Comprehensive Guide to Lower Right Abdominal Pain: Causes, Symptoms, and Treatment Options

Serious Causes and Symptoms

Pain in the lower right abdomen near the hip bone can be indicative of more serious conditions that may require surgical intervention or long-term medical treatment. Here are the serious causes and their associated symptoms:

8. Appendicitis

• The appendix, a finger-like pouch extending from the large intestine, becomes infected and inflamed, leading to appendicitis.
• Symptoms:
  • Nausea
  • Vomiting
  • Fever
  • Abdominal swelling
• Seek immediate medical attention if experiencing pain in the lower right abdomen along with the above symptoms.

9. Kidney Stones

• Small crystals of calcium, uric acid, or other chemicals form in the kidneys, causing kidney stones.
• Symptoms:
  • Blood in the urine
  • Painful urination
  • Nausea
  • Chills
  • Fever

10. Kidney Infection

• Often starting as a urinary tract infection, a kidney infection can cause abdominal pain.
• Symptoms:
  • Back pain
  • Frequent urination
  • Burning sensation during urination
  • Foul-smelling urine
  • Fever
  • Chills
  • Nausea

11. Inflammatory Bowel Disease (IBD)

• A group of intestinal diseases, including ulcerative colitis and Crohn’s disease, characterized by inflammation.
• Symptoms may include:
  • Abdominal pain
  • Diarrhea
  • Bloating

12. Irritable Bowel Syndrome (IBS)

• IBS does not cause inflammation but can trigger symptoms due to stress or certain foods.
• Common symptoms:
  • Lower abdominal pain
  • Diarrhea
  • Excess gas
  • Mucus in the stool

13. Hernia

A hernia occurs when an organ or tissue pushes through the wall of muscle or tissue that normally contains it. There are different types of hernias, each with its own symptoms and locations. The most common type is an inguinal hernia, which can cause pain in the lower right abdomen near the hip bone. Symptoms of an inguinal hernia may include:

• Sharp pain on one side of the groin
• Pain triggered by coughing, exercising, or bending over
• Swelling in the affected area

Female-Only Causes and Symptoms

If you’re female, certain conditions can lead to pain in the lower right abdomen:

14. Menstrual Pain

• Menstrual cramps in the lower abdomen that may radiate down into the legs.
• Normal during periods, but excessive pain (dysmenorrhea) should be evaluated by a doctor.

15. Ovarian Cyst

• A small fluid-filled sac on the ovary causing pain in the lower abdomen.
• Additional symptoms:
  • Back pain
  • Pelvic pain during or before menstruation
  • Painful intercourse
  • Nausea and vomiting
  • Painful bowel movements

16. Pelvic Inflammatory Disease (PID)

• Inflammation of the reproductive organs often caused by sexually transmitted infections (STIs).
• Symptoms may include:
  • Pain during intercourse
  • Burning sensation when urinating
  • Unusual vaginal discharge with odor
  • Fever

17. Endometriosis

• Tissue similar to the uterine lining grows outside the uterus, leading to pain and inflammation.
• Symptoms vary depending on the location of the tissue growth:
  • Pelvic pain
  • Painful periods
  • Painful bowel movements
  • Cramps during or around menstruation
  • Pain after intercourse

18. Ectopic Pregnancy

• Fertilized egg implants outside the uterus, most commonly in the fallopian tube.
• Symptoms:
  • Sharp abdominal and pelvic pain
  • Shoulder or neck pain
  • Dizziness or fainting
  • Light to heavy vaginal bleeding

Male-Only Causes and Symptoms

For males, there are specific potential causes of pain in the lower right abdomen:

19. Testicular Torsion

• The spermatic cord, which carries blood to the scrotum, becomes twisted, leading to testicular torsion.
• Symptoms:
  • Pain in the scrotum and the side of the lower abdomen
  • Swelling in the scrotum
  • Nausea and fever

If you experience any of the symptoms mentioned above, especially if they are severe, persistent, or accompanied by additional concerning signs, it is essential to seek prompt medical evaluation to determine the cause and receive appropriate treatment. Ignoring or delaying medical attention for serious causes of lower right abdominal pain can lead to complications and worsen the condition.