What are the main causes of dull ache in the right side of the abdomen. How can you differentiate between various sources of lower right abdominal pain. When should you seek medical attention for abdominal discomfort.

Understanding Lower Right Abdominal Pain: Symptoms and Causes

Experiencing a dull ache in the right side of your abdomen can be concerning and often leaves you wondering about its origin. Lower right abdominal pain can stem from various conditions, ranging from minor issues to more serious medical problems. This comprehensive guide will explore nine common causes of pain in the lower right abdomen, helping you better understand your symptoms and determine when to seek medical attention.

Urinary Tract Infections: A Common Culprit of Abdominal Discomfort

Urinary tract infections (UTIs) are a frequent cause of lower abdominal pain, including discomfort on the right side. These infections can affect any part of the urinary system but most commonly involve the bladder and urethra.

What causes urinary tract infections?

UTIs are typically caused by bacteria from the gastrointestinal tract, with Escherichia coli (E. coli) being the most common culprit. These bacteria can spread from the anus to the urethra, often facilitated by sexual activity. However, it’s important to note that UTIs are not considered sexually transmitted diseases.

Who is at risk for developing UTIs?

Women are more susceptible to UTIs than men due to their anatomy, as the female urethral opening is closer to the anus. Additionally, individuals who use catheters to urinate are at an increased risk of developing these infections.

Recognizing UTI symptoms

• Lower abdominal discomfort and pressure
• Burning sensation during urination
• Cloudy or discolored urine
• Frequent urge to urinate
• Fatigue and general malaise

If left untreated, a UTI can potentially spread to the kidneys, resulting in a more severe infection that requires immediate medical attention. Therefore, it’s crucial to seek treatment promptly if you suspect you have a UTI.

Diagnosing and treating UTIs

Healthcare providers typically diagnose UTIs based on the patient’s description of symptoms and by testing a urine sample for the presence of bacteria. Since these infections are bacterial in nature, they can be effectively treated with antibiotics. To prevent UTIs, maintain good hygiene practices and ensure adequate hydration by drinking plenty of water.

Pregnancy: An Unexpected Source of Lower Abdominal Discomfort

For women of childbearing age, pregnancy is a potential cause of lower right abdominal pain that should not be overlooked. While a missed period is often the first sign of pregnancy, many women experience other symptoms shortly after conception.

Early pregnancy symptoms

1. Implantation bleeding: Occurs 6-12 days after conception, causing mild cramping and light spotting
2. Fatigue: Increased desire to sleep may manifest within a week of conception
3. Breast tenderness: Can begin as early as 1-2 weeks after conception
4. Nausea (“morning sickness”): Typically starts 2-8 weeks into pregnancy

If you suspect you might be pregnant, it’s essential to confirm your suspicion through testing so that proper prenatal care can begin promptly. Early diagnosis is crucial to avoid certain behaviors that may be harmful during pregnancy, such as consuming alcohol or using certain medications.

How can you confirm a pregnancy?

Over-the-counter home pregnancy tests are readily available at drugstores and are highly accurate when used correctly. A positive result is almost always correct, but a negative result in the presence of other pregnancy symptoms may be a false negative. In such cases, it’s advisable to repeat the test after a week or consult with a healthcare provider for further evaluation.

Pelvic Inflammatory Disease: A Serious Condition Requiring Prompt Attention

Pelvic inflammatory disease (PID) is a general term for a bacterial infection affecting a woman’s reproductive organs. This condition can cause significant discomfort in the lower abdomen, including the right side.

What are the primary causes of PID?

PID is most commonly a complication of sexually transmitted diseases (STDs) such as gonorrhea or chlamydia. However, it’s possible to develop PID from other sources as well. Any woman can be affected by this condition, but it’s most frequently observed in sexually active women under 25 years of age, especially those with a history of PID, multiple sexual partners, or frequent douching.

Recognizing the symptoms of PID

• Fever
• Lower abdominal pain
• Foul-smelling vaginal discharge
• Pain and/or bleeding during sexual intercourse
• Painful urination

If left untreated, PID can lead to serious complications, including infertility due to scarring of the reproductive tract tissues. It may also result in chronic pelvic and abdominal pain. Moreover, unprotected sexual partners of individuals with PID are at risk of infection.

How is PID diagnosed and treated?

Diagnosis of PID involves a combination of symptom assessment, pelvic examination, vaginal and cervical swabs, and urine tests. Treatment typically consists of a course of antibiotics. It’s crucial to complete the entire prescribed medication regimen, even if symptoms improve before finishing the course.

To prevent PID, ensure all sexual partners (male or female) are tested for STDs and practice safe sexual behaviors, including the use of barrier methods such as condoms.

Ovulation Pain: Understanding Mittelschmerz

Mittelschmerz, derived from the German words for “middle” and “pain,” refers to the discomfort some women experience during ovulation. This phenomenon occurs at the midpoint of the menstrual cycle and can cause pain in the lower right or left abdomen.

What causes ovulation pain?

Each month, one of the two ovaries forms a follicle containing an egg cell. The pain associated with mittelschmerz occurs when this follicle ruptures and releases the egg. This process can result in a dull, cramping sensation that may begin suddenly on one side of the lower abdomen.

Identifying mittelschmerz symptoms

• Sudden onset of dull pain in the lower abdomen
• Pain typically localized to one side
• Occasional vaginal spotting
• Discomfort occurring approximately 14 days before the next menstrual period

It’s important to note that true mittelschmerz is not associated with severe symptoms such as nausea, vomiting, fever, or intense pelvic pain. If you experience these more severe symptoms, it’s advisable to consult a healthcare provider, as they may indicate a more serious condition.

How is mittelschmerz diagnosed and managed?

Diagnosis of mittelschmerz is typically based on patient history and the timing of symptoms in relation to the menstrual cycle. Treatment generally involves over-the-counter, nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate the pain. For women who find the discomfort particularly bothersome, oral contraceptives can be used to stop ovulation and, consequently, the associated pain.

Appendicitis: A Medical Emergency Requiring Immediate Attention

Appendicitis is an inflammation of the appendix, a small, finger-shaped pouch attached to the large intestine. This condition can cause significant pain in the lower right abdomen and requires prompt medical intervention.

What are the hallmark symptoms of appendicitis?

• Sharp pain that begins near the navel and moves to the lower right abdomen
• Pain that worsens with movement, coughing, or sneezing
• Nausea and vomiting
• Loss of appetite
• Low-grade fever
• Abdominal bloating

If you suspect appendicitis, it’s crucial to seek immediate medical attention. Left untreated, an inflamed appendix can rupture, leading to a life-threatening situation.

How is appendicitis diagnosed and treated?

Diagnosis typically involves a physical examination, blood tests, and imaging studies such as ultrasound or CT scan. Treatment for appendicitis usually involves surgical removal of the appendix (appendectomy). In some cases, antibiotics may be used as an initial treatment, particularly if surgery is not immediately available or if the patient is not a good surgical candidate.

Ovarian Cysts: A Common Cause of Lower Abdominal Pain in Women

Ovarian cysts are fluid-filled sacs that develop on or within the ovaries. While many cysts are harmless and resolve on their own, some can cause discomfort and require medical attention.

What types of ovarian cysts are most common?

1. Functional cysts: These form during the menstrual cycle and are usually harmless
2. Endometriomas: Associated with endometriosis, these cysts can be painful
3. Dermoid cysts: Contain tissue such as hair, skin, or teeth
4. Cystadenomas: Develop on the surface of the ovary and can become large

Recognizing ovarian cyst symptoms

• Dull or sharp pain in the lower abdomen, often on one side
• Bloating or swelling in the abdomen
• Painful bowel movements
• Pain during intercourse
• Irregular menstrual cycles

While many ovarian cysts are asymptomatic and resolve without treatment, larger cysts or those causing significant symptoms may require medical intervention.

How are ovarian cysts diagnosed and managed?

Diagnosis typically involves a pelvic examination, ultrasound, and sometimes blood tests. Treatment depends on the size, type, and symptoms of the cyst. Options may include watchful waiting, hormonal birth control to prevent new cysts, or surgical removal for larger or persistent cysts.

Irritable Bowel Syndrome: A Chronic Condition Affecting the Digestive System

Irritable Bowel Syndrome (IBS) is a common functional gastrointestinal disorder that can cause a variety of symptoms, including lower abdominal pain. This chronic condition affects the large intestine and can significantly impact quality of life.

What are the primary symptoms of IBS?

• Abdominal pain or cramping, often relieved by bowel movements
• Changes in bowel habits (diarrhea, constipation, or alternating between both)
• Bloating and gas
• Mucus in the stool
• Food intolerances

The exact cause of IBS is unknown, but factors such as muscle contractions in the intestine, nervous system abnormalities, severe infection, and stress may play a role.

How is IBS diagnosed and managed?

Diagnosis of IBS typically involves ruling out other conditions through a combination of symptom assessment, physical examination, and sometimes additional tests such as blood work or colonoscopy. Treatment often includes dietary changes, stress management techniques, and medications to address specific symptoms. Some individuals find relief through probiotics, regular exercise, and cognitive-behavioral therapy.

Kidney Stones: A Painful Condition That Can Cause Lower Right Abdominal Pain

Kidney stones are hard deposits made of minerals and salts that form inside the kidneys. While they often start in the kidneys, they can affect any part of the urinary tract and cause significant pain, including in the lower right abdomen.

What are the symptoms of kidney stones?

• Severe pain in the side, back, lower abdomen, or groin
• Pain that comes in waves and fluctuates in intensity
• Painful urination
• Pink, red, or brown urine
• Nausea and vomiting
• Persistent need to urinate
• Urinating more often than usual
• Fever and chills if an infection is present

The pain associated with kidney stones can be excruciating and may radiate to the lower abdomen as the stone moves through the urinary tract.

How are kidney stones diagnosed and treated?

Diagnosis typically involves imaging studies such as CT scans or ultrasounds, along with urine and blood tests. Treatment depends on the size and location of the stone. Small stones may pass on their own with pain management and increased fluid intake. Larger stones may require medical interventions such as shock wave lithotripsy, ureteroscopy, or in some cases, surgical removal.

Diverticulitis: Inflammation of the Digestive Tract

Diverticulitis occurs when small, bulging pouches (diverticula) that can form in the lining of the digestive system become inflamed or infected. While diverticulitis most commonly affects the sigmoid colon on the left side of the abdomen, it can occasionally cause pain in the lower right abdomen.

What are the common symptoms of diverticulitis?

• Persistent abdominal pain, usually on the left side but sometimes on the right
• Fever
• Nausea and vomiting
• Constipation or, less commonly, diarrhea
• Bloating
• Bleeding from the rectum (in some cases)

The exact cause of diverticulitis is not known, but factors such as aging, obesity, smoking, lack of exercise, and a low-fiber diet may increase the risk of developing this condition.

How is diverticulitis diagnosed and treated?

Diagnosis typically involves a physical examination, blood tests, and imaging studies such as CT scans. Treatment depends on the severity of the condition. Mild cases may be managed with rest, dietary changes, and antibiotics. More severe cases may require hospitalization, intravenous antibiotics, or in some instances, surgery.

Understanding the various causes of lower right abdominal pain is crucial for identifying potential health issues and seeking appropriate medical care. While some conditions, such as ovulation pain or mild UTIs, may be managed at home, others require prompt medical attention. If you experience severe, persistent, or worsening pain in your lower right abdomen, it’s essential to consult with a healthcare provider for proper diagnosis and treatment. By staying informed and attentive to your body’s signals, you can take proactive steps to maintain your health and well-being.

9 Causes for Pain in the Lower Right Abdomen

Urinary tract infection

A urinary tract infection, or UTI, can involve any or all parts of the urinary system but most often affects the bladder and urethra.

Bacteria from the gastrointestinal tract – especially Escherichia coli (E. coli) – are the most common cause of UTIs. These bacteria spread from the anus to the urethra. Sexual activity can do this, but a UTI is not considered a sexually transmitted disease.

Women are more at risk for UTI than men. Due to female anatomy, the urethral opening is a short distance from the anus. Anyone who uses catheters to urinate is also prone to UTIs.

Common symptoms of less-serious UTIs include lower abdominal discomfort and pressure; burning or discomfort on urination; and cloudy or discolored urine.

Left untreated, the infection could spread to the kidneys and cause a medical emergency.

Diagnosis is made by having the patient describe the symptoms and by testing a urine sample for bacteria.

UTIs are caused by bacteria and so can be treated with antibiotics.

Prevention involves good hygiene and drinking plenty of water.

Possible pregnancy

The earliest sign of a pregnancy is typically a missed period, but many women do experience symptoms shortly after conception:

• Implantation bleeding may occur after six to twelve days, when the fertilized egg implants itself into the lining of the uterus. This can cause mild cramping with light bleeding or spotting.
• Fatigue and increased desire to sleep may happen within a week.
• Breast tenderness can start as soon as one to two weeks.
• Nausea (“morning sickness”) can occur after two to eight weeks.

If pregnancy is suspected, testing should be done so that proper prenatal care can begin. It’s important to avoid some behaviors during pregnancy, such as drinking alcohol or using certain drugs or medications, so an early diagnosis should be made.

Over-the-counter home pregnancy tests are available at any drugstore. A positive test is almost certainly correct, but a negative test in the face of other symptoms may be a false negative and should be tried again after a week.

Rarity: Common

Top Symptoms: fatigue, nausea or vomiting, stomach bloating, bloody vaginal discharge, vaginal bleeding

Symptoms that always occur with possible pregnancy: missed period

Symptoms that never occur with possible pregnancy: painful urination, severe abdominal pain

Urgency: Self-treatment

Pelvic inflammatory disease

Pelvic inflammatory disease, or PID, is the general term for a bacterial infection of a woman’s reproductive organs.

PID is most often a complication of a sexually transmitted disease (STD) such as gonorrhea or chlamydia. However, it is possible to get PID from other causes.

Any woman can be affected. It is most often found in sexually active women under age 25, especially those who have had PID before, have multiple partners, and/or douche frequently.

Symptoms include fever, lower abdominal pain, foul-smelling vaginal discharge, pain and/or bleeding during sex, and pain on urination.

Untreated PID can cause infertility due to damaged tissue in the reproductive tract, as well as chronic pelvic and abdominal pain. Unprotected sex partners will be infected as well.

Diagnosis is made through symptoms, pelvic examination, vaginal and cervical swabs, and urine tests.

Treatment is with a course of antibiotics. Be sure to finish all of the medication as directed, even when you begin feeling better.

To prevent PID, have all partners (male or female) tested for STDs and avoid unprotected sexual contact.

Rarity: Common

Top Symptoms: fever, abdominal pain or unusual vaginal discharge, vaginal discharge, nausea or vomiting, vaginal bleeding, pelvis pain

Symptoms that always occur with pelvic inflammatory disease: fever, abdominal pain or unusual vaginal discharge

Urgency: In-person visit

Ovulation pain (mittelschmerz) or midcycle spotting

Mittelschmerz is a German word that translates as “middle pain. ” It refers to the normal discomfort sometimes felt by women during ovulation, which is at the midpoint of the menstrual cycle.

Each month, one of the two ovaries forms a follicle that holds an egg cell. The pain occurs when the follicle ruptures and releases the egg.

This is a dull, cramping sensation that may begin suddenly in only one side of the lower abdomen. In a few cases, there may be vaginal spotting. Mittelschmerz occurs about 14 days before the start of the next menstrual period.

Actual Mittelschmerz is not associated with nausea, vomiting, fever, or severe pelvic pain. These symptoms should be evaluated by a medical provider since they can indicate a more serious condition.

Diagnosis is made through patient history.

Treatment requires only over-the-counter, nonsteroidal anti-inflammatory drugs to relieve the pain. An oral contraceptive will stop the symptoms, since it also stops ovulation.

Rarity: Common

Top Symptoms: abdominal pain (stomach ache), last period approximately 2 weeks ago, vaginal bleeding, bloody vaginal discharge, pelvis pain

Symptoms that always occur with ovulation pain (mittelschmerz) or midcycle spotting: last period approximately 2 weeks ago

Urgency: Self-treatment

Ovarian torsion

Ovarian torsion, also called adnexal torsion or tubo-ovarian torsion, is the twisting of the “stem,” or supporting fleshy pedicle, of the ovary.

This condition can occur when a mass forms on the surface of the ovary and pulls it over. This is most often a complication of cystic ovaries.

It is most common in women under thirty or past menopause. It can occur during pregnancy.

Symptoms include severe, one-sided, lower abdominal pain with nausea and vomiting.

Diagnosis is made by ultrasound. The ovary will appear enlarged due to the torsion cutting off the circulation. There will be free pelvic fluid and a twisted pedicle.

Ovarian torsion is a medical emergency. The ovary can die due to loss of circulation, causing infection, abscess, or peritonitis. Surgery must be done to prevent tissue death and subsequent complications. In the majority of cases the affected ovary must be removed, which also removes the cyst or mass that caused the torsion.

Proper treatment of polycystic ovary syndrome (PCOS) can help prevent at least one cause of ovarian torsion.

Rarity: Rare

Top Symptoms: abdominal pain (stomach ache), nausea or vomiting, nausea, moderate abdominal pain, loss of appetite

Symptoms that never occur with ovarian torsion: diarrhea, pain below the ribs, mild abdominal pain

Urgency: Hospital emergency room

Ovarian cyst

During her reproductive years, a woman’s ovaries release a single egg cell each month. But sometimes the egg remains on the surface of the ovary, where the follicle that enclosed it continues to grow. It then becomes a fluid-filled ovarian cyst.

Ovarian cysts may be caused by hormonal imbalances; by endometriosis tissue, if it attaches to the ovary; and by severe pelvic infections that spread to the ovaries. Cysts may also form during pregnancy.

Small ovarian cysts often cause no symptoms. Larger cysts may cause pelvic pain, backache, unexplained weight gain, abnormal vaginal bleeding, and/or pain during sex. Ovarian cysts are almost never a form of cancer.

Sudden, severe abdominal pain could indicate a ruptured cyst. This is a medical emergency and the patient should go to an emergency room or call 9-1-1.

Diagnosis is made through ultrasound.

Hormonal birth control, such as the pill, injection, or patch, prevents ovulation and therefore prevents the formation of cysts. Surgery to remove the cyst may be necessary in some cases.

Rarity: Rare

Top Symptoms: stomach bloating, vaginal bleeding, pelvis pain, lower abdominal pain, lower back pain

Urgency: Primary care doctor

Normal variation of constipation

Constipation means bowel movements which have become infrequent and/or hardened and difficult to pass.

There is wide variation in what is thought “normal” when it comes to frequency of bowel movements. Anywhere from three times a day to three times a week is considered normal.

As long as stools are easy to pass, laxatives should not be used in an effort to force the body to a more frequent schedule.

Constipation is usually caused by lack of fiber in the diet; not drinking enough water; insufficient exercise; and often suppressing the urge to have a bowel movement.

A number of medications and remedies, especially narcotic pain relievers, can cause constipation.

Women are often affected, due to pregnancy and other hormonal changes. Young children who demand low-fiber or “junk food” diets are also susceptible.

Constipation is a condition, not a disease, and most of the time is easily corrected. If simple adjustments in diet, exercise, and bowel habits don’t help, a doctor can be consulted to rule out a more serious cause.

Rarity: Common

Top Symptoms: abdominal pain (stomach ache), nausea, stomach bloating, constipation, constipation

Symptoms that always occur with normal variation of constipation: constipation

Symptoms that never occur with normal variation of constipation: vomiting

Urgency: Self-treatment

Intestinal inflammation (diverticulitis)

When the passage of food through the colon becomes sluggish, the food can stagnate, increase in bulk, create pressure, and cause diverticula – or pouches – to form in the walls of the large intestine. If these pouches become inflamed, the condition is called diverticulitis.

Risk factors are a low-fiber diet, smoking, obesity, chronic constipation, and lack of “good” bacteria in the gut.

Patients over 50, with a previous history of inflammatory disease of the colon, are most susceptible.

Symptoms include persistent abdominal pain; fever; nausea and vomiting; and constipation sometimes alternating with diarrhea.

Left untreated, diverticulitis can lead to intestinal blockage and scarring. Rupture of an inflamed pouch can result, leading to peritonitis. These are medical emergencies. If suspected, take the patient to the emergency room or call 9-1-1.

Diagnosis is made by ruling out other conditions through physical examination; blood, urine, and stool tests; and CT scan.

Less serious cases are treated with a high-fiber diet, fluids, probiotics, antibiotics, and lifestyle management. Others may require intravenous antibiotics and/or surgery.

Rarity: Uncommon

Top Symptoms: abdominal pain (stomach ache), nausea, loss of appetite, diarrhea, constipation

Symptoms that never occur with intestinal inflammation (diverticulitis): pain below the ribs, pain in the upper right abdomen

Urgency: Hospital emergency room

Appendicitis

Appendicitis is an inflammation of the appendix, the small, finger-shaped pouch projecting off the colon on the lower right side of the abdomen.

The inflammation is caused by anything blocking or irritating the appendix opening or walls, such as hard stool or damage from other bowel disease. The blocked appendix can quickly swell with bacteria and pus.

Appendicitis is most common from ages 13-30, but can happen to anyone.

Symptoms include sudden, severe pain in the abdomen that begins near the navel and soon moves to the lower right side. There may be low-grade fever; nausea and vomiting; feeling bloated; and constipation or diarrhea.

If not treated, an infected appendix can rupture and cause a life-threatening infection of the abdomen called peritonitis. This is why appendicitis is a medical emergency. If suspected, take the patient to the emergency room or call 9-1-1.

Diagnosis is made through patient history, physical examination, blood and urine tests, and imaging such as ultrasound or x-ray.

An inflamed appendix must be surgically removed as soon as possible.

• Have you experienced any nausea?
• Any fever today or during the last week?
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• How would you describe the nature of your abdominal pain?

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16 causes, diagnosis, and treatment

Several different conditions can cause pain in the lower right area of the abdomen. Appendicitis is one of the more serious causes, but indigestion and cramps can also cause discomfort. It can also be a sign of bowel problems.

The abdomen is the area between the chest and the pelvis. It contains vital organs involved in digestion, such as the intestines and the liver. In addition, the lower right portion of the abdomen includes a part of the colon and the right ovary in women.

This article will outline the potential causes of pain in the lower right abdomen, their symptoms, and whether someone should seek medical assistance for them.

In some cases, a pain in the lower right abdomen can indicate a more serious condition that will require immediate medical assistance.

Appendicitis

When the pain is specific to the lower right abdomen, appendicitis is one of the most common causes. The appendix is a tube-like structure attached to the large intestines.

Appendicitis occurs when the appendix inflames, causing pain in the middle of the abdomen that spreads to the right lower abdomen, where the pain becomes severe.

Other symptoms can include:

• fever
• diarrhea
• low appetite
• nausea
• vomiting
• weakness

In some cases, it may be necessary to remove the appendix to relieve the pain. Appendix removal poses no additional health risks.

Kidney stones

Nephrolithiasis, also known as kidney stones, is a common condition. Minerals build up in the kidney to form stones, most composed of calcium.

The size of kidney stones can vary. The smaller stones can pass through the urinary system with ease, but larger stones can get stuck and cause severe pain around the lower back, side, abdomen, and groin.

As the stones move throughout the urinary system, the pain will vary in location and severity.

Other symptoms can include:

• blood in the urine
• nausea
• vomiting
• fever
• chills

Kidney infection

Bacteria in the urinary system can infect one or both kidneys. As a result, pain typically occurs in the lower back, side, and groin. However, one can also feel pain in the lower abdomen.

Medical intervention may be necessary to prevent permanent damage from a kidney infection. Higher-risk patients such as those that are pregnant, have diabetes, or received a kidney transplant, may be more likely to require medical assistance.

Symptoms can include:

• flank pain
• fever
• nausea
• vomiting
• painful urination
• increased frequency and urge to urinate

Kidney infections can be mistaken for urinary tract infections, such as cystitis, with similar symptoms.

Hernia

A hernia is where internal organs or tissues push through a weakening in a muscle or tissue wall and cause a small lump. The condition most commonly happens around the abdominal area.

Groin and femoral hernias often occur on the right side, and their severity may increase over time. Depending on the severity of the hernia, someone may or may not require surgery or other treatments.

Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a chronic digestive system condition.

IBS can cause pain in the abdominal area along with other symptoms, including:

• stomach cramps
• diarrhea
• constipation
• bloating
• gas

Inflammatory bowel disease

Inflammatory bowel disease (IBD) is a group of conditions that affect the digestive system.

Ulcerative colitis and Crohn’s disease both cause an inflammation of the gut and make up most cases of IBD. They can cause pain in the lower abdomen plus:

• weight loss
• tiredness
• frequent urge to have a bowel movement
• persistent diarrhea, often with blood

A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.

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Pain in the lower right abdomen can mean several different things. Furthermore, it can often be brief and requires no medical attention. These less severe causes include the following.

Indigestion

People feel pain in the lower abdomen region due to indigestion accompanied by other symptoms, such as heartburn and flatulence.

Indigestion is easily managed with over-the-counter medication but may require medical attention if symptoms last more than two weeks.

Intestinal gas

Gas can build up in the intestines when food does not digest properly, causing feelings of discomfort and bloating in the abdominal region.

There are significant anatomical differences between the abdomens of males and females. These differences mean pain in the lower right abdomen can have gender-specific causes.

These conditions also require immediate medical attention. Causes specific to birth-assigned females include the following.

Menstrual cramps

Women can experience abdominal pain before or during their period. They may also experience aches in their back and chest, and feelings of nausea or headaches.

Ovarian cyst

Cysts are sacs that can develop on the ovaries. They are often harmless, but larger ones can cause dull or sharp pain in the abdomen. Other symptoms can include:

• nausea
• vomiting
• irregular periods
• abnormally heavy or light periods

Endometriosis

Endometriosis is where endometrial-like tissue grows in other areas, like the ovaries or the stomach. It is a chronic condition and can cause pain in the lower abdomen or back. Endometrial tissue forms the lining of the uterus.

The severity of symptoms varies and can include:

• severe period pains
• pain during or after sex
• pain when urinating or emptying bowels during a period
• infertility

Pelvic inflammatory disease

Pelvic inflammatory disease is an infection of the genital tract. It can cause abdominal pain, but symptoms are often mild and infrequent. They can include:

• pelvic pain
• vaginal discharge
• pain during or after sex
• abnormal vaginal bleeding

Ectopic pregnancy

An ectopic pregnancy can occur when a fertilized egg is present outside the uterus, such as in one of the fallopian tubes. It can cause pain in the abdomen and other symptoms, including:

• pelvic pain
• nausea
• vomiting
• lightheadedness
• fainting
• vaginal bleeding
• missed period

Ovarian torsion

The ovaries can twist with surrounding tissues, restricting blood flow and causing severe pain in the lower abdomen. Other symptoms can include:

• pelvic pain
• flank pain
• nausea
• vomiting

Causes specific to birth-assigned males include the following.

Inguinal hernia

Inguinal hernias typically occur when fatty tissue or a part of the bowel pushes through passages in the lower abdomen. These hernias are the most common type of hernia and usually occur in males.

An inguinal hernia causes a small lump to develop at the top of the thigh and can cause abdominal pain.

The spermatic cords that attach to the testicles can twist and restrict blood flow, causing pain in the abdomen and other symptoms including:

• a testicle in a higher position
• nausea
• vomiting
• pain and swelling in the scrotum

Treatment will depend on the cause of the pain.

At home treatments

People may be able to treat less severe causes of pain in the lower-right abdomen with home remedies, rest, and over-the-counter medications.

Causes such as abdominal gas and indigestion can pass without the need for treatment.

People with IBS may be able to manage pain and discomfort from the condition with dietary and lifestyle changes, medications, and therapy.

However, in more severe cases of abdominal pain, pain relievers and home remedies may not enough to treat symptoms.

Learn more about managing symptoms of IBS here.

When is it an emergency?

If pain is severe or continuous, a person may require medical assistance. For example, a person with a kidney infection would require antibiotic medications to remedy their pain.

Surgery may be necessary for some people with severe abdominal pain. For example, appendicitis requires removing the appendix, known as an appendectomy, and kidney stones often require intravenous (IV) pain management while a stone passes, or surgery such as lithotripsy.

Some conditions that cause this pain, such as endometriosis and IBD, are chronic, and only the management of symptoms is possible.

Whatever the treatment, seeking care for persistent or severe pain in the lower-right abdomen can help an individual resume a good quality of life.

In most cases, pain in the lower right abdomen is not a cause for concern. Likewise, gas, indigestion, and menstrual cramps do not typically require a visit to the doctor. However, it is necessary for a person to seek medical attention in many cases of lower right abdominal pain.

The efficacy of further treatments will determine a person’s individual outlook.

Abdominal pain has several possible causes in which many of the same symptoms overlap, such as nausea and vomiting.

Everyone should listen to their body and always speak to their doctor if they’re concerned, especially if symptoms persist or interfere with daily life.

Pain in the right side – Treatment

Pain in the right side often indicates the presence of pathology. It can be any acute or even chronic disease. For the body, inaction in this case is detrimental. The lungs, ribs, kidneys, liver, and other organs may be affected. Problems may lie in the damage to the intestines. In addition, the right side can hurt due to cholecystitis. You can guess as much as you want. It is better to consult a doctor and know exactly what and how to treat.

Do you have pain in your right side? You can choose the Diamed clinic closest to you and make an appointment by calling the phone number. Or fill out the online registration form on the website, our administrators will contact you to agree on the date and time of admission. Branches phones:

• on Schelkovskaya 8 (495) 221-21-14 VAO
• in Tekstilshchiki 8 (499) 322-23-97 SEAD
• in Maryina Roshcha 8 (495) 221-21-16 SVAO
• Mitino 8 (495) 212-90-47 SZAO

We are waiting for you if you have pain in your right side. Our clinics are located within walking distance from metro stations. We work seven days a week. We accept cash and bank cards for payment.

Why my right side hurts

It is very important to accurately describe the intensity of pain sensations and tell about their localization. This is due to the fact that the right side is a rather broad concept. This is the groin and chest. So problems can be associated with both, for example, the genitourinary and respiratory systems. Pain can even talk about myocardial infarction, pneumonia, hernia, appendicitis, hepatitis and other very serious diseases. Only an examination will reveal the cause of the pain and determine the disease.

Symptoms in diseases

A common cause of pain localized in the right side is hepatitis. Moreover, both viral and caused by toxic effects or alcohol consumption in excess. Hepatitis has other signs, but pain is typical in all cases.

Cholecystitis also often leads to paroxysmal pain in the right side. Biliary colic is caused by the presence of stones that make it difficult for the flow of bile. In this situation, malaise occurs as a result of a violation of the diet, exercise, stress, and sometimes due to changes in the weather. Such attacks are accompanied by vomiting, fever and general malaise.

Pancreatitis is another cause of pain in both the right side and the left, and in some cases in the middle of the abdomen. Vomiting, discoloration of urine and other symptoms also become companions of the disease.

Inflammation of the intestine is a very common cause of pain on the right side. With appendicitis, pain begins to bother in the right hypochondrium, in the navel and ilium. Accompanying the disease is lack of appetite, vomiting, loss of strength. Acute intestinal diseases are accompanied by bouts of pain, vomiting and diarrhea. With problems with the colon, there are problems with stools, bloating, rumbling, etc. There may be blood and mucus in the stool.

Pain in the groin area with an inguinal hernia. The hernia can be seen in an upright position. When the patient is lying down, it is almost invisible.

Diseases of the kidneys and urinary system is another factor that causes pain in the right side. Pyelonephritis, for example, is characterized by pronounced pain in the right side of the back and in the region of the ribs.

Where to turn if the right side hurts

Self-treatment is not indicated in any of the above cases. If you feel pain in your right side, be sure to make an appointment with a general practitioner or gastroenterologist. In the clinics “Diamed” you will be received by experienced doctors of the highest qualification category, professional express diagnostics will be carried out, and effective treatment will be prescribed.

We have been dealing with similar problems for more than 20 years and have a positive experience in treating them. The disease will begin to recede, you will return to the usual rhythm of life. Make an appointment now and tomorrow you will feel much better!

Memo to patients

Prepare for a consultation with a therapist:

• recall and write down, if necessary, chronic diseases of your close relatives;
• write down the symptoms of your disease, pain, duration of symptoms;
• Formulate and write down questions you would like to ask the doctor.

Be prepared for the fact that the doctor may send for additional studies: ECG or ultrasound of internal organs, endocrinologist consultation, urine and blood tests

Pain in the right side under the ribs: causes and methods of treatment | Medical Center

Multidisciplinary Medical Center MedProsvet
St. Petersburg, Engels Ave. 147 building 1
+7 (812) 374-84-00

Pain in the right side under the ribs can be a serious symptom, indicating any changes in the human body. The development of a symptom can be triggered by trauma to organs, the presence of acute or chronic diseases of the abdominal cavity, and so on. The difficulty lies in the fact that it is almost impossible to find out on your own why the right side hurts under the ribs, due to the fact that several vital organs of the digestive, genitourinary systems, etc. are located in this area at once. In this case, a comprehensive diagnosis is necessary.

If you or your loved ones experience such a symptom as pain in the right hypochondrium, you should immediately contact a medical institution.

In the clinic “MedProsvet” you can get advice from doctors and pass all the necessary examinations on high-precision equipment. The staff of our center will conduct a complete detailed examination of the abdominal organs and answer the question “Why does the right side hurt under the ribs, and what should be done to eliminate the symptom?”.

What is on the right side under the ribs?

The abdominal region of the human body consists of three parts: the hypogastric region, the mesogastric region and the epigastric region. The hypogastric region is the lower third of the abdomen, the mesogastric region is near the navel (also includes adjacent lateral sections), the epigastric region is in the upper region, immediately below the ribs.

The epigastrium, in turn, is divided into the left and right hypochondrium. In the right are:

• liver;
• right stomach;
• pancreas;
• gallbladder;
• duodenum;
• small intestine;
• part of the large intestine.

At a medical examination, the doctor can determine what exactly hurts on the right side under the ribs, by the nature and localization of the pain syndrome.

Pain classifications

Pain in the right side under the ribs is classified according to several signs that help the doctor determine the nature of its occurrence.

Thus, a sharp pain in the right side may be a manifestation of renal colic. Long-lasting pain of a dull nature is often a sign of the chronic course of pathologies of the digestive system. Aching pain in the right hypochondrium is a characteristic symptom of inflammation of the intestine or gallbladder. A cramping character may indicate intestinal spasms.

In addition to the nature of the pain, the localization of the symptom is of great importance in the diagnosis. So, pain in the epigastric region of the abdomen can be a sign of an inflammatory process in the gallbladder, stomach or pancreas. Pain in the middle occurs with intestinal diseases or renal colic. Lower abdomen – appear with appendicitis, acute or chronic diseases of the genitourinary system.

Causes of the symptom

Pain under the ribs on the right side is not always the result of severe pathologies. In some circumstances, the occurrence of this symptom may be a completely physiological phenomenon.

In healthy people

Pain may be caused by some physiological conditions. So, for example, a completely healthy person can feel pain on the right side under the ribs during intense physical exertion (for example, running). The situation is associated with the peculiarities of the functioning and blood supply of the liver during physical activity. In order to avoid the occurrence of this symptom, it is necessary to warm up well before sports activities. You should also refrain from eating 30-40 minutes before the expected workout time.

Most women experience unpleasant pulling pains in the abdomen in the middle of the cycle, when the egg from the follicle enters the abdominal cavity. In some cases, such pain radiates to the lower abdominal cavity (right inguinal region), from which it may seem to a woman that her right side under the ribs hurts.

During pregnancy, women may also experience discomfort under the right ribs. The explanation is quite simple: a rapidly growing fetus exerts strong pressure on the internal organs of a woman, which can cause an unpleasant symptom in the form of pain.

Diseases of the biliary tract

The biliary tract is a system of ducts that transport bile from the liver and gallbladder to the duodenum. Bile plays a significant role in the body: it removes metabolic components that cannot be utilized and excreted in the urine. In addition, bile is involved in the process of digestion of food.

In recent years, cases of diseases of the biliary tract have become more frequent. This is due to the peculiarities of the lifestyle of a person of the 21st century – irregular meals, frequent stress, high consumption of fatty fried foods and foods with an increased amount of salt, sugar and preservatives.

The most common pathologies of the liver and biliary system that can provoke pain in the right hypochondrium:

• cholelithiasis;
• cholecystitis;
• biliary dyskinesia;
• cholesterosis of the gallbladder;
• hepatitis.

Pathologies of the stomach and duodenum

No less common pathologies are diseases of the stomach and duodenum. These organs are the most important segments of the digestive tract. They process the food that enters the body. In this regard, any violation of the functioning of these organs negatively affects the general health of a person.

The main causes of pathologies of the stomach and duodenum, doctors include: unbalanced diet, overeating, hunger, consumption of fried, smoked, heavily salted foods in large quantities, as well as alcohol-containing drinks.

Diseases of the stomach and duodenum accompanied by pain under the ribs on the right side:

• gastritis;
• duodenitis;
• gastroduodenitis;
• peptic ulcer;
• functional dyspepsia;
• cancer of the stomach and duodenum.

Fibrogastroscopy is often required for their diagnosis.

Diseases of the bladder and kidneys

The human urinary system is a complex set of interconnected organs that form, store and excrete urine. Every day, urine is produced in the kidneys and excreted through the urinary tract. If some link falls out in this mechanism, this affects the functioning of the organism as a whole.

The most common causes of diseases of the urinary system include: infection with pathogenic microorganisms, especially against the background of hypothermia, malnutrition, stress, injury to the bladder.

The most common diseases:

• urolithiasis;
• pyelonephritis;
• glomerulonephritis;
• cystitis;
• renal colic;
• renal insufficiency.

Diseases of the pancreas

The role of the pancreas in the body is great. Pancreas is directly involved in the regulation of energy metabolism, providing digestion and helping to digest protein, fatty and carbohydrate foods.

In most cases, problems with the pancreas occur in people who abuse alcohol. Overeating, eating fatty, spicy or fried foods also negatively affect the functioning of the body.

The most common diseases in which it hurts in front under the ribs on the right:

• pancreatitis;
• pancreatic necrosis;
• pancreatic cancer.

In addition, normal glucose levels depend on the correct functioning of the islets of Langregans, which secrete insulin. Violations in the work of the gland can affect all body systems. Serious systemic diseases, such as diabetes mellitus, may occur.

Intestinal pathologies

The intestine is a vital organ of the digestive tract that transports and digests nutrients. It is customary to distinguish two main sections: the small intestine (includes the duodenum, jejunum and ileum) and the large intestine (includes the caecum, colon and rectum).

Bowel disease is affected by many factors: intestinal infections, malnutrition, sedentary lifestyle, stress, intestinal microflora disorders, etc.

The most common bowel diseases:

• ulcerative colitis;
• enteritis;
• irritable bowel syndrome;
• appendicitis;
• Crohn’s disease;
• intestinal obstruction.

Diagnostics

The main thing in the treatment of pain in the right side is to eliminate not only the pain syndrome, but also the cause of its occurrence. To do this, before choosing a treatment tactic, MedProsvet doctors send the patient for a comprehensive diagnosis of the body, which includes the following studies:

1. Examination and palpation are the initial methods of examining a patient, allowing to evaluate objective data about the state of his health.
2. Ultrasound is the most commonly used method for examining the organs of the abdominal cavity and retroperitoneal space. During the study, the doctor evaluates the condition of the liver, kidneys, gallbladder, biliary tract, stomach, pancreas, spleen.
3. Laboratory research – biochemical blood test, detailed clinical blood test, coprogram, etc.
4. MRI or CT of the internal organs is a modern way of obtaining images to assess the state of the internal organs of a person. During the examination, the doctor examines the structure of the abdominal organs in layers, determining and specifying the location of pathological changes.

In addition, depending on the localization of pain, gastroscopy, endoscopic examination, colonoscopy, radiography with contrast, etc. can be performed.

tract – to a gastroenterologist, in case of pathologies of the urinary system – to a urologist / nephrologist.

Treatment

Having carefully studied the results obtained during the research, the doctors of the clinic individually select the methods of therapy. Conservative or surgical treatment may be used. Tactics is selected depending on the cause that provoked pain on the right side under the ribs.

In order to relieve pain, the patient is prescribed antispasmodics and analgesics. Also, drug therapy may include taking anti-inflammatory, antimicrobial drugs, antacids, enveloping and enzymatic agents.