Lower abdominal pain on the right
introduction
Right lower abdominal pain can have various causes and in some cases accompanying symptoms such as Fever, nausea or E.break trigger.
Especially pain in the pregnancy should taken seriously and medically examined to identify possible diseases. When the pelvic pain with Back pain go hand in hand in most cases Menstrual cramps the cause, however, spinal disorders can also trigger abdominal pain. Flatulence are often due to food and are not easily located in a section of the abdomen.
The pain can also be earlier than in Burn (see also Burning in the stomach) or Pull (Pulling in the lower abdomen) can be felt.
Causes of right-sided lower abdominal pain
There are a number of different diseases and reasons for the occurrence of right-sided lower abdominal pain. Reasons that come with the Intestines stay in contact. But also Reproductive system diseases or the Urinary tract may be responsible for the complaints.
Acute pelvic pain, which typically first occurs in the middle of the abdomen and then can be felt in the right lower abdomen, indicates the presence of an acute one Appendicitis down. Also inflammatory bowel disease like Crohn's disease or Ulcerative colitis can be associated with right-sided abdominal discomfort. It should also be clarified whether a infectious bowel disease present.
A Inguinal hernia Cause discomfort in the region of the lower abdomen. Inflammation or tumors of organs in this region also typically lead to pelvic pain. In women in particular, diseases of the genital organs should be excluded as a cause, e.g. Ovarian cysts or other diseases are relatively common here.
Please also read our page Pulling in the lower abdomen- these are the causes!
More precise description of the symptoms and accompanying symptoms
The exact description of the symptoms can often help to narrow down which disease it is in the individual case. The main symptom is pain in the lower abdomen on the right side. This pain can be sharp, pulling, dull, throbbing, or cramping. The pain intensity, which is usually given on a scale from 1-10, also helps the attending physician to assess how acute the individual clinical picture is and in what condition the person affected is.
It is also essential to mention if symptoms other than pain occur. These can be signs of inflammation such as fever or a poor general condition, as well as diarrhea, gas, constipation, nausea or vomiting. The causative clinical picture can also be narrowed down in the case of bloody stool, urine or vaginal discharge.
Also often a tense stomach or a pressure or letting go pain in the lower abdomen occurs.
Symptoms, which at first glance have nothing to do with the pain in the lower abdomen, should not be concealed from the examining doctor in order to give the best possible overall impression and to find out the disease causing the problem as quickly as possible. For example, back pain can radiate into the lower abdomen and represent the reason for the discomfort.
You might also be interested in: Burning in the lower abdomen - these are the causes!
Right lower abdominal pain and diarrhea
Abdominal discomfort associated with diarrhea can be an expression of various diseases. The most common cause of pelvic discomfort and diarrhea are present at the same time infectious bowel disease. Different bacteria and viruses can be responsible for this type of disease. In addition to diarrhea, this also often occurs fever and a weakened general condition on.
Food allergies can also be associated with diarrhea and pain. It should be noted that also a Appendicitis can be accompanied by diarrhea and right-sided lower abdominal pain is crucial for this diagnosis.
Chronic Inflammatory Bowel Disease are also possible causes of both the pelvic pain and accompanying diarrhea. Especially when it comes to slimy-bloody diarrhea the person concerned should be examined for the presence of these diseases.
Rare causes that can be accompanied by pain and diarrhea Intestinal protuberances, as Diverticulum called, or the so-called Irritable bowel syndrome.
Right lower abdominal pain and constipation
Lower abdominal pain can be associated with a number of different digestive disorders. The constipation can be both a another symptom the causative disease as well as the The cause of the right-sided lower abdominal pain represent.
If symptoms such as fever and vomiting occur in addition to constipation and pain, this could occur Intestinal obstruction (Ileus) be responsible for the complaints. Because an intestinal obstruction is a surgical emergency the complaints should be clarified as soon as possible.
However, the constipation of Medication, one-sided diet, Nervous system disorders or mental stress caused.
If there are pelvic problems and constipation at the same time, it should first be clarified whether treatment of the constipation may lead to the elimination of the pain. The constipation can often be adequately treated with swelling agents or increased fluid intake.
Please also read our page Therapy for constipation.
Right lower abdominal pain and gas
Flatulence (flatulence) denote the increased formation of gases in the intestinewhich lead to discomfort and bloating. The intestinal gases arise in the context of the natural digestive process and diffuse for the most part into the blood circulation and then be about the lung eliminated. However, some of the intestinal gases do not enter the bloodstream, but instead remain in the intestine and are called Intestinal gases (flatulence) designated.
In some cases, when the intestinal gases cannot escape, they lead to too cramping abdominal pain. Correspondingly, they can also occur in the right lower abdomen. Often the patients feel one direct symptom reliefwhen the intestinal gases rectally as a body winch (Flatus) escape. The cause of the flatulence are common Food or food intolerance. Especially often lead one Lactose intolerance (Lactose intolerance) or a Histamine intolerance to intestinal gas formation. Also included legumes many components which are im Small intestine cannot be recycled and thus lead to gas development. Also a high consumption of onions, celery, cabbage, sauerkraut and watermelon can lead to increased gas formation and flatulence. Therapy usually consists of avoiding or consuming less food. If an actual food intolerance such as a lactose or Histamine intolerance should be present if the symptoms are severe a diet is followed.
Right lower abdominal pain and back pain
Some Forms of menstrual pain can become monthly Lower abdomen and back pain to lead.
Usually the menstrual cramps arise from strong muscle contractions of the uterus (uterus). These are usually harmless and arise in the context of the Mucosal rejection during menstruation. A doctor should evaluate the pain to make sure it is harmless. So diseases of the uterus as a Endometriosis be excluded. If the period pains are harmless, this often helps warmth, Sports and antispasmodic drugs like butylscopalamin to relieve the discomfort. If the pain is very severe, the Birth control pills regulate the cycle and thus alleviate the monthly complaints.
Also Spinal disorders can lead to pain in the lower abdomen. When in the area of the lower Spine due to inflammation abscess has formed, it can spread along the muscles into the lower abdomen and lead to pain.
A such inflammation is rare and can be caused by a pathogen evacuation from the blood, or in the frame surgical interventions on the spine arise. The pain is usually hardly characteristic and can easily be with one disc prolapse be confused. To make the correct diagnosis are because of this imaging procedures and Blood tests necessary. When a Vertebral inflammation with abscess formation, this must be surgically removed immediately and the patient with Antibiotics be treated.
Right lower abdominal pain up to the leg
Pain that radiates into the leg is characteristic of one nervous impairment. In the case of radiating pain into the leg, it should always be examined whether a disc prolapse could be responsible for the complaints. In addition to leg pain, this can also cause discomfort in the right lower abdomen.
Especially when Paralysis If the leg or foot is added, a herniated disc should be considered as a possible cause.
Also Muscle tension in the back can affect nerves and cause pain in the abdomen and legs.
Ultimately, infectious diseases like the Shingles Affect nerves and cause leg pain.
diagnosis
In order to make the correct diagnosis, the examining doctor will first do one detailed anamnesis such as physical examination make. The description of the symptoms as well as a possible change in pain during the examination often provide enough clues to be able to make a suspected diagnosis.
In addition, imaging procedures such as a Ultrasound examination or MRIs of the abdomen help diagnose the disease. Stool samples or one Colonoscopy are other procedures to determine the causative disease.
Right abdominal pain illustration
- Liver - Hepar
- Gallbladder -
Vesica biliaris - Stomach - Guest
- Large intestine, transverse part -
Transverse colon - Small intestine -
Intestine tenue - Colon, ascending part -
Ascending colon - Appendix - Caecum
- Appendix -
Appendix vermiformis - Fallopian tubes - Tuba uterina
- Ovary - Ovary
- Uterus - uterus
You can find an overview of all Dr-Gumpert images at: medical illustrations
Right lower abdominal pain by gender
Right-sided lower abdominal pain in men
In general, most diseases that are responsible for right-sided lower abdominal pain can occur in both men and women. However, there are some diseases that can be specifically responsible for the symptoms in men. Particularly noteworthy here Male reproductive system disorders.
Urological emergencies such as the so-called Testicular torsion can cause severe pelvic discomfort, among other things. A testicle rotates around its own axis due to genetic predisposition or an accident and thus prevents its own blood flow.
Also infections caused by sexually transmitted diseases should be considered as the cause.
Because men much more often at one Inguinal hernia This should be excluded as a possible cause during the investigation. Can also be chronic Inflammation of the prostate, one Prostate enlargement or Prostate tumors lead to lower abdominal pain in men.
Right lower abdominal pain in the woman
In women who suffer from pelvic problems, diseases of the female genital organs should be considered as possible causes in addition to the other known causes that may be responsible for the pain. Probably the most common reason women have pelvic pain is menstrual cramps. But also cysts on the ovaries or diseases such as endometriosis are typical reasons for the occurrence of right-sided pelvic problems in women.
By jumping movements (Jumping, dancing, etc.), especially if ovarian cysts are known, a twisted ovarian cyst can occur, which can manifest itself in considerable pelvic discomfort.
A pregnancy test should also be performed if there is a possibility of being pregnant. Especially if there is an ectopic pregnancy, this can make itself felt in right-sided lower abdominal discomfort.
Ultimately, the relatively common bladder infections in women can lead to pain in the lower abdomen.
also read: Twitching in the abdomen- indication of pregnancy?
Right-sided lower abdominal pain during pregnancy
Particularly at the beginning of a pregnancy that has not yet been confirmed, it can be an ectopic or ectopic pregnancy (ectopic pregnancy). First, the symptoms of a normal pregnancy appear.
Menstruation does not occur, morning sickness, tension and chest pain can develop. A pregnancy test will also be positive in this case. Because of the position of the fertilized egg outside the uterus, it becomes inflamed. The patients suffer from increasing pain in the right lower abdomen and feel increasingly worse. Often, ectopic pregnancy is associated with nausea, vomiting, and fever (Please refer: Pregnancy symptoms).
If the egg cell grows in size, it can burst. In this case, the abdominal pain is acute and very severe. This is followed by a short symptom-free interval with increasingly dull pain throughout the abdomen. Since the entire abdominal cavity can become inflamed in this case, it is important to rule out such an ectopic or ectopic pregnancy with the help of an ultrasound device at the beginning of a pregnancy. An ectopic pregnancy usually requires surgery to completely remove the inflammation.
Read more on the topic: Ectopic pregnancy
If the inflammation has spread to the entire abdomen, an extensive operation with irrigation of the entire abdomen is often necessary. It is possible that scar tissue may form around the fallopian tubes after the inflammation and surgery, which may make conception difficult. Usually the ovary on the other side can still allow pregnancy.
Learn more about the: Peritonitis
In addition to this specific inflammation in fertile women, pregnant women can also suffer from the usual clinical pictures. Appendicitis is specific to the right lower abdomen. Appendicitis pain often begins in the mid-abdomen around the navel and then slowly migrates to the lower right abdomen. The reason for this is the progressive inflammation of the appendix with increasingly precisely localizable pain. The pain is often accompanied by a slight fever, nausea, vomiting, and constipation. The pain is more of a dull, persistent character and increases in intensity.
When the appendix breaks through, the pain may initially subside. With increasing inflammation of the peritoneum, however, the pain in the lower abdomen becomes significantly stronger and can ultimately affect the entire abdomen. Appendicitis is often detectable by an ultrasound examination and the increased inflammation parameters in the blood. In some cases, however, the diagnosis cannot be made through simple diagnostics, so that an operation must be performed even if appendicitis is suspected. As long as the inflammation is confined to the appendix, the operation can often be performed laparoscopically. All you need to do is make three small incisions to insert the camera into the abdomen. The remaining scars are very small and barely visible. Since appendectomy is a routine procedure, complications are very rare, even during pregnancy.
Summary
The causes of right-sided lower abdominal pain are diverse and should examined by a doctor if there are accompanying symptoms become.
Especially in the pregnancy should be dangerous inflammatory diseases or one threatening Miscarriage be ruled out by a doctor.
If the Abdominal pain with back pain are common Menstrual cramps the cause of the discomfort.
Then the pain occurs monthly as part of the Menstrual period on. If back pain is associated with or independent of menstrual periods in men, the pain should also be examined by a doctor possible spinal diseases to exclude. Flatulence can also lead to severe right-sided lower abdominal pain and usually occur in Relationship with food intake on. Often the foods can be identified and the gas will improve with a change in diet.
