Right Lower Chest and Abdominal Pain: When to Seek Help - Internal Medicine

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Pain in the lower right quadrant of the abdomen?


Hello, doctor! Recently, a family member has been experiencing discomfort in the lower right side of the abdomen, but there are no lumps in the chest or abdomen.
The pain comes in waves and has been ongoing for about five days.
They have diabetes, but I'm not sure if that is related.
Should we go to the emergency room or schedule an appointment with an outpatient department? I would also like to ask if abdominal pain is a very concerning symptom.
Are there many diseases where abdominal pain is a primary symptom? How long does it usually take for abdominal examination reports to come back? I often find myself overthinking and getting scared, feeling helpless and wanting to cry because I'm afraid the results might be serious.
Is the idea that abdominal pain is a warning signal from the body a misconception? Thank you for your response, doctor!

A Ying, 20~29 year old female. Ask Date: 2015/12/31

Dr. Li Zhiyao reply Internal Medicine


Hello: The most common cause of pain in the upper right abdomen is related to liver and gallbladder issues.
If the symptoms are severe, it is advisable to go to the emergency department; otherwise, it is recommended to see a gastroenterologist specializing in liver and gallbladder conditions.

Reply Date: 2015/12/31

More Info


When it comes to understanding right lower chest and abdominal pain, it's essential to approach the situation with a clear mind and a structured plan. Given that your family member has been experiencing discomfort for about five days, it is crucial to evaluate the symptoms carefully and determine the appropriate course of action.


When to Seek Help
If the pain is persistent and has not improved, it is advisable to seek medical attention. In this case, visiting an urgent care center or the emergency department may be warranted, especially if the pain is severe or accompanied by other concerning symptoms such as fever, vomiting, or changes in consciousness. Given your family member's history of diabetes, it is particularly important to rule out any complications that could arise from this condition, such as infections or issues related to blood sugar levels.


Understanding Abdominal Pain
Abdominal pain can indeed be a symptom of many different conditions, ranging from benign to serious. Common causes of abdominal pain include gastrointestinal issues like gastritis, peptic ulcers, or gallbladder disease. However, pain in the right lower chest area could also indicate issues related to the lungs, such as pneumonia or pleuritis, or even musculoskeletal problems.
It's important to note that while abdominal pain can be alarming, not all abdominal pain signifies a severe condition. Many times, it can be due to less serious issues like gas or muscle strain. However, the presence of diabetes in your family member's medical history complicates the situation, as it can lead to a higher risk of certain conditions, including infections and complications related to the gastrointestinal tract.


The Psychological Aspect
Your feelings of anxiety and fear regarding the potential severity of the situation are entirely valid. It's common for individuals to feel overwhelmed when faced with unexplained symptoms, especially when they have a loved one who is experiencing discomfort. The mind often races to the worst-case scenarios, which can exacerbate feelings of helplessness.
It's essential to remember that while abdominal pain can be a warning sign, it is not always indicative of a life-threatening condition. Many people experience abdominal pain at some point in their lives, and most cases resolve without serious intervention. However, it is crucial to listen to the body and seek medical advice when symptoms persist or worsen.


Diagnostic Process
Regarding the time it takes to receive results from abdominal imaging or lab tests, it can vary widely depending on the facility and the specific tests performed. Generally, imaging studies like ultrasounds or CT scans can provide results within a few hours to a day, while blood tests may take a shorter time. If your family member undergoes any imaging or lab tests, the healthcare provider will typically discuss the expected timeline for results.


Conclusion
In summary, if your family member is experiencing persistent pain in the right lower chest and abdomen, it is advisable to seek medical attention promptly. The combination of diabetes and ongoing pain warrants a thorough evaluation to rule out any serious conditions. While abdominal pain can be a symptom of various issues, it is essential to approach the situation with a balanced perspective, recognizing that not all pain indicates a severe problem. Lastly, addressing the psychological aspect of health concerns is equally important; seeking support from friends, family, or mental health professionals can help alleviate anxiety and provide comfort during this challenging time.

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