy work hours, or at night while trying to sleep, I often feel a dull pain in the right side of my abdomen, just above the navel.
It’s not a sharp pain, but rather a persistent discomfort.
My appetite has decreased; I often feel full after just a small amount of food, and shortly after, I experience significant hunger and stomach pain.
Today, after breakfast, I felt like my stomach wasn't clean, and I rushed to the bathroom, where I felt my intestines were in knots.
Although I didn't have diarrhea, my stool was softer and thinner, and my stomach hurt a lot.
I'm not sure if this is the reason, but I’ve been experiencing lower back pain throughout the workday.
After eating, I didn't have to go to the bathroom, but the dull pain in the right side of my abdomen persists intermittently.

Yi, 10~19 year old female. Ask Date: 2015/11/17

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: For right upper abdominal pain, based on the anatomical location of the human body, you should consider: (1) peptic ulcer (duodenal ulcer) (2) ascending colon issues (constipation) (3) biliary diseases (gallstones) (4) kidney diseases (kidney stones with hydronephrosis) (5) more serious liver problems (hepatitis).
It is recommended to increase fluid intake, consume fruits and vegetables, maintain regular bowel movements, and be mindful of your sitting posture or do some stretching after prolonged sitting.
If symptoms persist, it is still advisable to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/11/17

More Info

Understanding right abdominal pain can be quite complex, as it can stem from a variety of causes, particularly within the gastrointestinal system. Based on your description, it seems you are experiencing a combination of gastrointestinal symptoms, including irregular bowel movements, abdominal pain, and changes in appetite. Let's break down the potential causes and considerations for your symptoms.

Potential Causes of Right Abdominal Pain
1. Irritable Bowel Syndrome (IBS): Given your symptoms of alternating constipation and diarrhea, along with abdominal discomfort, IBS could be a likely cause. This functional gastrointestinal disorder is characterized by a combination of symptoms, including abdominal pain, bloating, and changes in bowel habits. Stress and dietary factors often exacerbate IBS symptoms.

2. Constipation: If you are experiencing infrequent bowel movements (2-3 days without a bowel movement), this can lead to abdominal pain and discomfort. The buildup of stool can cause distension and cramping, particularly in the lower abdomen.

3. Gastroenteritis: If you recently experienced a sudden onset of diarrhea after eating, it could indicate a viral or bacterial infection affecting your gastrointestinal tract. This can lead to abdominal pain, cramping, and changes in bowel habits.

4. Gallbladder Issues: Given that your pain is located on the right side of your abdomen, gallbladder problems, such as gallstones or cholecystitis, could be a consideration. Symptoms often include pain in the upper right abdomen, especially after eating fatty meals.

5. Appendicitis: Although typically associated with severe pain in the lower right abdomen, early appendicitis can sometimes present with more generalized abdominal discomfort. If the pain worsens or is accompanied by fever, nausea, or vomiting, immediate medical attention is necessary.

6. Musculoskeletal Issues: Given that you also mention back pain, it’s possible that some of your abdominal discomfort could be related to musculoskeletal strain, particularly if you have been lifting heavy objects or engaging in physical activity.

Gastrointestinal Considerations
Your description of feeling full quickly and experiencing a "twisted" sensation in your abdomen after eating could suggest gastrointestinal motility issues. This can be associated with conditions like gastroparesis, where the stomach empties slowly, leading to early satiety and discomfort.
Additionally, the fact that your bowel movements are sometimes thin and soft could indicate that your diet may be lacking in fiber, which is essential for healthy bowel function. A sudden change in diet or stress can also lead to gastrointestinal disturbances, which may explain your symptoms.

Recommendations
1. Dietary Adjustments: Consider increasing your fiber intake through fruits, vegetables, and whole grains. This can help regulate your bowel movements and alleviate constipation.

2. Hydration: Ensure you are drinking enough fluids throughout the day, as dehydration can worsen constipation and abdominal discomfort.

3. Stress Management: Since stress can exacerbate gastrointestinal symptoms, incorporating stress-reducing techniques such as mindfulness, yoga, or regular exercise may be beneficial.

4. Medical Consultation: Given the persistence of your symptoms, it is crucial to consult with a healthcare provider. They may recommend further diagnostic tests, such as blood tests, imaging studies (like an ultrasound or CT scan), or a referral to a gastroenterologist for specialized evaluation.

5. Symptom Diary: Keeping a diary of your symptoms, dietary intake, and bowel habits can be helpful for your healthcare provider to identify patterns and potential triggers.

In conclusion, while there are several potential causes for your right abdominal pain and gastrointestinal issues, a thorough evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate treatment plan. Don't hesitate to seek medical advice, especially if your symptoms worsen or if you experience additional concerning signs such as fever, significant weight loss, or persistent vomiting.

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