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Why Do I Have Abdominal Pain on the Right Side?

Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Dec 19, 2023


About

Understanding abdominal pain on the right side involves considering various potential causes, including appendicitis, hernia, kidney problems, reproductive issues, irritable bowel syndrome (IBS), indigestion, or gas.


The discomfort may originate from different organs in the lower right abdomen, such as the appendix, portions of the large and small intestines, the right ovary in females, and the right urine duct.

When individuals experience abdominal discomfort, particularly on the right side, it becomes crucial to discern the nature of the pain for proper evaluation.

Some may observe right abdominal pain after eating, often linked to digestive issues or conditions affecting specific abdominal organs. Paying attention to the pain's characteristics-whether sharp, dull, or intermittent�provides valuable insights into potential underlying causes.

Localized pain in a specific abdominal region may signify issues with a particular organ. For example, gallstones commonly manifest as stabbing pain in the upper right section of the abdomen. Seeking timely medical attention is advisable if stomach pain persists or becomes severe, ensuring a thorough evaluation, accurate diagnosis, and appropriate treatment(1).

While lower right abdominal pain typically resolves on its own within a day or two and may not be a major concern, persistent discomfort necessitates a visit to a doctor. A comprehensive evaluation and diagnosis are essential to address any underlying issues and determine the most appropriate action for effective treatment.

Possible Causes of Pain in the Lower Right Quadrant

  1. Appendicitis: Inflammation of the appendix, requiring immediate medical attention to prevent rupture(2).
  2. Kidney Infection: Caused by bacteria, with pain usually felt in the back or sides(3).
  3. Kidney Stones: Hard mineral buildups that may cause severe pain when moving through the urinary tract(4).
  4. Hernia: Occurs when a part of the body pushes through the muscle or lining, leading to pain or discomfort(5).
  5. Irritable Bowel Syndrome (IBS): A common occurrence is a dull pain in the lower right abdomen that comes and goes. This discomfort might be associated with conditions such as irritable bowel syndrome (IBS) or intestinal gas(6).
  1. Inflammatory Bowel Disease (IBD): Serious digestive disorders like ulcerative colitis and Crohn's disease(7).
  2. Dyspepsia (Indigestion): Discomfort in the upper or lower abdomen, occurring after eating or drinking(8).
  3. Intestinal Gas: Buildup of gas in the colon, causing abdominal pain, bloating, and discomfort(9).
  4. Abs Cramp: Due to excessive physical activity(10).

Right Abdominal Pain in Females

In females, pain in the lower right abdomen can sometimes be linked to gynecological issues like ovarian cysts or endometriosis. These may include:

  1. Dysmenorrhea (Menstrual Cramps): Pain during menstruation in the lower abdomen.
  2. Endometriosis: Chronic condition where endometrial cells grow outside the uterus, causing severe cramps.
  3. Ovarian Cysts: They are fluid-filled sacs on or within the ovary, with larger cysts potentially causing pain in the lower abdomen.
  4. Ectopic Pregnancy: Fertilized egg implants outside the uterus, leading to abdominal pain.
  5. Pelvic Inflammatory Disease (PID): Infection causing pain in the lower abdomen.
  1. Ovarian Torsion: Twisting of the ovary, requiring immediate surgical intervention(11).

Right Abdominal Pain in Males

In males, conditions causing lower right abdominal pain include:

  1. Inguinal Hernia: Small intestine or fat pushing through a weak part of the lower abdomen(12).
  2. Testicular Torsion: Twisting of the testicle, requiring emergency surgery(13).

Additionally, upper right abdominal pain, especially under the ribs, could be indicative of various conditions, including gallbladder problems or issues with the liver. It's important to note that pain in the upper right quadrant unrelated to the gallbladder may require a thorough medical examination to identify the root cause.

Can Stress Cause Abdominal Pain Right Side?

Stress is recognized as a potential trigger for stomach pain, particularly on the right side. Stress can contribute to various stomach issues, such as:

  1. Abdominal tension
  2. Digestive problems
  3. Irritable Bowel Syndrome (IBS)
  4. Stomach ulcers
  5. Cramps
  6. Nausea
  7. Diarrhea
  8. Constipation
  9. Loss of appetite
  10. Unnatural hunger

Additional symptoms of stress may manifest as sensations of having knots in the belly, vomiting, or pain on either side of the chest(14).

Management and Treatment of Abdominal Pain

In instances where individuals, particularly women, experience right abdominal pain accompanied by gas, it could be related to digestive discomfort or bowel irregularities.

Herbal remedies, dietary adjustments, and stress management techniques, such as deep breathing or mindfulness, may provide relief for some individuals.

However, persistent or severe pain necessitates consultation with a healthcare professional for a comprehensive evaluation and accurate diagnosis. Understanding the context and characteristics of the pain is essential for determining the most appropriate course of action in addressing the right abdominal discomfort.

Managing and treating stomach pain caused by stress can involve several approaches, including:

  1. Herbal remedies
  2. Avoiding caffeine, especially coffee
  3. Deep breathing, mindfulness, and meditation techniques
  4. Calming diffuser oils or incense
  5. Carving out time for self-care and relaxation

To know about the drugs used for abdominal pain, click here:

Conclusion

Understanding abdominal pain on the right side is crucial, given its potential association with various conditions such as appendicitis, hernia, kidney problems, and reproductive issues. The discomfort may arise from different organs in the lower right abdomen, necessitating a keen awareness of the pain's nature for accurate evaluation.

While lower right abdominal pain often resolves on its own. Home remedies, rest, and over-the-counter medications may help alleviate pain. However, persistent or severe pain should prompt a visit to a doctor for further evaluation. Emergency medical attention is crucial if symptoms include sudden, severe pain, or if there are accompanying symptoms such as chest pain, shortness of breath, or persistent nausea and vomiting.

Chart of Abdominal Pain

Causes of Right Side Abdominal Pain Characteristics Associated Symptoms Conditions/Issues Relevant to Male/Female
Appendicitis Sharp pain, often starting around the navel and migrating to the lower right abdomen Nausea, vomiting, fever Inflammation of the appendix Both
Kidney Infection Dull, aching pain in the lower back or side Fever, frequent urination, pain during urination Bacterial infection affecting the kidneys Both
Gallstones Stabbing pain in the upper right abdomen Nausea, vomiting, yellowing of the skin (jaundice) Hardened deposits in the gallbladder Both
Ovarian Cysts Varies from dull to sharp pain in the lower abdomen Bloating, changes in menstrual cycle Fluid-filled sacs on or within the ovaries Females
Testicular Torsion Sudden and severe pain in the testicles, often on one side Swelling, discoloration, nausea Twisting of the testicle Males
Inguinal Hernia Bulge or lump in the groin area, abdominal discomfort Pain with lifting or straining Tissue pushing through a weak spot in the abdominal wall Males
Hernia Bulge or lump in the affected area, abdominal discomfort Pain with lifting or straining Tissue pushing through a weak spot in the abdominal wall Both
Gastrointestinal Issues (IBS, Indigestion, Gas) Varies from crampy to sharp pain, often linked to meals Bloating, changes in bowel habits Digestive system disorders Both
Stress-Related Pain Varies, often described as abdominal tension or discomfort Knots in the belly, changes in bowel habits Psychological stress impacting the digestive system Both
Menstrual Cramps Cramping pain in the lower abdomen, usually during menstruation Lower back pain, fatigue Uterine contractions during menstruation Females

References:

  1. Upper abdominal pain: Gall bladder - (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1121646/)
  2. Appendicitis - (https://www.ncbi.nlm.nih.gov/books/NBK493193/)
  3. About kidney infections - (https://www.nhsinform.scot/illnesses-and-conditions/kidneys-bladder-and-prostate/kidney-infection/)
  4. Kidney stones - (https://www.mayoclinic.org/diseases-conditions/kidney-stones/symptoms-causes/syc-20355755)
  5. Hernia - (https://www.mayoclinic.org/diseases-conditions/inguinal-hernia/symptoms-causes/syc-20351547)
  6. Irritable Bowel Syndrome (IBS) - (https://www.hopkinsmedicine.org/health/conditions-and-diseases/irritable-bowel-syndrome-ibs)
  7. Inflammatory bowel disease (IBD) - (https://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/symptoms-causes/syc-20353315)
  8. Indigestion - (https://www.mayoclinic.org/diseases-conditions/indigestion/symptoms-causes/syc-20352211)
  9. Gas and gas pains - (https://www.mayoclinic.org/diseases-conditions/gas-and-gas-pains/symptoms-causes/syc-20372709)
  10. Exercise-related transient abdominal pain (ETAP) - (https://pubmed.ncbi.nlm.nih.gov/25178498/)
  11. Abdominal Pain - Female - (https://www.seattlechildrens.org/conditions/a-z/abdominal-pain-female/)
  12. Inguinal Hernia (Groin Hernia) - (https://my.clevelandclinic.org/health/diseases/16266-inguinal-hernia)
  13. Testicular Torsion - (https://www.mayoclinic.org/diseases-conditions/testicular-torsion/symptoms-causes/syc-20378270)
  14. Stress stomach pain: When to see a doctor - (https://www.uchicagomedicine.org/forefront/gastrointestinal-articles/stress-stomach-pain-when-to-see-a-doctor)

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