What are the common causes of lower right abdominal pain. How can you distinguish between serious and non-serious causes. When should you seek immediate medical attention for abdominal pain. What are the symptoms and treatments for conditions like appendicitis, kidney infections, and hernias.

Understanding Lower Right Abdominal Pain: Common Causes and Symptoms

Lower right abdominal pain can be a source of concern for many individuals. While often harmless and temporary, it can sometimes indicate more serious underlying conditions. This comprehensive guide explores 16 possible causes of pain in the lower right abdomen, helping you understand when to seek medical attention and what treatments may be necessary.

What Causes Pain in the Lower Right Abdomen?

Pain in the lower right abdomen can stem from various sources, including:

• Digestive system issues
• Reproductive organ problems
• Urinary tract conditions
• Musculoskeletal concerns

Understanding the potential causes can help you better assess your symptoms and determine the appropriate course of action.

Appendicitis: A Common Culprit of Right-Sided Abdominal Pain

Appendicitis is one of the most frequent causes of severe lower right abdominal pain. This condition occurs when the appendix, a small tube attached to the large intestine, becomes inflamed.

What Are the Symptoms of Appendicitis?

Appendicitis typically presents with the following symptoms:

• Sudden, severe pain that worsens with movement or breathing
• Loss of appetite
• Nausea or vomiting
• Abdominal swelling
• Fever
• Bowel problems (diarrhea, constipation, or inability to pass gas)

If you experience these symptoms, seeking immediate medical attention is crucial. Appendicitis can lead to a ruptured appendix, a life-threatening complication if left untreated.

How Is Appendicitis Treated?

Treatment for appendicitis often involves:

1. Antibiotics to clear the infection in some cases
2. Appendectomy (surgical removal of the appendix) when necessary

Kidney-Related Issues: Infections and Stones

Kidney problems can also manifest as pain in the lower right abdomen, although discomfort is more commonly felt in the back or sides.

What Are the Signs of a Kidney Infection?

Kidney infections may present with the following symptoms:

• Fever and chills
• Nausea or vomiting
• Increased urinary frequency
• Burning sensation during urination
• Cloudy or strong-smelling urine
• Presence of pus or blood in urine

Prompt medical attention is essential for kidney infections to prevent permanent damage and complications.

How Do Kidney Stones Cause Abdominal Pain?

Kidney stones can cause severe pain when they move or pass through the urinary tract. Symptoms may include:

• Intense pain in the lower abdomen, back, side, or groin
• Pain during urination
• Discolored urine (pink, red, or brown)
• Cloudy or foul-smelling urine
• Nausea and vomiting
• Frequent urination

If you suspect kidney stones, consult a healthcare professional for proper diagnosis and treatment.

Hernias: When Internal Organs Push Through

Hernias occur when a part of the body pushes through the lining or muscle that holds it in place. Abdominal hernias can cause pain or discomfort in the affected area.

What Are the Common Symptoms of a Hernia?

Hernia symptoms may include:

• Swelling or bulging on part of the abdomen
• Pain while lifting, laughing, crying, coughing, or straining
• Feeling of fullness or constipation

While many hernias are not immediately dangerous, some can lead to complications requiring emergency care.

When Should You Seek Emergency Care for a Hernia?

Seek immediate medical attention if you experience:

• Sudden, severe pain
• Inability to pass gas or have a bowel movement
• Vomiting
• Changes in the feeling or position of your hernia

Irritable Bowel Syndrome (IBS): A Common Digestive Disorder

Irritable Bowel Syndrome (IBS) is a long-term condition affecting the digestive system. It’s prevalent in up to 12 percent of people in the United States.

What Are the Characteristic Symptoms of IBS?

IBS can cause various symptoms, including:

• Abdominal pain
• Changes in bowel movements (diarrhea or constipation)
• Bloating
• Gas
• Mucus in the stool

While IBS can be uncomfortable, it doesn’t lead to more serious conditions like inflammatory bowel disease or cancer.

Reproductive System Issues: Causes of Lower Right Abdominal Pain

Various reproductive system conditions can cause pain in the lower right abdomen, particularly in women.

What Gynecological Conditions Can Cause Right-Sided Abdominal Pain?

Several conditions related to the female reproductive system may lead to lower right abdominal pain:

• Ovarian cysts
• Endometriosis
• Pelvic inflammatory disease (PID)
• Ectopic pregnancy

These conditions often require medical evaluation and treatment to manage symptoms and prevent complications.

Gastrointestinal Causes: Beyond IBS

Several gastrointestinal issues can result in lower right abdominal pain, ranging from minor discomfort to more serious conditions.

What Are Some Common Digestive Causes of Abdominal Pain?

Digestive issues that may cause pain in the lower right abdomen include:

• Constipation
• Gas and bloating
• Inflammatory bowel diseases (Crohn’s disease, ulcerative colitis)
• Diverticulitis
• Food intolerances or allergies

Many of these conditions can be managed with dietary changes, medication, or other treatments prescribed by a healthcare provider.

When to Seek Immediate Medical Attention

While most cases of lower right abdominal pain are not serious, certain symptoms warrant immediate medical care.

What Are the Red Flag Symptoms for Abdominal Pain?

Seek emergency medical attention if you experience abdominal pain accompanied by:

• Chest pain or pressure
• Shortness of breath
• Dizziness or lightheadedness
• Difficulty swallowing
• Severe sweating
• High fever
• Blood in vomit or stool
• Persistent nausea and vomiting
• Jaundice (yellowing of skin or eyes)
• Severe abdominal tenderness
• Unusual abdominal swelling
• Black or tar-like stools
• Persistent loss of appetite
• Unexplained weight loss

These symptoms could indicate a serious underlying condition requiring prompt medical intervention.

Diagnostic Approaches for Lower Right Abdominal Pain

Accurately diagnosing the cause of lower right abdominal pain often requires a combination of medical history, physical examination, and diagnostic tests.

What Diagnostic Tools Are Used to Identify the Cause of Abdominal Pain?

Healthcare providers may use various diagnostic methods, including:

• Blood tests to check for infection or inflammation
• Urine tests to rule out urinary tract infections or kidney problems
• Imaging studies such as X-rays, ultrasounds, or CT scans
• Endoscopic procedures for a closer look at the digestive tract
• Stool tests to check for parasites or other gastrointestinal issues

The specific tests ordered will depend on the suspected cause of your symptoms and your overall health profile.

Treatment Options for Lower Right Abdominal Pain

Treatment for lower right abdominal pain varies widely depending on the underlying cause. Some conditions may resolve on their own, while others require medical intervention.

What Are Some Common Treatments for Abdominal Pain?

Depending on the diagnosis, treatment options may include:

• Rest and hydration for minor, temporary causes
• Over-the-counter pain relievers or antacids
• Prescription medications for specific conditions (e.g., antibiotics for infections)
• Dietary modifications for digestive issues
• Surgical interventions for conditions like appendicitis or hernias
• Physical therapy for musculoskeletal causes
• Stress reduction techniques for stress-related abdominal pain

Always consult with a healthcare professional before starting any treatment regimen for persistent or severe abdominal pain.

Preventing Lower Right Abdominal Pain: Lifestyle Factors

While not all causes of lower right abdominal pain are preventable, certain lifestyle choices can help reduce your risk of developing some common conditions.

How Can You Reduce Your Risk of Abdominal Pain?

Consider implementing these lifestyle changes to promote overall abdominal health:

• Maintain a balanced, fiber-rich diet to support digestive health
• Stay well-hydrated by drinking plenty of water throughout the day
• Exercise regularly to promote good circulation and digestion
• Practice stress-reduction techniques like meditation or yoga
• Avoid smoking and limit alcohol consumption
• Practice good hygiene to prevent infections
• Attend regular check-ups with your healthcare provider

By adopting these healthy habits, you may be able to reduce your risk of developing certain conditions that cause lower right abdominal pain.

Conclusion: Navigating Lower Right Abdominal Pain

Lower right abdominal pain can have numerous causes, ranging from minor, temporary issues to more serious conditions requiring immediate medical attention. While many cases resolve on their own, it’s important to be aware of red flag symptoms that warrant urgent care. By understanding the potential causes, recognizing warning signs, and maintaining a healthy lifestyle, you can better manage your abdominal health and seek appropriate care when needed. Remember, when in doubt about the cause or severity of your abdominal pain, it’s always best to consult with a healthcare professional for proper evaluation and treatment.

Pain in Lower Right Abdomen: 16 Possible Causes

Pain on the right side of the abdomen can be caused by conditions such as appendicitis, hernia, kidney issues, reproductive system issues, irritable bowel syndrome (IBS), indigestion, or even gas.

There are many possible reasons for discomfort in your right abdominal region. More often than not, pain in the lower right abdomen is nothing to worry about. It’ll go away on its own in a day or two.

If you’re experiencing persistent discomfort, though, you should see a doctor. They can assess your symptoms and make a diagnosis.

If you have lower right abdominal pain, you might be wondering if you need to go to the emergency room.

Most of the time, lower right abdominal pain isn’t serious. You should get immediate medical attention if you’re experiencing sudden, severe abdominal pain, or your abdominal pain is accompanied by any of the following symptoms:

• a feeling of pressure in your chest
• pain in your chest, jaw, neck, or arm
• shortness of breath
• dizziness or lightheadedness
• difficulty or pain when swallowing
• sweating
• fever
• blood in your vomit or stool
• persistent nausea and vomiting
• skin or eye whites that appear yellow (jaundice)
• severe tenderness when you touch your abdomen
• unusual swelling of your abdomen
• black or tar-like stool
• persistent loss of appetite
• unusual weight loss

If you notice these symptoms, call 911 or local emergency services or have someone drive you to the nearest emergency room. Treatment can help prevent these symptoms from becoming severe or life threatening.

Appendicitis

Your appendix is a small, thin tube that’s attached to your large intestine. When your appendix becomes inflamed, it’s known as appendicitis. This condition is a common cause of pain in the lower right abdomen.

The pain may come on suddenly and get worse when you move or breathe.

Other symptoms of appendicitis can include:

• loss of appetite
• nausea or vomiting
• abdominal swelling
• fever
• bowel problems, such as diarrhea, constipation, or being unable to pass gas

The condition often requires immediate medical attention. It’s possible for the inflamed appendix to burst, which can cause life threatening complications. So, if you’re experiencing symptoms of appendicitis, you should see a doctor right away or go to the nearest emergency room.

While antibiotics can clear some cases of appendicitis, surgery is sometimes needed to remove the appendix (appendectomy).

Kidney infection

A kidney infection is caused by bacteria that usually come from your urinary tract. One or both of your kidneys could be affected by the infection.

Although you may feel pain in your lower abdomen, discomfort from a kidney infection more often occurs in your back or sides. You may also feel pain in your groin, but it’s less common.

Other symptoms include:

• fever
• chills
• nausea or vomiting
• peeing more often than usual
• feeling like you need to pee, even if you just went
• pain or a burning feeling when you pee
• pus or blood in your urine
• urine that’s cloudy or smells bad
• diarrhea

When untreated, kidney infections can cause permanent damage and serious complications. If you think you could have a kidney infection, you should see a doctor right away.

Kidney stones

Kidney stones are a hard buildup of minerals and salts that can form inside your kidneys. You may not feel any pain if the kidney stones are small. If a large kidney stone begins to move around or pass into the tube that connects your kidney and bladder, you may feel severe pain in your lower abdomen, back, side, or groin.

The intensity and location of the pain may change as the kidney stone shifts and moves through your urinary tract.

Other symptoms include:

• pain when you pee
• pink, red, or brown urine
• urine that’s cloudy or smells bad
• nausea
• vomiting
• feeling the constant need to pee
• peeing more often than usual
• fevers and chills, if infection is also present

If you have these symptoms, you should see a doctor.

Hernia

A hernia happens when a part of your body pushes through the lining or muscle that holds it in place. Most hernias happen in the abdomen. They can cause pain or discomfort in the affected area.

Other common symptoms include:

• swelling or bulging on part of your belly
• pain while lifting, laughing, crying, coughing, or straining
• feeling full or constipated

Sometimes, a hernia can cause complications. If you have a hernia and any of the following symptoms, get emergency care right away:

• sudden, severe pain
• inability to pass gas (fart) or have a bowel movement
• vomiting
• a change in the feeling or position of your hernia, for example, if it becomes harder, or you can no longer push it back in

Irritable bowel syndrome (IBS)

Irritable bowel syndrome (IBS) is a common long-term condition that affects your digestive system. It affects up to 12 percent of people in the United States.

IBS can cause:

• abdominal pain
• changes to your bowel movements, in the form of diarrhea, constipation, or both
• bloating
• the feeling that you haven’t fully completed a bowel movement
• mucus in the stool

Doctors don’t know exactly what causes IBS, though it appears to be related to interactions between your gut and your brain.

Inflammatory bowel disease (IBD)

IBS shouldn’t be confused with inflammatory bowel disease (IBD). IBD is a group of serious digestive disorders that cause changes in bowel tissue and increase your risk of colorectal cancer.

There are two types of IBD: ulcerative colitis and Crohn’s disease. Both conditions cause inflammation within your digestive tract, which can lead to abdominal pain.

IBD can also cause:

• severe diarrhea
• constipation
• the feeling that you need to pass stool, even when you’ve just gone
• the feeling that you haven’t finishing passing stool
• weight loss
• nausea and vomiting
• fever
• blood in your stool

IBD can lead to life threatening complications if left untreated. You should see a doctor immediately if you notice symptoms of IBD.

Indigestion

Indigestion, or dyspepsia, is a group of digestive symptoms. It typically happens after you eat or drink something, but it can happen at other times too. Pain usually occurs in the upper abdomen, though it may also be felt lower down. It may feel sharp, dull, or like burning.

Symptoms of indigestion also include:

• bloating
• feeling unusually full after eating a small amount
• nausea
• gas
• burping
• food or bitter-tasting fluids coming back up

Mild indigestion should go away fairly quickly and can usually be treated at home. If symptoms persist for more than 2 weeks, you should see a doctor to rule out underlying digestive issues.

Gas

Intestinal gas is air and other gases found in your entire digestive tract. It’s often caused by food that’s not broken down completely until it reaches your colon.

The more undigested food present, the more gas your body will produce. As gas builds up, it can cause abdominal pain, bloating, and a “knotted” feeling in your stomach.

Burping and passing gas (farting) usually provide relief. In fact, it’s typical for a person to expel gas up to 30 times a day.

However, excessive gas can sometimes be a symptom of a digestive disorder, such as IBS, gastroesophageal reflux disease (GERD), or lactose intolerance.

Intestinal gas can also happen from time to time when you swallow more air than usual, for example, due to overeating, chewing gum, or smoking.

Menstrual cramps

Menstrual cramps, or dysmenorrhea, are a symptom of menstruation. They can happen before or during your period. The cramps are most often felt on either or both sides of the lower abdomen, which is where your uterus is contracting to get rid of its lining.

Along with pain, other symptoms can include:

• nausea or vomiting
• diarrhea
• headaches
• dizziness

Endometriosis

Although cramps are a common symptom of menstruation, they can also be caused by an underlying issue such as endometriosis. Endometriosis is a long-term (chronic) condition where cells that usually line the uterus, called endometrial cells, grow outside the uterus.

In addition to severe cramps and lower abdominal pain, endometriosis can cause:

• pain during sex
• pain during peeing or bowel movements
• heavy periods

Endometriosis can cause significant symptoms. In some cases, it can lead to infertility. If you suspect endometriosis may be the reason for your abdominal pain, see a doctor. The sooner the condition can be treated, the less likely complications are.

Ovarian cyst

Ovarian cysts are sacs filled with fluid found on the ovary. Many cysts don’t cause pain or discomfort, and they may eventually disappear on their own. A large ovarian cyst, especially if it ruptures, can lead to serious symptoms.

These include:

• dull or sharp lower abdomen pain
• full or heavy feeling in your abdomen
• pain during sex or exercise

You should see a doctor right away if you have sudden and severe abdominal pain, or if your pain is accompanied by any of the following symptoms:

• fever
• vomiting
• cold and clammy skin
• rapid breathing
• weakness

A ruptured ovarian cyst can be a life threatening condition if it isn’t treated promptly.

Ectopic pregnancy

An ectopic pregnancy happens when a fertilized egg implants outside of the uterus.

In addition to abdominal pain, symptoms can include:

• vaginal bleeding or brown discharge
• pain where your shoulder ends and your arm begins
• painful peeing or bowel movements

If the ectopic pregnancy ruptures your fallopian tube, you may also experience:

• dizziness
• fatigue
• sudden paleness
• nausea

A ruptured fallopian tube is a medical emergency requiring immediate treatment.

Pelvic inflammatory disease

Pelvic inflammatory disease (PID) is often caused by a bacterial infection, such as gonorrhea or chlamydia. Many of the infections that cause PID are transmitted during sex, but not all, such as bacterial vaginosis.

PID can cause pain in your lower abdomen, as well as:

• unusual vaginal discharge that may have a bad odor
• fever
• nausea or vomiting
• pain during sex
• burning when you pee

Ovarian torsion

Ovarian torsion happens when your ovary, and sometimes fallopian tube, becomes twisted, cutting off the organ’s blood supply. The condition is also known as adnexal torsion, and can cause severe lower abdominal pain.

Other symptoms include:

• nausea or vomiting
• abnormal vaginal bleeding or discharge
• fever

These symptoms may come and go if the ovary twists and untwists. Ovarian torsion is a medical emergency, and surgery is often required to untwist the ovary.

Inguinal hernia

An inguinal hernia happens when fat or part of the small intestine pushes through a weak part of your lower abdomen. It’s the most common type of hernia. People assigned male at birth are most likely to experience this condition.

If you have an inguinal hernia, you may notice a bulge in your groin area between your thigh and lower abdomen, or in your scrotum.

Other symptoms include heaviness, aching, or burning in the groin. Your discomfort may be worse when straining, lifting, coughing, or standing. You may feel better when you rest.

Sometimes the hernia can become stuck or strangulated. This can be a life threatening condition. If you notice the following changes, get emergency medical care:

• the hernia bulge suddenly gets larger
• the hernia bulge stops going back into your abdomen (if it used to go back in)
• fever
• redness around the hernia
• a sudden increase in pain
• bloating, nausea, or vomiting

Testicular torsion

Testicular torsion happens when your testicle twists around the spermatic cord, which is a bundle of tissues that runs through your abdomen. This twisting can cut off blood flow to your testicle, leading to sudden and severe pain and swelling in your scrotum.

Other symptoms include:

• unusual redness or darkening of your scrotum
• nausea or vomiting
• uneven testicle position
• fever

Testicular torsion usually requires emergency surgery.

You should make an appointment to see a doctor if your lower right abdominal pain lasts more than a few days or causes you any concern. You can connect to a physician in your area using the Healthline FindCare tool.

In some cases, abdominal pain can have a serious underlying cause. If you have severe symptoms, get emergency care right away.

Mild cases of abdominal pain can usually be treated at home. For example, changing your eating habits can help prevent gas and indigestion, while certain pain relievers can help control menstrual cramps.

9 Right Upper Quadrant Pain Causes & Everything You Need to Know

Stomach ulcer

A peptic ulcer or gastric ulcer is an open sore that forms when inflammation occurs in the stomach lining.

This stomach inflammation is caused by the bacteria Helicobacter pylori (H. pylori) and by prolonged use of pain relievers such as ibuprofen or aspirin. Chronic inflammation allows acid to damage the stomach lining and an ulcer may form.

Smoking, drinking alcohol, stress, and spicy foods may aggravate ulcers, but do not cause them.

Symptoms include burning pain in the stomach; heartburn; nausea; and bloating.

The pain may be worse between meals or at night. Antacids will only work for a short time. There may be dark red blood in the vomit or stools.

Left untreated, ulcers may bleed and cause anemia. They may perforate the stomach and cause peritonitis (serious infection of the abdominal cavity.)

Diagnosis is made through physical examination and by testing breath and stool for H. pylori. Endoscopy is sometimes used.

Treatment involves a course of antibiotics to kill the bacteria, and medication to block excess acid and heal the stomach.

Rarity: Uncommon

Top Symptoms: fatigue, nausea, loss of appetite, moderate abdominal pain, abdominal cramps (stomach cramps)

Symptoms that never occur with stomach ulcer: pain in the lower left abdomen

Urgency: Primary care doctor

Indigestion (dyspepsia)

Indigestion, also called upset stomach, dyspepsia, or functional dyspepsia, is not a disease but a collection of very common symptoms. Note: Heartburn is a separate condition.

Common causes are eating too much or too rapidly; greasy or spicy foods; overdoing caffeine, alcohol, or carbonated beverages; smoking; and anxiety. Some antibiotics, pain relievers, and vitamin/mineral supplements can cause indigestion.

The most common symptoms are pain, discomfort, and bloating in the upper abdomen soon after eating.

Indigestion that lasts longer than two weeks, and does not respond to simple treatment, may indicate a more serious condition. Upper abdominal pain that radiates to the jaw, neck, or arm is a medical emergency.

Diagnosis is made through patient history and physical examination. If the symptoms began suddenly, laboratory tests on blood, breath, and stool may be ordered. Upper endoscopy or abdominal x-ray may be done.

For functional dyspepsia – “ordinary” indigestion – treatment and prevention are the same. Eating five or six smaller meals per day with lighter, simpler food; managing stress; and finding alternatives for some medications will provide relief.

Rarity: Common

Top Symptoms: nausea, stomach bloating, dyspeptic symptoms, bloating after meals, vomiting

Symptoms that always occur with indigestion (dyspepsia): dyspeptic symptoms

Symptoms that never occur with indigestion (dyspepsia): vomiting (old) blood or passing tarry stools, rectal bleeding, bloody diarrhea, fever

Urgency: Self-treatment

Hepatitis B

hepatitis B, or “hep B,” is a viral liver infection. It is spread through direct contact with the blood or other bodily fluids of an infected person, especially through sexual contact and/or sharing needles. A baby can be infected by the mother during birth; however, the newborn can receive a vaccine to protect it.

Symptoms appear one to four months after exposure and include abdominal pain; nausea and vomiting; joint pain; fever; dark urine; and jaundice, which is yellowing of skin and whites of eyes.

If not treated, hepatitis B can become chronic – especially in children. This increases the risk of developing liver failure, liver cancer, or cirrhosis (damage from scarring.) hepatitis B is a medical emergency and requires immediate care.

Diagnosis is made through blood tests and sometimes through liver biopsy.

Acute hepatitis B can be managed with rest, fluids, and good nutrition while the body fights the virus. However, a chronic infection may be treated with antiviral medications or liver transplant.

There is a vaccine for hepatitis B, recommended for anyone at risk.

Hepatitis A

hepatitis A is a liver infection caused by the virus. It can severely affect the liver’s ability to function.

The disease is highly contagious and spreads through traces of fecal matter. hepatitis A can be contracted from contaminated food or water, especially in a place with poor sanitation; from sharing hypodermic needles; or from close contact with an infected person, including sexual contact.

There may be few symptoms or there may be fatigue; nausea and vomiting; pain in the upper right side of the abdomen; dark urine; and yellowing of the skin and eyes, called jaundice.

Anyone with symptoms of hepatitis A should be seen by a medical provider. Most patients recover completely, but in rare cases acute liver failure can result.

Diagnosis is made through blood tests.

Treatment involves rest and caring for the symptoms, since antibiotics cannot cure a viral illness. Mild cases usually clear up on their own.

Frequent and thorough handwashing is the best prevention. Vaccines are available for those at higher risk, such as health care workers.

Gallstones

Gallstones are small, pebble-like, mineral deposits that can form inside the gallbladder. They may cause no symptoms unless they become lodged in a duct leading out of the gallbladder.

Gallstones are thought to be caused by high cholesterol, which can form into crystals in the gallbladder; by cirrhosis, or scarring, of the liver; or by incomplete emptying of the gallbladder.

Most susceptible are women over age 40. Other risk factors are obesity, lack of exercise, poor diet, and rapid weight loss as with gastric bypass surgery.

Symptoms include sudden sharp pain in the center or upper right abdomen, in the right shoulder, and in the upper back. There may also be nausea and vomiting, yellowing of skin and eyes, and fever and chills.

It’s important to see a medical provider for these symptoms. Gallstones can lead to pain, infection, and further complications.

Diagnosis is made through physical examination, CT scan, blood tests, and sometimes specialized scans to examine the gallbladder system.

Treatment usually involves surgery to remove the stones and sometimes the gallbladder itself.

Gall bladder infection (cholecystitis)

Gallbladder infection, also called cholecystitis, means there is a bacterial infection of the gallbladder either with or without gallstones.

The gallbladder is a small organ that stores bile, which helps to digest fats. If something blocks the flow of bile out of the gallbladder – gallstones, damage to the bile ducts, or tumors in the gallbladder – the bile stagnates and bacteria multiplies in it, producing an infected gallbladder.

Risk factors include obesity, a high-fat diet, and a family history of gallstones.

Symptoms include fever; chills; right upper quadrant abdominal pain radiating to the right shoulder; and sometimes nausea and vomiting. A gallbladder infection is an acute (sudden) illness, while the symptoms of gallstones come on gradually.

Untreated cholecystitis can lead to rupture of the gallbladder, which can be life-threatening.

Diagnosis is made through physical examination, ultrasound or other imaging, and blood tests.

Treatment involves hospitalizing the patient for fasting with IV fluids, to rest the gallbladder; antibiotics; and pain medication. Surgery to remove the gallbladder is often done so that the condition cannot recur.

Rarity: Uncommon

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

Symptoms that always occur with gall bladder infection (cholecystitis): abdominal pain (stomach ache)

Symptoms that never occur with gall bladder infection (cholecystitis): pain in the upper left abdomen, pain in the lower left 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.

Acute pancreatitis

Acute pancreatitis is the inflammation of the pancreas, which creates and releases insulin and glucagon to keep the sugar levels in your blood stable. It also creates the enzymes that digest your food in the small intestine. When these enzymes accidentally get activated in the pancreas, they digest the pancreas itself, causing pain and inflammation.

You should go to the ER. There, diagnosis is made by physical examination, imaging, and blood tests. Treatment typically involves intravenous (IV) fluids and medicines to control the pain.

Rarity: Rare

Top Symptoms: constant abdominal pain, nausea or vomiting, being severely ill, severe abdominal pain, fever

Symptoms that always occur with acute pancreatitis: constant abdominal pain

Urgency: Hospital emergency room

Acute hepatitis C

Acute hepatitis C is a liver inflammation caused by Hepacivirus C. The acute form of the disease means that it arises suddenly, within six months of exposure.

hepatitis C is spread through infected blood, usually through sharing hypodermic needles for intravenous drug use or from sharing personal items such as toothbrushes or razor blades. It can also be sexually transmitted.

Most susceptible are intravenous drug users; hemodialysis patients; HIV patients; and babies born to infected mothers.

Early symptoms may mild, with fatigue, fever, pain in the upper right side of the abdomen, and loss of appetite. Some patients will develop dark urine, pale white stools, and jaundice, which is yellowing of the eyes and skin.

Diagnosis is made through patient history, physical examination, and blood tests.

About half of all cases clear spontaneously, but it is still important to see a medical provider to prevent further liver damage from inappropriate medicines, supplements, or alcohol.

Otherwise, treatment involves antiviral and other medications. In severe and complicated cases, a liver transplant may be necessary.

Rarity: Ultra rare

Top Symptoms: fatigue, nausea, loss of appetite, muscle aches, fever

Symptoms that never occur with acute hepatitis c: pain in the upper left abdomen, pain in the lower left abdomen, pain in the lower right abdomen, pain around the belly button

Urgency: Primary care doctor

• Have you experienced any nausea?
• Any fever today or during the last week?
• Have you lost your appetite recently?
• Have you been feeling more tired than usual, lethargic or fatigued despite sleeping a normal amount?

Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

Causes of pain in the right side

Pain in the right side, depending on the location, nature and intensity, may indicate a number of inflammatory and infectious processes in the human body. Often accompanied by additional symptoms. Requires detailed diagnosis. However, there are pains in the right side that are not dangerous. It could be:

• Temporary indigestion. Feels in the lower abdomen. If it does not stop for a long period, you should consult a doctor.
• Menstruation. The symptomatic pain that characterizes menstruation is very often accompanied by pain in the right side.
• Flatulence. One of the accompanying elements of flatulence can be pain on the right side of the body.

According to the nature of pain, the following types are distinguished:

• Sharp. A pain process that arose suddenly can signal signs of hepatic colic in the presence of cholelithiasis. Mostly felt after eating. Other symptoms associated with the pathology may be present – fainting, nausea, vomiting, chills, fever. In such cases, urgent medical attention should be sought.
• Dumb. Dull pain indicates the chronic nature of the disease. Such pain does not develop immediately and slowly. To prevent complications, it is necessary to adhere to the lifestyle prescribed by the doctor.
• Aching. The type of pain that is aching in nature also speaks of chronic inflammatory processes. may be associated with inflammation of the lining of the small intestine or gallbladder.
• Stab. As a rule, such pain signals an intestinal spasm. If the pain is persistent, you need to see a doctor.
• Sharp. Usually, a sharp pain indicates an exacerbation of the inflammatory process. Often signals the need to be diagnosed for gastritis, stomach ulcers.

In order to find out the cause of pain in the right side, it is necessary to accurately determine the area of ​​\u200b\u200bpain. Pain in the right side, depending on the location, may indicate the following pathologies:

• Pain under the ribs. Since the liver and gallbladder are located on the right side, inflammation in these organs can cause pain under the ribs.
• Pain in the middle of the abdomen. May indicate the development of colitis – an inflammatory disease of the large intestine.
• Pain in the lower abdomen. He talks about possible inflammation of the appendix – appendicitis, the development of infection in the ovaries, in women – oophoritis, adnexitis; inflammation of the caecum, and also due to a hernia in the groin – in men.
• Pain in the navel. May signal enteritis – inflammation of the small intestine.
• Pain in the right side behind. Thus, pleurisy can manifest itself – inflammation of the pleura, the membrane that covers the sections of the chest and lungs. The presence of purulent processes in the liver is not excluded. Also, the cause of pain in the right side from behind, in the lumbar region, may be inflammation of the kidneys, prolapse of the kidneys or kidney stones.

Remember, in order to find the cause of pain in the right side, you need to see a doctor. During the inspection and probing of the area of ​​pain, the specialist studies the nature and intensity of the fight, localization, collects a history of diseases that the patient has suffered, and studies additional symptoms. The next diagnostic step may be:

• radiography;
• Ultrasound of the pelvic organs;
• abdominal ultrasound;
• kidney examination;
• general and biochemical blood tests.

symptoms, causes and methods of treatment in the “SM-Clinic”

• About symptom
• Diseases
• Diagnostics
• Which doctor to contact
• Types of pain in the right side
• Causes of pain in the right side
• Common associated pathologies
• Expert opinion
• Treatment of pain in the right side
• Complications
• Questions and answers

Diseases

The appearance of pain in the right side can be a symptom of many diseases that have an acute or chronic course.

A

Adnexitis (salpingoophoritis) Appendicitis

B

Crohn’s disease

B

Ectopic pregnancy

K

Ovarian cyst

M

Intercostal neuralgiaUrolithiasis

O

Osteochondrosis

P

Inguinal hernia Rib fracture

R

Sciatica Colon cancer

X

Chronic cholecystitis 9 0003

E

Endometriosis

Diagnostics

It is practically impossible to independently diagnose a disease that provoked the appearance of pain in the right side of the abdomen. If the pain appeared during sports, then after a short time they will disappear on their own. But if this symptom does not disappear within a few hours, constantly increases or is undulating, it is best not to ignore it, but to consult a specialist.

At the initial consultation, the doctor will find out information about the nature of pain, the strength of its severity and the duration of its presence, and also conduct a general examination: assess the condition of the skin, mucous membranes, lymph nodes, measure the performance of the body, and palpate the problem area. Based on the examination, a number of laboratory and instrumental studies will be assigned to confirm and clarify the preliminary diagnosis.

The list of diagnostic measures may include:

• laboratory tests, including urine and blood tests, coprogram;
• Ultrasound of the abdominal cavity, ultrasound of the pelvic organs, ultrasound of the kidneys;
• chest x-ray;
• review and excretory urography;
• survey radiography of the abdominal organs;
• colonoscopy;
• gastroscopy;
• CT of the abdominal cavity, MRI of the abdominal cavity and retroperitoneal space;
• video capsule endoscopy and other studies.

Which doctor to contact

If pain of any nature appears in the right side, you should, without delay, contact a therapist, surgeon or narrow-profile doctor. After the initial survey and examination, the patient may be referred for a consultation with a specialist of the appropriate profile.

Problems of pain in the right side can deal with:

Get advice

If you experience these symptoms, we recommend that you make an appointment with your doctor. Timely consultation will prevent negative consequences for your health.

To learn more about the disease, prices for treatment and sign up for a consultation with a specialist, you can call:

+7 (495) 266-84-76

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Types of pain in the right side

Experts divide these pains into 2 types:

• primary, not associated with the disease, but resulting from an injury;
• secondary, which are a symptom of another pathology.

Depending on the nature, there are several types of pain.

• Sharp. The attack occurs unexpectedly, and the pain is stabbing or cutting. Such sensations are characteristic of acute conditions: renal or hepatic colic, inflammation of the duodenum. Also, acute pain can be caused by trauma, osteochondrosis, irritation of nerve fibers.
• Dumb. The change in the intensity of sensations occurs gradually; this form of pain syndrome is characteristic of chronic pathologies of organs located in the right side of the abdominal cavity.
• Stab. Pain syndrome of this nature usually indicates an intestinal spasm. If stabbing pains occur regularly, you need to consult a gastroenterologist.
• Cramping. With this type of pain, the intensity of the pain syndrome is different. It usually accompanies pathological processes occurring in the intestines, gallbladder and bile ducts.
• Sharp; such pain usually occurs with gastritis or an ulcer and indicates an exacerbation of the inflammation process.
• Aching. This is the most common type of pain syndrome, resembling a feeling of severe heaviness. Usually it is a symptom of chronic, long-term processes in the organs of the hepatobiliary system, some sections of the intestine.

Causes of pain in the right side

There are many causes that can lead to pain in the right side. These can be both minor functional disorders that do not require medical assistance, or serious pathologies that cannot be eliminated on their own. Only a specialist can find out the exact cause of the appearance of a pain syndrome in the right side, therefore it is not recommended to ignore a visit to the doctor if pain appears in this area.

Among the main prerequisites that can provoke the appearance of pain in the right side, experts identify:

• functional disorders caused by malnutrition;
• inflammation and infectious lesions of organs, muscles or vessels located in the right half of the abdominal cavity and chest;
• metabolic disorder leading to the formation of stones in the gallbladder or kidneys;
• injuries;
• damage or irritation of the nerve trunks;
• muscle spasms, etc.

The risk group for pain in the right side of the body includes people with a history of diseases of the liver, urinary system, stomach and duodenum, spinal column.

Common related pathologies

Pain in the side on the right, depending on the nature, localization and intensity, can indicate a wide range of pathological processes that develop in the human body.

Appendicitis

Pain in the right iliac region (in the lower right side) is often a sign of acute appendicitis. The attack occurs suddenly, without connection with provoking factors. The pain is constant or cramping in nature, increases with a change in body position, sneezing, coughing, sudden movements.

The characteristic signs of appendicitis, in addition to pain in the right side, are added:

• nausea;
• 1-2 episodes of vomiting;
• single loose (but not watery) stools;
• bloating;
• weakness.

Mesodenitis

In the acute form of inflammation of the lymph nodes of the mesentery, there is a sudden onset of pain that is cramping in nature. They are characterized by intensification when a person changes body position, sudden movements, coughing. In some cases, the pain syndrome spreads over the entire area of ​​\u200b\u200bthe abdomen and it is very difficult for the patient to determine its location. Gradually, the pain subsides and becomes aching or dull in nature.

Additional symptoms may include:

• diarrhea;
• dry mouth and nausea;
• high temperature.

Bowel tumors

When a cancerous tumor appears in the ascending colon or caecum, severe pain appears in the lower right abdomen. As the first sign of an oncological process, it is characteristic of only two forms of cancer: enterocolitic and pseudo-inflammatory forms of cancer. Severe pain in these cases is constantly present, sometimes intensifying to intolerable spasms. The pain syndrome in this pathology is combined with:

• loss of appetite;
• sudden weight loss;
• the presence of blood impurities in the feces.

Other pathologies leading to pain in the right side

This symptom is also characteristic of a number of gynecological diseases.

• Endometriosis. Chronic pains are localized above the pubis and in the right iliac. During menstruation, there is an increase in soreness and the appearance of severe cramps.
• Adnexitis. The exacerbation of the disease provokes the appearance of severe pain in the lower abdomen on the right side. They can radiate to the perineum and anus. In the chronic course of the inflammatory process, the pain is aching in nature and intensifies during menstruation.
• Emergency conditions. Acute cramping acute pain radiating to the anus, sacrum, perineum, may occur against the background of emergency gynecological pathologies: ectopic pregnancy, rupture or torsion of an ovarian cyst.

Expert opinion

Pain in the right side is a fairly serious symptom that accompanies life-threatening diseases. To eliminate the risks of developing serious complications, if pain of such localization appears and persists for several hours, you should immediately consult a doctor. All attempts to stop the pain syndrome on their own in such situations are extremely dangerous. By self-medicating, you can only reduce discomfort without removing its root cause, as well as inadvertently cause irreparable harm to other organs. To maintain health, and in some cases life, if you experience pain in the abdomen on the right, immediately make an appointment with a specialized specialist and undergo a comprehensive diagnosis. If a dangerous disease is detected, only a doctor will be able to prescribe and conduct a course of therapy appropriate to the clinical case. In an acute condition, you need to call an ambulance.

Byazrova Svetlana Vyacheslavovna

Cardiologist, therapist, functional diagnostician, Ph.D.

Treatment of pain in the right side

Treatment of pain in the right side should only be selected by a physician based on the results of a diagnostic study. In simple cases, the patient is prescribed complex therapy, which can be carried out not only in a hospital, but also on an outpatient basis. This may include antispasmodics, NSAIDs, digestive aids, kidney stones, and the like.

In pathologies such as ovarian rupture, strangulated hernia, ectopic pregnancy, appendicitis, treatment can only be surgical. Also, surgery may be required for Crohn’s disease, in case of formation of an abscess and fistulas in the intestine. Elective surgical interventions are performed with endometriosis or cancerous tumors.

Complications

Pain in the right side is a signal of malfunction of the internal organs located on the right side of the human body. Ignoring the problem and refusing medical assistance in most cases is fraught with the development of serious complications that can lead to death. For example, a purulent process in the abdominal cavity, intestinal bleeding, intestinal obstruction and the development of malignant tumors become a complication of diverticulitis in the absence of treatment.

Questions and answers

This symptom most often indicates the development of cholecystitis. Soreness in this pathology is accompanied by vomiting with bile and bitterness in the mouth. Also, such a pain syndrome can occur with pancreatitis, liver abscess and a number of other pathologies, therefore, to clarify the diagnosis, you need to contact a specialist.

Yes, if the protrusion of the intervertebral disc leads to pinching of the nerve root on the right. The epicenter of pain is usually located in the spine, from where it radiates to the right side.

Cherenkov Vyacheslav Grigorievich. Oncology. Textbook for universities. GEOTAR-Media, 2020

Polunina T.E. Abdominal pain: focus on inflammatory bowel disease // MS. 2020.

Radzinsky Victor Evseevich, Fuks Alexander Mikhailovich, Gagaev Chelebi Gasanovich, Apresyan Sergey Vladislavovich. Gynecology. Textbook. GEOTAR-Media, 2021

Kim Anna Romanovna, Baymakhan Korkem Yeseevna, Kan Andrey Igorevich, Kim Galina Sergeevna Radiation diagnostics for abdominal pain // Russian Bulletin of Pediatric Surgery, Anesthesiology and Resuscitation.