right pelvic pain causes

Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. The appendix doesn't seem to have a specific purpose. Appendicitis causes pain in your lower right abdomen. However, in most people, pain begins around the navel and then moves.

Appendicitis

Health Guide Disease Reference Care Notes Medication List Encyclopedia Q & AMore Overview Symptoms Causes Complications Diagnosis Treatment Lifestyle and home remedies Alternative medicine Preparing for an appointment Appendicitis Overview

As inflammation worsens, appendicitis pain typically increases and eventually becomes severe. Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30. Standard treatment is surgical removal of the appendix. Appendicitis The appendix is a narrow, finger-shaped pouch that projects out from the colon.

Appendicitis occurs when the appendix becomes inflamed and filled with pus. Symptoms Signs and symptoms of appendicitis may include: Sudden pain that begins on the right side of the lower abdomen Sudden pain that begins around your navel and often shifts to your lower right abdomen Pain that worsens if you cough, walk or make other jarring movements Nausea and vomiting Loss of appetite Low-grade fever that may worsen as the illness progresses Constipation or diarrhea Abdominal bloating The site of your pain may vary, depending on your age and the position of your appendix.

When you're pregnant, the pain may seem to come from your upper abdomen because your appendix is higher during pregnancy. When to see a doctor Make an appointment with a doctor if you or your child has worrisome signs or symptoms.

Severe abdominal pain requires immediate medical attention. Causes A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis. The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated promptly, the appendix can rupture. Complications Appendicitis can cause serious complications, such as: A ruptured appendix.

A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity. A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess).

In most cases, a surgeon drains the abscess by placing a tube through your abdominal wall into the abscess. The tube is left in place for two weeks, and you're given antibiotics to clear the infection. Once the infection is clear, you'll have surgery to remove the appendix.

In some cases, the abscess is drained, and the appendix is removed immediately. Diagnosis To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and examine your abdomen. Tests and procedures used to diagnose appendicitis include: Physical exam to assess your pain. Your doctor may apply gentle pressure on the painful area.

When the pressure is suddenly released, appendicitis pain will often feel worse, signaling that the adjacent peritoneum is inflamed. Your doctor also may look for abdominal rigidity and a tendency for you to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding).

Your doctor may use a lubricated, gloved finger to examine your lower rectum (digital rectal exam). Women of childbearing age may be given a pelvic exam to check for possible gynecological problems that could be causing the pain. Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection. Urine test. Your doctor may want you to have a urinalysis to make sure that a urinary tract infection or a kidney stone isn't causing your pain. Imaging tests. Your doctor may also recommend an abdominal X-ray, an abdominal ultrasound or a computerized tomography (CT) scan to help confirm appendicitis or find other causes for your pain.

Treatment Appendicitis treatment usually involves surgery to remove the inflamed appendix. Before surgery you may be given a dose of antibiotics to prevent infection. Surgery to remove the appendix (appendectomy)Appendectomy can be performed as open surgery using one abdominal incision about 2 to 4 inches (5 to 10 centimeters) long (laparotomy). Or the surgery can be done through a few small abdominal incisions (laparoscopic surgery). During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix.

In general, laparoscopic surgery allows you to recover faster and heal with less pain and scarring. It may be better for people who are elderly or obese. But laparoscopic surgery isn't appropriate for everyone.

If your appendix has ruptured and infection has spread beyond the appendix or you have an abscess, you may need an open appendectomy, which allows your surgeon to clean the abdominal cavity. Expect to spend one or two days in the hospital after your appendectomy. Draining an abscess before appendix surgery If your appendix has burst and an abscess has formed around it, the abscess may be drained by placing a tube through your skin into the abscess.

Appendectomy can be performed several weeks later after controlling the infection. Lifestyle and home remedies Expect a few weeks of recovery from an appendectomy, or longer if your appendix burst. To help your body heal: Avoid strenuous activity at first. If your appendectomy was done laparoscopically, limit your activity for three to five days. If you had an open appendectomy, limit your activity for 10 to 14 days. Always ask your doctor about limitations on your activity and when you can resume normal activities following surgery.

Support your abdomen when you cough. Place a pillow over your abdomen and apply pressure before you cough, laugh or move to help reduce pain. Call your doctor if your pain medications aren't helping. Being in pain puts extra stress on your body and slows the healing process. If you're still in pain despite your pain medications, call your doctor. Get up and move when you're ready.

Start slowly and increase your activity as you feel up to it. Start with short walks. Sleep when tired. As your body heals, you may find you feel sleepier than usual. Take it easy and rest when you need to. Discuss returning to work or school with your doctor. You can return to work when you feel up to it.

Children may be able to return to school less than a week after surgery. They should wait two to four weeks to resume strenuous activity, such as gym classes or sports. Alternative medicine Your doctor will prescribe medications to help you control your pain after your appendectomy. Some complementary and alternative treatments, when used with your medications, can help control pain.

Ask your doctor about safe options, such as: Distracting activities, such as listening to music and talking with friends, that take your mind off your pain. Distraction can be especially effective with children. Guided imagery, such as closing your eyes and thinking about a favorite place.

Preparing for an appointment Make an appointment with your family doctor or a general practitioner if you have abdominal pain. If you have appendicitis, you'll likely be hospitalized and referred to a surgeon to remove your appendix.

Questions your doctor may ask you To help in diagnosing your condition, your doctor is likely to ask you a number of questions, such as: When did your abdominal pain begin? Where does it hurt? Has the pain moved? How severe is your pain? What makes your pain more severe? What helps relieve your pain? Do you have a fever? Do you feel nauseated? What other signs and symptoms do you have?

Questions you can ask your doctor Do I have appendicitis? Will I need more tests? What else could I have besides appendicitis? Do I need surgery and, if so, how soon? What are the risks of appendix removal? How long will I need to stay in the hospital after surgery?

How long will recovery take? How soon after surgery can I go back to work? Can you tell whether my appendix has burst? Don't hesitate to ask other questions. Last updated: March 9th, 2018© 1998-2018 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Terms of use Learn more about Appendicitis Associated drugs Appendicitis Micromedex® Care Notes Appendicitis Symptoms and treatments Appendicitis

Also note that pain in the right side of the abdomen can be ""referred"" from an injury or disease originating from a nearby organ which may not necessarily be within the abdomen. An example of this is a right sided abdominal pain arising from a lower right lung infection.

Right Side Abdominal Pain Causes, Diagnosis And Treatment

"Right Side Abdominal Pain Causes, Diagnosis And Treatment Understanding Common Causes Of Right Side Stomach Pain Or Ache In The Right Side Of The Tummy Right side abdominal pain is commonly caused by conditions such as appendicitis, gallstones, kidney stones, constipation, ectopic pregnancy, ovarian cyst troubles, endometriosis, Crohn's disease, ulcerative colitis, trapped wind, kidney infection, pulled muscles, hepatitis, and a number of other rarer diseases.

Find out what could be causing your right side stomach pain as we go through the causes, diagnosis and treatment of common causes of right sided abdominal pain here. A right sided abdominal pain, is pain occurring any where in the abdomen, to the right of an imaginary line drawn from the center of the chest through the umbilicus or belly button to the top of the genitalia.

Apart from acute appendicitis, gallstones or biliary colic, cholecystitis, hepatitis and many other liver diseases, the causes of right sided stomach pain can also cause pain on the left side. In order to understand the possible cause of a 'right side stomach pain', it may be helpful to know the organs and structures that exist in this region of the body.

Diseases, infections, or irritation of any of these organs will lead to a right side abdominal pain.

Organs And Structures On The Right Side Of The Abdomen Organs and structures in the right side of the abdomen include: Skin over the right abdomen Liver Gallbladder Pancreas Right kidney Right Ureter (the tube that drain urine from the kidney to be stored in the bladder Right adrenal gland Duodenum ( the very first part of the small intestines)Right part of the large intestines (also called ascending colon)The Appendix Right ovary in females Right Fallopian tube Muscles of the right abdominal wall The lower 9th to 12th ribs Blood vessels and nerves in the right side of the abdomen Other structures not found in the abdomen that can cause right side abdominal pain include: The lower part of right lung Tumors from other sites We shall now take you through a few of the various possible causes of right abdominal pain, giving a very brief gist of the important signs and symptoms that will help in recognizing and making a diagnosis of the possible cause of the pain.

If you have recent onset right side abdominal pain, it is worth considering if you are having any of the following listed causes of abdominal pain.

Common Causes Of Right Sided Abdominal Pain Common causes of pain in the right side of the abdomen include: Acute Appendicitis Biliary Colic Bowel Cancer Budd-Chiari syndrome Caecal Volvulus Carcinoid tumour Cecitis Celiac disease Cholecystitis Constipation Costochondritis Crohn's disease Diabetic keto-acidosis Diverticulitis - right sided, especially in Asian patients Ectopic pregnancy Endometriosis Epiploic Appendagitis Fabry's Disease Fatty Liver Disease Gallbladder Cancer Gallbladder Rupture Hemolytic Uremic Syndrome Hepatitis Hydronephrosis Ileal Plasmocytoma Iliac artery aneurysm Intestinal worms Intussesption Irritable bowel syndrome Kidney Infection (pyelonephritis)Kidney Stones Lead Poisoning Liver Abscess Liver Cancer Liver Cysts Loin Pain Haematuria Syndrome Mid Cycle Pain (Mittelschmerz)Meckel's Diverticulum Narcotic Bowel Syndrome Obstructed or Strangulated Inguinal Hernia Osteogenic Carcinoma of Iliac Bone (very rare)Ovarian Cyst Perihepatitis Perinephric Abscess Pneumonia Polycystic Kidney Disease Polycystic Ovarian Syndrome Porphyria Pulled muscle Right Kidney Cancer Sigmoid Volvulus Sphincter of Oddi Dysfunction Spigelian Hernia Sport Hernia Testicular Torsion Tietze Syndrome Trapped wind Tuberculosis of the Bowel Ulcerative Colitis Urinary Tract Infection (UTI)Top 12 Causes of Right Sided Abdominal Pain Many of the above listed conditions are very very rare.

Here are the top twelve (12) common causes of right side abdominal pain and how to diagnose them:1.

Appendicitis Right sided lower abdominal pain of a few days duration, associated with loss of appetite, nausea and occasionally vomiting, fever, feeling generally unwell in anyone between the ages of 9 and 39 is appendicitis, until proven otherwise. This does not mean that appendicitis do not occur out side that age bracket. It is more common within the first three decade of life, and can occur at any age. How to tell if the cause of your right sided pain is appendicitis

? It is the most common cause of right side abdominal pain requiring operation. The pain typically starts up in the abdomen, or around the belly button called umbilicus. It then spreads or moves to the lower right abdomen within a day or two. In some individuals, the pain starts straight in the lower right abdomen.

Conditions like inflammation of the gallbladder (cholecystitis) or gall stones (cholelithtiasis) can cause severe pain in the right upper part of the abdomen, under the right rib cage and may even radiate to the right shoulder.

What Can Cause Pain Under Right Rib Cage?

What Can Cause Pain Under Right Rib Cage? Reviewed By: Pramod Kerkar, MD, FFARCSIAbout Pain Under Right Rib Cage Pain under the right rib cage can cause discomfort of varying degrees.

Most of the times, the pain may be a result of minor injuries or postural changes. However, sometimes, there may be an underlying medical situation that needs appropriate treatment. There are numerous causes that can lead to pain under the right rib cage and it is important to understand them. Having some awareness about the possible causes, other associated symptoms and their relation to your pain, can help you in every way.

Medical assessment and examination is essential to help find the exact cause and to begin the right treatment plan for pain under right rib cage. However, it is important to be aware of the nature of your pain, the time when the pain occurs, its relation with movement, consumption of food or particular food items and other complaints accompanying the pain under right rib cage.

These details can make the history taking simpler and help your physician in identifying the condition.

What Can Cause Pain Under Right Rib Cage? The common causes can be grouped according to the affected body system. Gastrointestinal Causes of Pain Under Right Rib Cage Gastrointestinal causes are the most common reasons for pain under the right side of the rib cage. Some of these include Acid Reflux and Ulcers Pain under right rib cage can be due to acid reflux and ulcer.

Regurgitation of food contents and reflux of acid into the food pipe can cause pain under the breastbone and the rib cage. There may be burning in the throat also in relation to eating food or when stomach remains empty for long.

Peptic ulcers, particularly those affecting the duodenum, which is present on the right side, too can cause similar pain. These may require timely diagnosis and treatment to avoid further complications like perforation and abdominal bleeding.

Liver Disorders Can Cause Pain Under Right Rib Cage The liver is one of the vital organs located in the right side of the body below the rib cage. Conditions like inflammation of liver (hepatitis), enlargement of liver (hepatomegaly), liver cirrhosis, fatty liver or infections, toxins, drugs and alcohol affecting the liver can cause liver damage and pain under right rib cage in the right upper part of the abdomen.

There may be sharp pain under right ribs and associated gastric complaints. Gall Bladder Diseases Diseases of the gallbladder, which is located below the liver, can give rise to pain under the right rib cage.

This is usually occurs after consumption of fatty food with bloating, nausea and sometimes vomiting. Pain Under Right Rib Cage Caused Due to Inflammatory Bowel Disorder Obstruction of the bowel or inflammation of the gut can cause conditions like Crohn's Disease and may be evident after consumption of particular food items. There may be abdominal pain and discomfort under the right rib cage, vomiting and altered bowel movements.

Appendicitis In some cases, the appendix, which is a small extended part of the intestine on the right lower side of the abdomen, may get infected. This may cause inflammation and pain, which is more on the right lower side, however, sometimes even the upper area under the ribs may be painful.

This needs immediate medical attention and treatment. Other gastric infections like typhoid and conditions like pancreatitis, hernia occurring in the upper part of the abdomen can cause pain under right rib cage. Musculoskeletal Causes of Pain Under Right Rib Cage Other commonest cause of pain under right rib cage includes disorders of the musculoskeletal system.

These include conditions like Fractured Ribs- Ribs on the right side can get bruised or cracked during forceful activities or by injuries. The severity of pain under right rib cage caused due to fractured ribs depends on the degree of fracture and need proper evaluation and management. Costochondritis- Sometimes, trauma or certain infections can cause inflammation of the cartilage joining the ribs leading to pain and tenderness.

The pain under right rib cage caused due to costochondritis may even radiate and may be felt on breathing. Osteoporosis- Disorders of the bone and joints can cause inflammation and pain under right rib cage.

Vitamin D deficiency or other factors causing brittle bones or osteoporosis too can lead to pain under right rib cage.

Other Causes of Pain Under Right Rib Cage Includes: These include other reasons like injuries to the area under the right ribs or some other conditions like dietary factors, consumption of particular food items, imbalance of vitamins, build up of toxic ketone acids as in diabetic ketoacidosis, etc. Diagnosis of Pain Under Right Rib Cage Diagnosis of pain under right rib cage is made after thorough evaluation of medical history and clinical examination.

Investigations may be ordered depending on the suspected condition. These may include, laboratory tests to study blood picture for infections, chemical analysis and other parameters. Imaging studies like X-ray, CT scan or MRI may be required to study bony structures, fractures, tumors or organ enlargement.

Treatment of Pain Under Right Rib Cage Treatment for pain under right rib cage is based on the precise diagnosis and generally includes rest in case of physical injuries to the ribs, muscles or soft tissues to allow healing. Medications are given to control pain, fever, infections or gastrointestinal conditions depending on the cause of pain under right rib cage. In some cases, additional treatments like surgery may be required.

If it was located in lower right side it could be appendix or kidney stones. On left lower side it could be kidney stones, and on upper side it could be acidity. Gas in abdomen can cause cramping pain. In females it can be an ovarian cyst. Hence, finding the cause is important. Acidity and gas can be treated by taking omeprazole and antacids.

Omeprazole and kidney stones

"Omeprazole and kidney stones Common Questions and Answers about Omeprazole and kidney stonesnexium My dad has kidney stones and about a week ago had a stent put in due to pain and infection. He doesn't have the kidney stone pain right now but for the past 6 days he has had stomach pain including some nausea and alot of burning.

It has been non stop. He went to his doctor and he gave him some prescription to stomach ""coating"", but it has not helped in the past two days. Do you have any recommendations as to what is causing the stomach issues? Thanks!Read More Hello and hope you are doing well.

Understand your predicament and sorry for the late reply. The hypodense lesion could be a cyst. Simple kidney cysts are usually incidental findings. They more common as people age. An estimated 25 percent of people 40 years of age and 50 percent of people 50 years of age have simple kidney cysts.

Now, the questionable solid lesion could also be due to bleeding into a cyst, it need not always be due to malignancy. Read More I would have to be completely honest and say, given her age and her kidney failure, and given that she has had (presumably) good dental care up to two years ago - I would forget about the dental work.

It is true that according to some sources, bad dental hygiene is a major contributor to kidney failure. However, once a dog is in kidney failure, stress can be even more damaging. And that's without the high risk that anaesthetic will introduce.

Read More I was diagnosed with kidney stones (3.6mm and 5.4mm) and it's been 5 days I take medicine (rowatinex, omnic, diclofenac, omeprazole, no-spa). I masturbated twice since and I didn't produce any semen while I felt like i had orgasm. After I peed, I still didn't notice any semen in my pee.

Read More I was diagnosed with kidney stones (3.6mm and 5.4mm) and it's been 5 days I take medicine (rowatinex, omnic, diclofenac, omeprazole, no-spa). I masturbated twice since and I didn't produce any semen while I felt like i had orgasm. After I peed, I still didn't notice any semen in my pee (not even cloudy). Read Morecould have a crack bottom rib or kidney stones or just a real bad urine infection that has spread to your kidneys antibiotics will fix that Read More They can interfere with the absorption of other meds, can cause constipation, and I think can contribute to kidney stones.

A longer acting med like Prilosec or just OTC Zantac might be better. Read More Obviously, I am concerned with having malignant tumors. Does anyone know if cysts and /or kidney stones could have that effect on WBC count? Any input would be appreciated.

Read More I have had half a dozen kidney stones. I passed all but the last one. The last one was stuck in my ureter and I had it removed surgically. I wish I would have had the surgery sooner rather than waiting a couple weeks hoping it would pass.

The fever is probably a result of the stone and the sooner you can get it out, the better. Read More I went to the doctors today and was given Omeprazole for the same symptoms, I have to go back for blood tests next week.

I have only had one tablet up to now, what a relief, the acid has stopped, the burping is less and I feel alot better already. The only thing I really hate is the bloatedness, I wish that would go. well i will see how these pills help and let you all know next week.

Good luck. Read Moreso gp sent me for ultrasound, then ct scan which showed abnormality of the kidney in short i had kidney cancer and had to have my kidney removed, i have since seen consultant who now says i have to have gallbladder removed as i have 1 stone, i am not all that convinced my symptoms are due to gallstones, surgeon says the vomiting and back pain nothing to do with kidney cancer,can anybody clarify my symptom, do you have similar , I would appreciate your answers. Read More

However, it would be best to consult your PCP. Take care!Read More I know this will get sorted and I could be in a worser position than other people. Will keep everyone updated. Will take the course of Omeprazole and see what happens. Just wish the bloating would go. The discomfort in my sternum area has eased a little, thank goodness Thanks again for comment. Read More It could be gas, polycystic ovary, muscle pull, nerve impingement, kidney stone or even infection of the gut.

Take Omeprazole empty stomach in morning and an antacid gel at bedtime. Refrain from smoking, alcohol, fuzzy drinks, caffeine, and spicy food.

Walking around also helps clear gas. If it does not help, consult a doctor. Take care!Read More I have CAT scan, Ultra sounds, my gall bladder is fine and functioning find I have no kidney stones and I have an ovarian cycst on my left side.

I have seen the surgeron and he want me to get an upper GI scope I have taken pepcid, zantac, and omeprazole for years my family have a history of GERD and I have taken anti-inflammatory put have tired to protect my stomach, I have seen a stomach dr. Read More Stones can chronically irritate the gall bladder and cause inflammation and pain.

The other causes could be gastritis, peptic ulcer disease and GERD. Kidney disorders too produce colicky and sharp pain. Sometimes anxiety with flatulence can cause this pain. You will need to consult your primary care physician for proper evaluation of pain and therapy.

Regards. Read More I went to the ER twice for it and both times they did a EKG, blood work, chest xrays, ct scan, the works. Nothing showed up wrong. They said it was acid reflux and gave me some omeprazole. Ive been on it for a week and a half now and it isnt helping at all.

It usually only seems to occur while im at work? But im most active at work too tho.. it feels better when i sit.

I did have a ultrasound done of my gallbladder and they said it was distended but didnt need to come out. Read More Take omeprazole (empty stomach in morning) and antacid gel and see if it helps. Liver and kidney dysfunction is another cause. Hence kidney and liver function tests should be done. Other causes are diabetes and hypothyroidism. Electrolyte imbalance too can cause nausea. IBS, gluten or lactose intolerance, parasites in gut too can be the cause. A stool test should be done for worms, giardiasis etc. Chronic hepatitis or chronic infection of the gall bladder are the other possibilities.

Read More I also began suffering from horrible double-vision migraines that showed up very oddly on an EKG and kidney stones.

After I passed a kidney stone the doctor suggested I try eliminating food from my diet- so for about two years I was very strictly gluten free. This all seemed to help- no migraines, no kidney pain and no bloating. Around May 2013 my symptoms began to return despite my very healthy, gluten free diet and regular exercising.

Read More You may have to undergo some tests like kidney and liver function tests, some hormone analysis as you have an ovarian cyst, abdominal ultrasound, differential count of WBC to know the types of WBC and a peripheral smear to see the conditions of the cells in the blood to reach a diagnosis.

A clinical examination by a doctor will also be very helpful. However it is difficult to diagnose without examining.

So please consult your doctor. Hope this helps. Read More It is not only very uncomfortable, very nasty, and makes work difficult, but it has not been determined that I have gall stones, or gall bladder issues. I recently had a very thorough check up with my PCP, and she had a gall bladder ultrasound done. Nothing was found.

I have yet to determine any specific foods that start this. Read More I had loads of vague symptoms like this for a very long time and eventually gall bladder was septic with stones and had to be removed. Check back with your doctor though as it could be any number of things. All the best. Read More No signs of gallblader, gallstones or kidney stones. The pain is slightly better however it is more of consant pain and at times it gets worse. I was on antinflamatory for a while and had to get two different epidural steroid injections for a herniated disc so I am thinking maybe ulcer and maybe i should ask for an endo but wanted to see if anyone experienced these types of pains.

Read More Liver and kidney dysfunction is another cause. Hence kidney and liver function tests should be done. Other causes are diabetes and hypothyroidism. Electrolyte imbalance too can cause nausea. IBS, gluten or lactose intolerance, parasites in gut too can be the cause. A stool test should be done for worms, giardiasis etc. Also if nothing is found then food challenge test to detect food intolerance should be done. Read More Pain under left ribs could be due to acidity with gastric reflux or hiatal hernia. Take a late night snack.

Raise head end of bed. Take Omeprazole empty stomach in morning and an antacid gel at bedtime. Refrain from smoking, alcohol, fuzzy drinks and spicy food.

Walking around also helps clear gas. I would strongly recommend you to see a gastroenterologist (a specialist who looks after the diseases of our digestive system) if these tips help you. Read More Right flank pain is generally due to kidney stones. Pain on right side of belly button can be chronic appendicitis, ir IBS or Crohn’s.

Take Omeprazole empty stomach in morning and an antacid gel at bedtime. Refrain from smoking, alcohol, carbonated drinks and spicy food. This may help you if the burning sensation is due to acidity. Pinched nerves in the thoracic spine can also cause burning sensation in upper abdomen and chest area.

Read More Men are more likely to get a UTI once past the age of 50. People with kidney stones, urinary tract abnormalities, weakened immune systems, spinal cord injuries, and diabetes are more likely to get UTIs. Definitely go to the doc so he can check you out, I know a UTI is very uncomfortable, if you can get some activated charcoal tabs, or cranberry juice it can ease the symptoms.

But go see your doctor. Read More I'm pretty sure I have it myself (why I know any of this) but you basically need to only eat green veggies and organic (non antibiotic) chicken for a month and take probiotics, and hopefully that kills off the yeast overgrowth.

Sugars and starches are what feed it, so you cant eat any of that. Read More It would be worth a CT scan before committing to surgery as sometimes another answer may be found such as kidney stones as an example.

If this is negative the evidence is pretty strong that your symptoms would likely resolve with a cholecystectomy. Read More Is there anyone that may have kidney stones, and other flank pain that may not be related to each other? OR a similiar situation that was met with results?! He is a 31 year old, smoker and coffee drinker. Also had his Gall Bladder removed 2 years ago. I really hope that there is someone within this forum that may have some opinions, ideas, thoughts, advice, or personal experience with this type of thing!Read More Recommended "

ain Lower Right Back Pain and Your Kidneys Lower right back pain is likely the result of a pull or tear to tissue in the lumbar region, but more serious conditions like kidney stones and kidney infection should not be ruled out.

Lower Back Pain Causes & Relief

"Why Lower Right Back Pain? If you are wondering whether or not lower right back pain is any different from lower left back pain, the answer is yes...well, sort of.

If your pain is due to sciatica, a lumbar strain or kidney infection (we'll get into these terms in a moment), then the pain can be experienced on one side as easily as the other. So why is your pain only on the right? Lower right back pain can occur for a number of reasons. First, many of us are right-handed; about 70% to 90% worldwide.

This means we do more activities with our right and therefore may be more prone to injury and stress that result in lower right back pain. There is no scientific evidence to support this theory, but it can explain why some people have a higher incidence of lower right back pain than lower left back pain.

Since lower back pain is often due to an injury such as trauma from pulled or torn tissue, it is likely that the trauma would occur on one side or the other. If you helped a friend move a couch, for example, and had to twist in an unnatural way, you could pull or tear a muscle in the lower right side of your back.

As the injury heals, scar tissue is formed. This scar tissue is weaker than the tissue surrounding it so when stress occurs again in the general area, the scar tissue is likely to be re-injured.

This is why repeat injuries to certain areas are common and lower right back pain is experienced over and over again.

Free Report10 Ways to Eliminate Lower Back Pain for Good Name: Email: We respect your email privacy For more information on the causes and treatment for lower right back pain, we encourage you to read our report. It will give you ideas to help ease your lower right back pain as well as some tips on ""what not to do. ""Types of Lower Right Back P

Such pain is usually sharp and distinct and is unlikely to be relieved with message or exercise. The kidneys are located on either side of the spine in the lower back. An infection here can be felt on the right side as well as the left, around the hip and near the groin.

It can also be very sensitive to touch and can cause nausea, fever and illness. If your lower right back pain exhibits any of these conditions, make an appointment to see your doctor immediately so he or she can rule out any serious proble

ms. Lumbar Strain In many cases, lower right back pain is due to a pull or tear of the muscles, tendons or ligaments of the lower right area of the back. Microscopic tears in the tissue can trigger inflammation and even cause muscles to spasm, intensifying lower right back pain.

Right Upper Quadrant Pain There are many potential causes for right upper quadrant abdominal pain. It could be due to the organs found in the region, or might be due to the other abdominal organs.

Right Upper Quadrant

Right Upper Quadrant Contents Introduction Visceras in Right Upper Quadrant The Hepatobiliary System The Liver Gallbladder Pancreas and Duodenum Right Upper Quadrant Pain Introduction As a healthcare professional, you need to examine the abdomen of a patient very often because this can help establish a preliminary diagnosis in many clinical situations. Abdominal examination starts from the observation; skin colour, any bulge or distension, abdominal respiration, bruising, scars, herniae and any visible peristalsis are noted. Later steps are palpation, percussion and auscultation. In order to perform a comprehensive examination and to understand any abdominal pathology, it is essential to have a proper knowledge of the relevant anatomy and the relationship of the internal structures to the surface markings on the exterior.

Recommended video: Regions of the thorax and abdomen Regions of the abdomen and thorax seen anteriorly and posteriorly. Because the anterior and lateral walls of the abdomen do not have any bony landmarks (like those we see around the neck and hips, for example), clinicians often make reference to imaginary lines drawn on the abdomen.

For general clinical descriptions, a four quadrant model is used which describes a right upper, right lower, left upper, and left lower quadrant.

These quadrants are defined by one imaginary line drawn horizontally across the belly button and one drawn vertically down the midline of the body. More specifically, the transumbilical plane passes through the umbilicus and the intervertebral disc between the third and fourth lumbar vertebrae and the median plane passes superoinferiorly through the midline of the body, dividing it into right and left halves.

Abdomen - ventral view The right upper quadrant will be discussed in detail in the following article.

It extends from the midline of the body to the right side of the abdomen, and from the umbilical plane to the right ribcage superiorly. Visceras in Right Upper Quadrant The various visceras found in the right upper quadrant are: Right lobe of the liver Gallbladder Pylorus of stomach Duodenum Head of pancreas Right kidney with right suprarenal gland Right colic flexure Superior part of ascending colon Right half of transverse colon.

Duodenum - ventral view The most clinically relevant organs that manifest themselves as symptomatic in a patient reporting right upper abdominal pain are the liver, gallbladder, duodenum and head of the pancreas.

The liver and gallbladder, along with the biliary tree, occupy the majority of the region and will be the main focus of this article. We will also discuss common clinical conditions that lead to patients’ complaints of abdominal pain in the right upper quadrant, often abbreviated to RUQ pain. The Hepatobiliary System Pain in the right upper quadrant (RUQ) can be caused by a wide variety of medical conditions.

The hepatobiliary system is the term used to refer to how the liver and gallbladder organs work together to make and transport bile. It is often the culprit of RUQ pain. The Liver The liver occupies the upper part of abdominal cavity just beneath diaphragm.

Its convex superior surface is molded to the under surface of the domes of the diaphragm muscle, and it extends from the right fifth intercostal space down to the right costal margin. Grossly, liver is divided into right, left, caudate, and quadrate lobes due to peritoneal and ligamentous attachment.

The larger right and smaller left lobes are demarcated by the falciform ligament. The quadrate lobe exists between the gallbladder and round ligament. In turn, inferior vena cava, ligamentum venosum, and porta hepatis make the boundaries of caudate lobe. Left lobe of the liver - ventral view The porta hepatis, or hilus of the liver, is a deep fissure in the inferior surface of the organ.

It contains the hepatic ducts and branches of the portal vein and hepatic artery. The circulatory system of the liver is unlike that seen in any other organ. Roughly 75% of the blood entering the liver is venous blood from the portal vein, while the remaining 25% of the blood supply to the liver is arterial blood from the hepatic artery.

Within the liver, the portal vein divides into right and left branches and then further into smaller channels (clinical fun fact: these smaller channels help define the liver segments used in surgical resections).

On the other hand the hepatic arterial tree, that is often a branch of the celiac trunk, terminates in two plexuses: peribiliary plexus, which supports the functions of the biliary epithelium of the bile ducts and the periportal plexus that supplies the portal canals and drains into periportal sinusoids. Porta hepatis - caudal view Recall that the liver microanatomy is based on the concept of the liver lobule.

The liver lobule is a hexagonal prism of liver tissue with a central vein and six portal canals located at the angles of the hexagon. Sinusoids are the largest microvascular circulation of the liver, conducting nutrients, hormone-rich portal venous blood, and highly oxygenated arterial blood slowly past the liver cells, i.e. : hepatocytes. The sinusoids of the liver drain directly into the central veins, which are the smallest branches of the efferent vasculature (blood leaving the liver to return to the heart ).

The central veins coalesce to form large right, middle and left hepatic veins, which empty into the inferior vena cava, just beneath the right atrium of the heart.

Liver - histological slide Liver performs multiple functions which can be summarised asclearance of toxins, bacteria and bilirubinstorage of glycogen, vitamin and essential elementsmetabolism of carbohydrates, amino acids and lipidssynthesis of albumin, clotting factor and anticoagulants Gallbladder It is present underneath the right lobe of the liver and consists of the neck, body, and fundus.

It collects, concentrates, and secretes bile salts from the liver into the duodenum. The liver synthesizes bile salts and refluxes them into the gallbladder through the cystic duct. The stimulation of the gallbladder leads to its contraction and bile salts are secreted into the duodenum via the cystic duct into the common bile duct.

These bile salts help to emulsify fats into globules that can be digested chemically. Gallbladder - ventral view Pancreas and Duodenum The head of the pancreas is found in the right upper quadrant within the curvature of duodenum. It is the thickest and broadest part of the pancreas. Anteriorly it is covered by peritoneum and is related to the origin of the transverse mesocolon, while its posterior surface is mainly related to inferior vena cava.

Head of pancreas - ventral view The duodenum forms the first ten inches of the small intestine and is mostly a retroperitoneal organ.

It begins at the pylorus of the stomach and ends at the jejunum (the second portion of the small intestine) at the ligament of Treitz. The four anatomical parts of the duodenum are superior, descending, inferior, and ascending. Horizontal part of duodenum - ventral view Apart from its digestive function, the endocrine role is also provided by the epithelium through the secretion of secretin and cholecystokinin. These hormones stimulate the liver, gallbladder, and pancreas to secrete bile, lipases, proteases, amylase, and bicarbonate.

Right Upper Quadrant Pain There are many potential causes for right upper quadrant abdominal pain. It could be due to the organs found in the region, or might be due to the other abdominal organs.

Sometimes non abdominal causes like pulmonary, cardiac or musculoskeletal ones are the reasons. To diagnose the associated pathology, a detailed examination with a proper history is required.

Along with this, some lab tests are recommended to support the particular diagnosis. Elevation of white blood cells, though nonspecific but suggestive of infection, platelet disorders, coagulopathies, and derangements in aminotransferase levels could be indicative of liver dysfunction. Serum amylase and lipase levels are usually obtained in pancreatitis. Imaging tools like ultrasound, CT scans and MRI are sometimes used to further explore the conditions.

The following conditions are a few that might cause right upper quadrant abdominal pain: Liver Hepatitis Liver abscess (pus-filled pocket in the liver)Liver cancer Liver hemangioma Gallbladder and biliary tree Cholangitis Cholecystitis Cholelithiasis Neoplastic Pancreas Pancreatic cancer Pancreatitis Intestinal Gastritis Peptic ulcer disease Obstruction

I had been experiencing right sided pelvic pain for almost two weeks before I decided to get it checked out. An ultrasound was performed and it turned out to be a hemorrhagic corpus luteum cyst on my right ovary.

What effect do ovarian cysts have on the menstrual cycle?

This Article Improved My Health Changed My Life Saved My Life

My GYN said not to worry about it, that it would go away on its own and left it at that - no follow-up needed. My following period was a few days late and a lot lighter than usual. Towards the end of it I started to have the pain again - not too bad, just annoying.

Could this change in my cycle possibly be from the cyst? Add a Comment1 Comments Empowered Pat Elliott HERWriter Guide Anon - It's not likely that the cyst is affecting your cycle, but the stress of dealing with this situation could be having an impact.

Please read the following for more information on ovarian cysts: http://www.nlm.nih.gov/medlineplus/ency/article/001504.htm If you continue to experience pain, or have additional symptoms, it would be best to see your doctor again.

Good luck, and we hope the pain diminishes soon. Pat November 29, 2010 - 6:52pmreply Flag as offensive This Comment Improved My Health Changed My Life Saved My Life Add a Comment More on This What to Do when an Ovarian Cyst Ruptures Endometriosis In Men? Suffering From Ovarian Cysts? Some Proven Ways to Treat Them 3 Uses for the Pill Besides Preventing Pregnancy All user-generated information on this site is the opinion of its author only and is not a substitute for medical advice or treatment for any medical conditions.

Members and guests are responsible for their own posts and the potential consequences of those posts detailed in our Terms of Service. Tags: Ovarian Cysts Wellness

ded. Appendicitis: Inflammation of the appendix that is attached to the large intestine, and located in the lower right side of the abdomen. Usually, an inflamed appendix must be removed by surgery. Cholecystitis: Inflammation of the gallbladder, causing severe right-sided abdominal pain.

Abdomen anatomy, problems, tests and treatments

Abdomen anatomy, problems, tests and treatments The abdomen may be better known as the tummy or belly. It covers the area between the chest (thorax) and the pelvis. The diaphragm forms the upper surface of the abdomen. When you get to the pelvic bones, the abdomen ends and the pelvis begins. The abdomen contains all the digestive organs, including the stomach, small and large intestines, pancreas, liver, and gallbladder.

These organs are held together loosely by connecting tissues (mesentery) that allow them to expand and to slide against each other. The abdomen also contains the kidneys and spleen. Many important blood vessels travel through the abdomen, including the aorta, inferior vena cava, and dozens of their smaller branches.

In the front, the abdomen is protected by a thin, tough layer of tissue called fascia. In front of the fascia are the abdominal muscles and skin. In the rear of the abdomen are the back muscles. Abdomen conditions Peritonitis: Inflammation of the covering of the abdominal structures, causing rigidity and severe pain.

Usually, this is due to a ruptured or infected abdominal organ. Acute abdomen: A medical phrase doctors use to suggest that peritonitis is present and surgery is likely nee

A gallstone blocking the duct exiting the gallbladder is usually responsible. Dyspepsia: The feeling of an upset stomach or indigestion. Dyspepsia can result from benign or more serious conditions. Constipation: Having fewer, and producing less, bowel movements than usual.

Gastritis: Inflammation of the stomach, often causing nausea and/or pain. Gastritis can be caused by alcohol, nonsteroidal anti-inflammatory drugs ( NSAIDs ), Helicobacter pylori (H. pylori) infection or other factors.

Peptic ulcer disease: Ulcers are erosions and peptic refers to acid. Peptic ulcers are ulcers in the stomach and duodenum (the first part of the small intestine). The usual cause is either an infection with H. pylori or side effects of regularly taking anti-inflammatory medication like ibuprofen or aspirin.

Intestinal obstruction: A single area of the small or large intestine can become blocked or the entire intestine may stop working. Vomiting and abdominal distension are symptoms. Gastroparesis: The stomach empties slowly due to nerve damage from diabetes or other conditions.

Nausea and vomiting are symptoms. Pancreatitis: Inflammation of the pancreas. Alcohol and gallstones are common causes of pancreatitis. Other causes include drugs and trauma, but in some cases the cause is not known. Hepatitis: Inflammation of the liver, usually due to viral infection. Drugs, alcohol or immune system problems can also cause hepatitis. Cirrhosis: Scarring of the liver caused by chronic inflammation.

Heavy drinking or chronic hepatitis are the most common causes. Ascites: Abdominal fluid build-up often caused by cirrhosis or cancer. Ascites may cause the abdomen to protrude excessively. Abdominal hernia: A weakening or gap in the abdominal fascia allows a section of the intestine to protrude. Abdominal distension: Swelling of the abdomen, usually due to an increased amount of intestinal gas. Abdominal aortic aneurysm: A weakening of the aorta's wall creates a balloon-like expansion of the vessel that grows over years, and may rupture (burst).

? It is the most common cause of right side abdominal pain requiring operation. The pain typically starts up in the abdomen, or around the belly button called umbilicus. It then spreads or moves to the lower right abdomen within a day or two. In some individuals, the pain starts straight in the lower right abdomen.

"Right Side Abdominal Pain Causes, Diagnosis And Treatment Understanding Common Causes Of Right Side Stomach Pain Or Ache In The Right Side Of The Tummy Right side abdominal pain is commonly caused by conditions such as appendicitis, gallstones, kidney stones, constipation, ectopic pregnancy, ovarian cyst troubles, endometriosis, Crohn's disease, ulcerative colitis, trapped wind, kidney infection, pulled muscles, hepatitis, and a number of other rarer diseases.

Find out what could be causing your right side stomach pain as we go through the causes, diagnosis and treatment of common causes of right sided abdominal pain here. A right sided abdominal pain, is pain occurring any where in the abdomen, to the right of an imaginary line drawn from the center of the chest through the umbilicus or belly button to the top of the genitalia.

Apart from acute appendicitis, gallstones or biliary colic, cholecystitis, hepatitis and many other liver diseases, the causes of right sided stomach pain can also cause pain on the left side. In order to understand the possible cause of a 'right side stomach pain', it may be helpful to know the organs and structures that exist in this region of the body.

Diseases, infections, or irritation of any of these organs will lead to a right side abdominal pain.

Also note that pain in the right side of the abdomen can be ""referred"" from an injury or disease originating from a nearby organ which may not necessarily be within the abdomen. An example of this is a right sided abdominal pain arising from a lower right lung infection.

If you have recent onset right side abdominal pain, it is worth considering if you are having any of the following listed causes of abdominal pain.

Here are the top twelve (12) common causes of right side abdominal pain and how to diagnose them:1.

Appendicitis Right sided lower abdominal pain of a few days duration, associated with loss of appetite, nausea and occasionally vomiting, fever, feeling generally unwell in anyone between the ages of 9 and 39 is appendicitis, until proven otherwise. This does not mean that appendicitis do not occur out side that age bracket. It is more common within the first three decade of life, and can occur at any age. How to tell if the cause of your right sided pain is appendicitis

The most common urgent causes of pelvic pain are pelvic inflammatory disease, ruptured ovarian cyst, and appendicitis; however, many other diagnoses in the differential may mimic these conditions, and imaging is often needed.

Evaluation of Acute Pelvic Pain in Women

Evaluation of Acute Pelvic Pain in Women PDF PRINT COMMENTSSHAREA more recent article on acute pelvic pain is available.

PAUL S. KRUSZKA, MD, U. S. Coast Guard Yard Clinic, Baltimore, Maryland STEPHEN J. KRUSZKA, DO, Omaha, Nebraska Am Fam Physician. 2010 Jul 15;82 (2):141-147. Patient information: See related handout on acute pelvic pain in women, written by the authors of this article.

Diagnosis of pelvic pain in women can be challenging because many symptoms and signs are insensitive and nonspecific. As the first priority, urgent life-threatening conditions (e.g., ectopic pregnancy, appendicitis, ruptured ovarian cyst) and fertility-threatening conditions (e.g., pelvic inflammatory disease, ovarian torsion) must be considered.

A careful history focusing on pain characteristics, review of systems, and gynecologic, sexual, and social history, in addition to physical examination helps narrow the differential diagnosis.

Transvaginal ultrasonography should be the initial imaging test because of its sensitivities across most etiologies and its lack of radiation exposure. A high index of suspicion should be maintained for pelvic inflammatory disease when other etiologies are ruled out, because the presentation is variable and the prevalence is high. Multiple studies have shown that 20 to 50 percent of women presenting with pelvic pain have pelvic inflammatory disease. Adolescents and pregnant and postpartum women require unique considerations. Acute pelvic pain is generally defined as pain in the lower abdomen or pelvis lasting less than three months.

In women, it can pose a challenging clinical scenario in which history and physical examination findings are often nonspecific, and the clinical presentation of each condition can vary widely. In a randomized trial of women of reproductive age presenting with nonspecific abdominal pain, a diagnosis during hospitalization was established in only 45 percent of the women randomized to the observation arm compared with 79 percent of the women randomized to the laparoscopy arm.

1 In a study of 161 women undergoing laparoscopy for clinical appendicitis (based on history, examination, and transvaginal ultrasonography by a gynecologist), only 88 women were found to have appendicitis. 2 These trials exemplify the diagnostic challenge of acute pelvic pain in women. The purpose of this article is to outline a logical and evidence-based approach to evaluating acute pelvic pain.

Enlarge Print SORT: KEY RECOMMENDATIONS FOR PRACTICEClinical recommendations Evidence rating References Indeterminate ultrasonography and beta-subunit of human chorionic gonadotropin less than 1,000 m IU per m L (1,000 IU per L) does not rule out ectopic pregnancy; ectopic pregnancy should remain high in the differential diagnosis of pelvic pain (positive likelihood ratio = 2.6). C19Transvaginal ultrasonography is the imaging modality of choice in the initial evaluation of pelvic pain.

C10, 27Cervical motion, uterine, or adnexal tenderness should place pelvic inflammatory disease high in the differential diagnosis of pelvic pain when no other etiology exists. C13A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series.

For information about the SORT evidence rating system, go to https://www.aafp.org/afpsort.xml Differential Diagnosis The differential diagnosis of pelvic pain is most logically divided by the age and pregnancy status of the patient ( Table 1). Age separates patients into three groups: adolescents, women of reproductive age, and postmenopausal women. Adolescents will be discussed in a separate section below. Women of reproductive age and postmenopausal women obviously differ in their potential for pregnancy-related conditions, but share risks for non–pregnancy-related conditions.

In postmenopausal women, endometriosis and ovarian torsion occur less often; however, there have been case reports of ovarian torsion in postmenopausal women.

3Enlarge Print Table 1. Differential Diagnosis of Acute Pelvic Pain Women of reproductive age Gastrointestinal Appendicitis; bowel obstruction; diverticulitis; gastritis; inguinal hernia; irritable bowel syndrome; mesenteric venous thrombosis; perirectal abscess Gynecologic Adenomyosis; degenerating uterine fibroid; ectopic pregnancy; endometriosis; mittelschmerz; ovarian torsion; pelvic inflammatory disease; ruptured ovarian cyst; tubo-ovarian abscess Urinary Cystitis; pyelonephritis; ureterolithiasis Other Dissecting aortic aneurysm; lead poisoning; malingering; narcotic seeking; porphyria; sickle cell crisis; somatization disorder Pregnant women Corpus luteum hematoma; ectopic pregnancy; endometritis (postpartum); ovarian torsion; ovarian vein thrombosis (postpartum); placental abruption; uterine impaction Adolescents Similar to women of reproductive age, with the addition of imperforate hymen and transverse vaginal septum Postmenopausal women Similar to women of reproductive age, minus ectopic pregnancy and ovarian torsion Urgent conditions are the first etiologies to be considered and include ectopic pregnancy, ruptured ovarian cyst, ovarian torsion, appendicitis, and pelvic inflammatory disease (PID).

PID, appendicitis, and ruptured ovarian cysts are the most common among these conditions. Table 2 lists the frequencies of the most common acute pelvic pain etiologies. 1, 4 – 10 Less urgent conditions span many other organ systems, requiring the physician to consider a large differential diagnosis.

Enlarge Print Table 2. Frequency of Common Acute Pelvic Pain Diagnoses Study (n)Diagnosis Appendicitis Ectopic pregnancy Endometriosis Ovarian cyst Ovarian torsion Pelvic inflammatory disease No diagnosis Morino (104) 118%1%*2%12%—19%37%Anteby (223) 43%17%3%27%10%21%12%Gaitán (110) 52%9%7%14%—55%8%Kontoravdis (736) 6†19%16%2%—23%8%Annual incidence in the United States (multiple sources)130,000 per year 7 ‡60,000 per year 8NA65,000 per year 9 §NA1,000,000 per year 10—NA = not available.

*— Pregnant women excluded.† — Only gynecologic etiologies recorded.‡ — Women only.§ — Inpatient data. Information from references 1, and 4 through 10. History The history and physical examination narrow the differential diagnosis and allow the physician to choose the proper imaging test, because many of the diagnoses considered in acute pelvic pain require confirmatory testing.

The patient should be asked about the location, intensity, radiation, timing, duration, and exacerbating and mitigating factors of the pain.

Table 3 matches pertinent history and physical examination findings with their respective conditions.

2, 11 – 13Enlarge Print Table 3. History and Physical Examination Clues to the Diagnosis of Acute Pelvic Pain Clinical clues Suggested diagnosis History Bilateral pelvic pain PIDDysmenorrhea Endometriosis, uterine fibroid Dyspareunia Endometriosis, ovarian cyst Dysuria PID, UTIGross hematuria Kidney stone, UTILeft-sided pelvic pain Diverticulitis, kidney stone, ruptured ovarian cyst Midcycle pain Mittelschmerz Nausea and vomiting Appendicitis, ovarian torsion Pain migration from periumbilical area to right lower quadrant of abdomen Appendicitis Radiation of pain to groin Kidney stone, ovarian torsion Right-sided pelvic pain Appendicitis, kidney stone, ovarian torsion, ruptured ovarian cyst Urinary frequency UTIVaginal bleeding Ectopic pregnancy, uterine fibroid Vaginal discharge PIDPhysical examination Adnexal mass Corpus luteum cyst, diverticula of colon, ectopic pregnancy, endometriosis, follicular cyst, PID, uterine fibroids Bilateral abdominal tenderness PIDCervical motion, uterine, or adnexal tenderness PIDFever Appendicitis, PID, pyelonephritis Hypotension Ectopic pregnancy, ruptured hemorrhagic ovarian cyst Left lower quadrant abdominal tenderness Diverticulitis Right lower quadrant abdominal tenderness Appendicitis Vaginal mucopurulent discharge PIDPID = pelvic inflammatory disease; UTI = urinary tract infection.

Information from references 2, and 11 through 13. The medical history should include previous abdominal and gynecologic surgeries. Past gynecologic problems should be elicited; in one study, 53 percent of patients with ovarian torsion had a known history of ovarian cyst or mass.

14A comprehensive social history should include the patient's sexual and sexually transmitted infection (STI) history and her sex partner's symptoms to help stratify risks for PID and ectopic pregnancy.

Recent intrauterine device (IUD) use should also be ascertained. In one review of 22,908 IUD insertions during 51,399 woman-years of follow-up, 1.6 cases of PID per 1,000 woman-years were found, with risk more than six times higher during the first 20 days after insertion. 15 After these first 20 days, the incidence of PID in women with IUDs is similar to that in the general population. Physical Examination The physical examination should focus on the vital signs, and abdominal and pelvic examination.

The pelvic examination is the most important part and is required for any woman with abdominal or pelvic pain. Physicians should acknowledge the limitations of a pelvic examination when assessing the adnexa. 16 Table 4 lists likelihood ratios for physical examination, laboratory, and imaging findings and their respective diagnoses, and quantifies the usefulness of these findings by listing their posttest probability for two different scenarios (pretest probability of 5 and 25 percent).

17 – 23Enlarge Print Table 4. Likelihood Ratios and Posttest Probabilities for Diagnostic Findings of Acute Pelvic Pain Finding LR+ ‡ LR– ‡Posttest probability* (5% pretest probability †)Posttest probability* (25% pretest probability †)Finding present Finding absent Finding present Finding absent Pelvic inflammatory disease Purulent endocervical discharge3.30.81545221Abdominal rebound tenderness2.50.81244521Fever1.30.8643021Leukocyte count > 10,500 per mm 3 (10.50 × 10 9 per L)1.30.9653023Erythrocyte sedimentation rate > 15 mm per hour1.20.6632917Cervical motion tenderness1.10.9552723Pelvic organ tenderness1.01.0552525Ectopic pregnancy Finding of any noncystic, extraovarian adnexal mass on270.01590900ultrasonographyβ-h CG < 1,000 m IU per m L (1,000 IU per L)§3.60.71645519Indeterminate ultrasonography and β-h CG < 1,000 m IU per m L§2.60.41224612Appendicitis Right lower quadrant abdominal pain8.40.2311746Pain migration from periumbilical area to the right lower quadrant of abdomen3.60.41625413Fever3.20.41425112Psoas sign3.20.91445223Rebound tenderness2.00.51034015Rigidity1.60.9953823β -h CG = beta-subunit of human chorionic gonadotropin; LR+= positive likelihood ratio; LR–= negative likelihood ratio.

*— Probability of disease after a test is performed. 23† — Probability of disease before a test is performed. 23‡— LR greater than one indicates an increased likelihood of disease; LR less than one indicates a decreased likelihood of disease. The most helpful tests generally have a ratio of less than 0.2 or greater than 5.0. 23§ — Value of β -h CG at presentation for care.

Information from references 17 through 23. There are few studies on the validity and reliability of the pelvic examination. A study of 186 women undergoing pelvic examination in two different emergency departments showed poor interexaminer reliability.

24 The percentage of positive agreement between two physician examiners ranged from 17 to 33 percent. 24 In another study of women examined preoperatively under anesthesia, the sensitivity of detecting an adnexal mass was 28 percent for the attending physician and 16 percent for a resident. 16Laboratory Testing Physicians should obtain a urine pregnancy test and urinalysis. Urine beta-subunit of human chorionic gonadotropin (β-h CG) tests are sensitive to 25 m IU per m L (25 IU per L) and positive three to four days after implantation.

By seven days after implantation, or the time of the expected menstrual period, 98 percent of the tests will be positive. 25 A vaginal wet mount should be obtained, and cervical chlamydia and gonorrhea testing should be performed.

White blood cells on vaginal wet mount support PID. Most physicians are now using nucleic acid amplification tests (NAATs) to detect chlamydia and gonorrhea. These tests amplify and detect DNA and RNA sequences and are much more sensitive than previous chlamydia and gonorrhea tests.

Urine NAATs have sensitivities and specificities similar to those of cervical samples. 26 Based on the history and physical examination, other tests that should be considered include Rh blood typing (if pregnant), urine culture, complete blood count, erythrocyte sedimentation rate, and a fecal occult blood test. Erythrocyte sedimentation rate is a nonspecific marker of inflammation that can be associated with ectopic pregnancy ( Table 4).

17 – 23Imaging The goal of imaging is to make the most accurate diagnosis using the least amount of radiation; therefore, transvaginal ultrasonography is the imaging modality of choice in the initial evaluation of pelvic pain. 10, 27 A prospective study of 1,011 patients evaluated for urgent abdominal and pelvic pain found that ultrasonography, followed by computed tomography (CT) for negative or inconclusive ultrasonography, resulted in the most sensitive strategy with the least amount of radiation exposure (abdominal or pelvic CT exposes a woman to a radiation dose equivalent to 200 radiographs).

27For pregnant women with pelvic pain, transvaginal ultrasonography should be conducted immediately to evaluate for ectopic pregnancy.

When the serum β-h CG level is greater than 1,500 m IU per m L (1,500 IU per L; often referred to as the discriminatory zone), a gestational sac should be visible on ultrasonography; if not, ectopic pregnancy should be suspected.

28 However, one half of women presenting with ectopic pregnancy have β-h CG levels less than 2,000 m IU per m L (2,000 IU per L), which can make the distinction between early pregnancy and ectopic pregnancy difficult when an empty uterus is seen on transvaginal ultrasonography. 28 A pseudo sac, which mimics intrauterine pregnancy, will be seen in 5 to 10 percent of ectopic pregnancies.

10 An intrauterine pregnancy can be distinguished from a pseudo sac of an ectopic pregnancy by double echogenic rings (double decidual sac sign). A pseudo sac is characterized by only a single echogenic ring. Table 4 compares the accuracy of β-h CG testing and ultrasonography in the diagnosis of ectopic pregnancy. 17 – 23 Rarely, an ectopic pregnancy can occur simultaneously with an intrauterine pregnancy (one in 7,000 pregnancies); however, in patients undergoing assisted reproduction, the risk increases to one in 100 pregnancies.

10Appendicitis, the most common cause of nongynecologic pain, can be diagnosed by ultrasonography, with a sensitivity of 75 to 90 percent compared with 87 to 98 percent for CT. 10 Thus, normal ultrasonography makes appendicitis less likely, but does not rule it out.

As the most common gynecologic cause of acute pelvic pain, early PID changes may not be apparent on ultrasonography; however, later changes, such as pyosalpinx and tubo-ovarian abscess, will be seen. Ultrasonography is also a sensitive diagnostic tool for other urgent conditions, including hemorrhagic ovarian cysts, uterine fibroids, and ovarian torsion.

When ultrasonography is indeterminate, CT or magnetic resonance imaging should be considered. Approach to the Patient Figure 1 is an algorithm for the evaluation of acute pelvic pain. 2, 13, 29 The physician's first priority is to rule out emergent life-threatening conditions, such as ectopic pregnancy, ruptured tubo-ovarian abscess, and appendicitis.

A thorough history, physical examination, and point-of-care pregnancy test and urinalysis should either produce a diagnosis or point to the proper imaging study. Rarely, diagnostic laparoscopy is needed to make the diagnosis. Enlarge Print Approach to a Woman with Acute Pelvic Pain Figure 1.

Algorithm for the evaluation of acute pelvic pain in women. (CT = computed tomography. )Information from references 2, 13, and 29. Early diagnosis of pelvic pain is important to prevent sequelae of delayed diagnosis, such as appendiceal perforation, infertility from PID and ovarian torsion, or hemoperitoneum from an ectopic pregnancy.

Right-sided pelvic pain is especially challenging and can be confusing because of the close proximity of the appendix, uterus, right fallopian tube, and right ovary. Typically, it requires imaging to determine etiology. PID should be considered in young women who are sexually active and in other women at risk of STIs when they experience pelvic or lower abdominal pain and no other cause is apparent.

This is especially true if the patient has cervical motion, uterine, or adnexal tenderness. Table 5 lists the Centers for Disease Control and Prevention criteria for PID.

13 The physician must be cognizant that PID often presents with subtle and vague symptoms. In approximately 70 percent of patients with infertility because of obstructed fallopian tubes, chlamydia antibodies were detected, presumably from a missed diagnosis of PID.

30Enlarge Print Table 5. Centers for Disease Control and Prevention Criteria for Diagnosis of PIDAt least one of the following criteria must be present: Adnexal tenderness Cervical motion tenderness Uterine tenderness Additional diagnostic criteria (enhances specificity if present): Abnormal cervical or vaginal mucopurulent discharge Elevated C-reactive protein level Elevated erythrocyte sedimentation rate Laboratory documentation of cervical infection with Neisseria gonorrhoeae or Chlamydia trachomatis Oral temperature higher than 101° F (38.3° C)Presence of abundant numbers of white blood cells on saline microscopy of vaginal secretions The most specific criteria for diagnosing PID include: Endometrial biopsy with histopathologic evidence of endometritis Laparoscopic abnormalities consistent with PIDTransvaginal ultrasonography or magnetic resonance imaging techniques showing thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex, or Doppler studies suggesting pelvic infection (e.g., tubal hyperemia)PID = pelvic inflammatory disease.

Information from reference 13. Special Populations Adolescents and pregnant and postpartum women represent populations that deserve special attention. Adolescents can be uniquely challenging; issues to consider include confidentiality, local laws pertaining to consent, and high-risk behavior.

Rapport must be established in this population to obtain a complete history. Consent from the patient and understanding of the laws pertaining to consent are essential. The Guttmacher Institute has one of the many Web sites that provide information on laws regarding minors' rights ( http://www.guttmacher.org/statecenter/adolescents.html ). The differential diagnosis of pelvic pain in adolescents is similar to that for adults. Anatomic anomalies that prevent menstruation, such as imperforate hymen and transverse vaginal septum, must also be considered in adolescents. Compared with older patients, adolescents are at higher risk of PID because of unsafe behaviors. In a study of 4,598 adolescents 15 to 19 years of age, 13.3 percent had been treated for an STI or PID. 31 Another study reported that 48 percent of new cases of sexually transmitted diseases occurred in persons 15 to 24 years of age. 32A detailed discussion on pelvic pain in pregnant and postpartum women is beyond the scope of this article. In addition to many of the same conditions as nonpregnant women, special considerations in pregnant women include corpus luteum hematoma and uterine impaction in the first trimester, and placental abruption and preterm labor in the third trimester. In the first trimester, there is an increased risk of ovarian torsion (25 percent of all cases of ovarian torsion). 10 In postpartum women, the diagnoses of endometritis and ovarian vein thrombosis must be considered. 10

Women might experience pain in the lower right quadrant of the abdomen due to stomach problems, appendicitis, ovarian cyst, kidneys stones, etc. This write-up provides some information on these conditions.

Lower Right Abdominal Pain in Women

Lower Right Abdominal Pain in Women

Pain in the lower right abdomen generally arises when any of the organs located inside the abdomen is unable to function properly. Organs that are located in the lower right quadrant of the abdomen include pancreas, liver, right kidney and parts of the large intestine. Women might experience pain in the lower right section of the abdomen due to diseases of the reproductive system. Contributing Factors Since abdominal discomfort could be attributed to serious medical conditions, it is extremely important to ascertain the underlying cause.

Here's some information on the possible causes of pain in the lower right abdominal region in women. Stomach or Intestinal Disorders Women affected by constipation, Crohn's disease, stomach ulcers, irritable bowel syndrome, inflammatory bowel diseases, or colon cancer might also experience pain in the abdominal region. Constipation is a common stomach problem that might lead to pain in the abdominal region. Appendicitis The appendix is a close-ended narrow tube that is located in the lower right quadrant of the abdomen.

Sometimes, the appendix might become obstructed by mucus or hardened stool. This might lead to the growth of bacteria.

Bacterial overgrowth could cause the appendix to become inflamed and swollen. The symptoms of appendicitis include pain and tenderness in the lower right abdomen, loss of appetite, nausea, vomiting, low-grade fever, constipation, diarrhea, and abdominal swelling. Women affected by inflammatory bowel diseases or an infection in the gastrointestinal tract are more prone to developing appendicitis. Kidney Stones Abdominal discomfort or pain could be caused by kidney diseases. It could be caused due to formation of kidney stones. A kidney stone is a solid stone-like mass that is formed due to crystallization of the minerals and salts present in the urine.

These are generally made of calcium, struvite, cystine, or uric acid. If the kidney stones are small, these can be flushed out of the body through the urinary tract.

However, problems arise when these stones become large. Though pain in the abdomen is one of the common symptoms of kidney stones, this condition might also give rise to symptoms such as pain during urination, back pain, and a frequent urge to urinate. Reproductive Health Issues Since the lower right abdomen comprises the reproductive organs, women may experience pain in the abdomen due to medical conditions associated with the uterus, Fallopian tubes, or ovaries.

Ectopic pregnancy could also cause pain in the abdomen. This is a pregnancy complication that is attributed to the implantation of the fertilized egg in the Fallopian tube or the ovary.

In case of an ectopic pregnancy, the embryo continues to develop in the Fallopian tube. The stretching of the tube causes abdominal discomfort and pain in women. Women might also experience abdominal cramps and pain during menstruation. Women affected by conditions such as dysmenorrhea, ovarian cysts, uterine fibroids, or endometriosis could also experience pain in the abdominal region. The treatment options for pain in the abdomen will vary, depending on the underlying cause. Since pain could be caused due to serious medical conditions, it must be taken seriously.

If you have been experiencing recurring bouts of pain, consult a doctor soon. Disclaimer: The information provided in this article is solely for educating the reader.

It is not intended to be a substitute for the advice of a medical expert. Lower Left Abdominal Pain in Women Lower Left Abdominal Pain Severe Upper Abdominal Pain Lower Abdominal Pain in Women Left Side Abdominal Pain Causes Causes of Dull Abdominal Pain Left Abdominal Pain Under Ribs Lower Left Abdominal Pain in Men

ls. Causes of Liver Pain After Meals Since the liver is located in the upper right quadrant of the abdomen, a malfunctioning liver would manifest in the form of pain that is felt in the upper right section of the abdomen. Pain could even be referred to the right shoulder or the back.

Liver Pain after Eating

Liver Pain after Eating Do you often experience pain in the upper right section of the abdomen after meals? It could be caused by a malfunctioning liver. Wondering why do some people suffer from liver pain after eating?

Scroll down to find out more about the medical conditions that may cause pain in the upper-right quadrant of the abdomen post meals. The liver is the largest glandular organ of the human body. It is located just beneath the diaphragm, in the upper right section of the abdomen.

Just below the liver, lies a small pear-shaped sac that stores bile, a digestive juice which is produced by the liver. When we eat foods that are rich in fats, the gallbladder contracts to deliver bile into the small intestine.

Bile helps in the emulsification of fats, and facilitates the digestion of fatty foods. Many of the toxins that get stored in the body are fat-soluble in nature. The liver neutralizes these toxins, by converting them into water-soluble substances. It thus, makes the task of excretion of such substances easier.

Many vital metabolic processes are dependent on the healthy functioning of the liver which is why a person diagnosed with a liver disease may suffer from a sluggish metabolism. Since the liver helps in breaking down fat, a person suffering from a liver problem may experience liver pain after eating fatty foods.

Here's some information on the medical conditions that may affect the liver, and give rise to pain post mea

Since many organs are located in the abdomen, it is essential to identify the source of pain. What one may consider to be liver pain, could even be pain radiating from the surrounding organs.

Given below is some information on the liver diseases that may cause liver pain after eating. Fatty Liver Disease: Fatty liver disease is one of the most common causes of liver pain. This liver disease is associated with the accumulation of fats in the liver cells.

Injuries or abnormalities of the right side kidney usually cause pain on the right side of the waist as well. Various infections of the kidneys and kidney stones formed from excess calcium or uric acid are also connected to pain in lower abdomen and the lower back.

Waist pain right side

Home Info Center General Waist pain right side69Commentsover a year ago Causes of Pain on the Right Side of the Waist Pain along the waist line may be caused by abnormal function of any of the organs in the pelvic region of the body.

Depending on the cause of the problem, waist pain might be mild or severe, aching or throbbing. Sitting and sleeping in improper position may lead to the pain located on the right side of the waist.

This type of pain is more of an ache and it doesn’t last for a long period of time in most cases. Additional and more serious causes of the same problem might be certain kidney diseases, irritable bowel syndrome, pelvic inflammatory disease or in some cases ovarian cysts, ectopic pregnancy or appendicitis.

If the pain you are feeling lasts for several hours, you should consult your doctor without delay. Kidney diseases are known to be associated with the pain on the right side of the waist. Anything that affects the kidneys, including trauma, injuries or abnormal functioning of these organs can be felt as the pain along the waist line.

Irritable bowel syndrome or shortened IBS is more likely to be seen in women. This condition can also have pain in the abdominal areas and the lower back as one of the symptoms.

Other signs may include bloating, diarrhea and constipation. Pelvic inflammatory disease (PID) is characterized by bacterial infection and inflammation of the female reproductive organs. This condition is one of the most common causes of the right side waist pains in women. How To Treat This Condition? Physical exam, X ray and MRI scans may be necessary to determine the cause of the pain on the right side of the waist. The course of the treatment will be determined according to the cause of the problem. Kidney diseases may require drugs or even surgical intervention.

Smaller kidney stones might need no medical assistance but larger ones may have to be surgically removed. IBS is usually treated with medications, but patients need to identify triggers of this condition and avoid everything worsening their problem.

Antibiotic medications are the treatment option for people suffering from PID, since this is a bacterial infection and patients usually respond well to these drugs. Sources & Links Your thoughts on this Guest Type in what you see: Comment

Pain in right side can be caused by a number of conditions. The sex, age as well as general condition will influence the diagnosis. Examination and history will focus the diagnosis. This is a common symptom. Most of the people experience this pain at least once a year. This pain can be localized in upper right abdomen, middle right abdomen as well as lower right abdomen. The causes of the pain in most of the cases are the viral infection or even bacterial infection.

Pain in Right Side: What Does it Mean?

Home » Pain in different areas » Pain in Right Side: What Does it Mean? Pain in Right Side: What Does it Mean?0 0 0 0 0

The reasons of the pain may or may not be serious, but you need to be aware of the actual symptoms as well as causes of the pain to get the right treatment. Locations of Right Side Pain Basically there are three locations for this pain. They are Pain in upper right abdomen Pain in middle right abdomen Pain in lower right abdomen Major Causes of Abdominal Pain IN Right Side There are a number of reasons that are responsible for this pain.

The major causes of this pain include appendicitis, ovarian cysts or gall bladder problem and more. Below are some most common reasons of ride side pain: Appendicitis: Appendicitis is one of the most common reasons of appendicitis. Basically appendix is a 3.5 long tissue tube that is a large intestine extension. Different kinds of infections can block the tube of appendix and this is the reason appendicitis occurs.

It is important to treat the appendicitis urgently otherwise it may rupture. You can experience the pain of appendicitis in your upper, middle as well as the lower right side of your abdomen. Constipation: This is one of the main causes of lower right side abdominal pain. It occurs when the bowel movement is disrupted.

It is possible to prevent this problem simply by changing the diet plan. Laxatives sometime are prescribed by the doctors to help in this case.

High fluid intake can help a lot to prevent this problem. Ovarian Cysts: Ovarian cysts sometimes form with the ovary of the women and cause pain. It is also the reason of ovarian cancer. It is possible to remove the cysts through surgery that is also known as laparotomy or laparoscopy.

Ectopic Pregnancies: Pregnant women sometimes feel pain in the lower right side of the abdomen. Sometimes the reason of this pain is ectopic pregnancy. When a fertilized egg starts to implant outside of the uterus, it causes pain. The pain will depend on the implant side of the egg.

It is important to terminate the pregnancy if you want to treat this pain and there is no other option. Kidney Stone: It is one of the major reasons . The pain occurs when the stones start to form in the urethra or kidney.

There is the possibility to spread the pain in the loin areas during the time of set in the urine. How To Diagnose Pain in Right Side According to the statements of the doctors the pain can be diagnosed in 3 ways. Characteristics of the pain Tests and exam Surgery as well as endoscopy Characteristics of the Pain: It will help the doctor to find out the exact reason of the pain.

The history of the patient as well as some basic information like duration of the pain, pattern, and location will help a lot to diagnose the pain.

It is important to find out the reasons what makes the right side pain worse and other important symptoms like diarrhea, fever or even bleeding. Test and Exam: The physical tests as well as the exams are important to determine the real cause .

Tests will help to find out the right treatment for the pain. The tests as well as exams include X-Ray, Endoscopic procedure, radiographic studies as well as tests for surgery. Surgery: Sometimes surgery or laparoscopy is very important to test the abdominal cavity. Laparoscopy is a very simple surgery.

In this way it is possible to complete a very task without large surgical incision. Treatment of Right Side Abdomen Pain It is possible to prevent the abdominal pain simply by changing your daily lifestyle as well as following a perfect diet.

Most of the cases irregular eating habit and different lifestyle become the reason of abdominal pain. There are a number of diseases that are responsible for this pain. The courses will determine how to prevent the future pain as well as how to treat the pain. If the pain is in the worst situation, surgical intervention is really required to treat the disorder to remove the infected part of the body to get permanent relief from the pain.

Conclusion For a long term pain, over 12 hours or more, it is recommended to visit your doctor immediately. You need to recognize the type of your pain. You can help your doctor to find out the perfect solution for you. Most of the cases abdominal pain is not so serious. You may need to buy some medicines from the chemist to treat your pain.

However; if your pain is in the worse condition, a number of tests as well as physical exams or even surgery can be needed. You can keep you healthy as well as disease free. Avoid the habits that can cause right side pain. Related Posts Causes and Treatments For Left Shoulder Blade Pain What You Should Know About Pain Under Left Breast Home Remedies for Kidney Stones

For example, the following potentially serious conditions may include lower right back pain as one of the symptoms: Appendicitis. This condition occurs when the appendix, located in the lower right hand side of the abdomen, becomes inflammation and/or ruptures. It may cause sharp, intense lower right back pain and/or pain on the lower right side of the abdomen. Symptoms vary and may include nausea, vomiting, or fever. Symptoms may occur suddenly or develop gradually.

A Guide to Lower Right Back Pain

In some cases, low back pain is felt entirely or primarily on the right side rather than spread evenly across the back.

Understanding the possible causes of lower right back pain, as well as its typical characteristics, can help lead to an accurate diagnosis and more effective treatment. See Getting an Accurate Back Pain Diagnosis Save Lower back pain caused by damage to the soft tissues is extremely common, and most cases will not require urgent care.

See Lower Back Strain Video General Causes of Lower Right Back Pain Lower right back pain most commonly results from the following general sources: Injury to the muscles, ligaments, and/or tendons surrounding and supporting the spine (collectively called soft tissues)Problems with the spinal structures, such as the facet joints or intervertebral discs Issues or diseases affecting the internal organs in the mid-back, abdominal, or pelvic regions Watch: Causes of Lower Back Pain Video Article continues below Seeing a doctor is recommended if lower right back pain continues or worsens after a few days, or if there is sudden onset of severe pain, or if it occurs with other concerning symptoms.

See Should I See a Doctor for Back Pain? Most cases of low back pain stem from minor injuries to the muscles and/or ligaments in the lower back, and the body is usually well-equipped to heal itself after these types of injuries.

While the initial pain of a muscle strain may be significant, the pain tends to subside on its own over a few days or weeks. See Pulled Back Muscle and Lower Back Strain In This Article: A Guide to Lower Right Back Pain Lower Right Back Pain: Tissues & Spinal Structures Lower Right Back Pain from Internal Organs Lower Right Back Pain and Emergency Symptoms In some cases, lower right back pain can be one sign of a serious condition needing attention from a health professional.

Cauda equina syndrome. This condition occurs when the nerve roots exiting the bottom of the spinal canal in the lower back region become compressed and inflamed.

Symptoms vary with cauda equina syndrome, but typically will include some degree of bowel and/or bladder dysfunction, as well as sharp pain and significant weakness, numbness, or tingling in the lower body. See Cauda Equina Syndrome Symptoms Article continues below Abdominal aortic aneurysm. An aneurysm in the abdominal area refers to the ballooning or rupture of the abdominal aorta.

The range of symptoms will typically include severe, sudden-onset abdominal and/or low back pain, and symptoms of low blood pressure such as fainting and/or nausea. See Abdominal Aortic Aneurysm Symptoms Osteomyelitis. This is an infection in the spine. It will typically present with significant back pain, along with a fever.

Additional symptoms may include unexplained weight loss and possible swelling, redness, or tenderness around the spine. See Osteomyelitis Symptoms Patients need to use their judgment in seeking medical attention; as a general rule, it is advisable to see a doctor if the back pain is severe to the point of interrupting daily functions, such as walking, standing, or sleeping, and/or if intense back pain comes on suddenly and does not seem to subside with rest or pain medications.

See Medications for Back Pain and Neck Pain The above list is not intended to be an exhaustive list of all possible causes of lower right back pain.

For example, chronic pain conditions, such as fibromyalgia or ankylosing spondylitis, which affect large portions of the musculoskeletal system. See Ankylosing Spondylitis Video Next Page: Lower Right Back Pain: Tissues & Spinal Structures Pages:1 2 3

The right lower abdominal area refers to the region to the right of the invisible line drawn from the navel to the groin. Pain here and in your lower back can have a number of causes. About Pain that occurs in the lower right abdominal is caused by either one of the organs which are housed there or due to a more generalized pain from other areas. The same holds true for the lower back where pain often generalizes from abdominal distress.

Causes of Right Side Lower Abdominal and Back Pain

Causes of Right Side Lower Abdominal and Back Painby Viktoria Carrella; Updated September 30, 2017Related Articles Lower Left Side Pelvic Pain What Are the Causes of Right Flank Pain in a Woman?

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Facts The lower back houses the lumbar spine, which is responsible for protecting the spinal cord and nearby organs according to Medicine Net.com.

For this reason, when issues occur concerning abdominal organs, the pain presents itself in the back as well as the abdomen. Causes Potential causes for pain in this region range from constipation and pulled muscles to diverticulitis, kidney stones and gallbladder issues according to Abdopain.com. A physician should diagnose any persistent pain in this region. Symptoms Depending on the cause, sufferers of pain in these areas may experience stiffness and lack of mobility in the lower back according to Medicine Net.com.

Additionally, cramping, nausea and irregularity may occur. In some cases, a fever may also occur. Treatment A doctor must determine the cause of the pain in order to give specific treatment. In some cases, pain relievers or other oral medications are sufficient.

For some disorders a physician will order surgery as the only treatment according to Abdo Pain.com.

References Medicinet.com: Lower Back Pain (Lumbar Back Pain)Abdo Pain.com: Right Side Abdominal Pain Common Causes In Both Sexes About the Author Viktoria Carella has been a full-time freelance writer for seven years and writes mainly on health topics along with other topics such as home improvement, SEO and more.

Carella has been writing for Demand Studios for several months and has been published in her neighborhood newspaper on several occasions. Photo Credits Jupiterimages/Polka Dot/Getty Images SHARESHARE TWEET EMAILMore Articles Gall Bladder & Shoulder Pain Signs & Symptoms of Kidney Abdominal Pain What Is Left Foraminal Stenosis? What Are the Causes of Lower Abdominal Pain & Bloating?

A right lower lobe pneumonia (infection of the lower part of the right lung), can present as upper right abdominal pain. Patients with this condition will typically develop a crushing or sharp upper right abdominal pain, fever, difficulty in breathing and cough.

Upper Right Abdominal Pain Causes And Treatment Options

Upper Right Abdominal Pain Causes And Treatment Options Let's Help You Work Out What Might Be Causing Your Upper Right Abdominal Pain Common causes of upper right abdominal pain include conditions like gallstones and gallbladder disease, kidney stone, liver problems, stomach ulcer, pulled muscle and myofascial pain syndrome.

See how to work out what might be causing your right side stomach pain or pain under your right rib cage and what to do for each case.

Do you have pain under your right rib cage or upper right abdomen? When exactly did it start? Did you wake up with the pain at night, or did it start within an hour after meal? Is the pain coming on and going away in waves at intervals? Does this pain seems to spread through the right side of your body to the back under your shoulder blade bone?

Feeling sick and nauseated? Pain in the right side of the upper stomach or abdomen is very common.

It is also referred to as right upper quadrant pain. Like in other parts of the abdomen, the key to finding out what might be causing your pain lies in understanding and being familiar with the organs in this part of the body. Housed in this region of the body are: The Liver Gallbladder,Upper part of the barge bowel,Right kidney and kidney tubes or ureters,Lower part of the right lungs from the back,Right Adrenal gland Muscles, bones, blood vessels, nerves and skin covering the region.

Any problem in these structures or organs lying in here or near by ones will cause upper right abdominal pain. So, how can we work out what is causing your right upper abdominal pain now? Let's go through the common causes of pain in this region and see if any of these sounds like what is happening to you. Common Causes Of Right Upper Abdominal Pain Common causes of pain in the right upper abdomen include conditions affecting any of the organs listed above that are housed in the right upper abdomen as well as some other organs in the chest.

We shall now list these common causes of pain under the right rib. They include: Biliary Colic. This is a very common cause of right upper abdominal pain after eating.

The pain typically comes on within the first hour or two after having a rich or fatty meal. The pain could be gradual in onset, or may come on suddenly. It could be moderate to very severe in intensity. It is often cramp-like, comes and go, or may be there constantly, but with times of more severe pain intermittently. As mentioned above, the pain may spread through the right side of body to the back, just below the tip of the right shoulder blade bone or scapular.

Those suffering with attacks of biliary colic often want to pace about, not keeping still, in a bid to find a comfortable position to easy the pain.

There may be associated feeling of nausea and actual vomiting. Is this you? Biliary colic is usually due to the presence of stone trapped in the ducts of the gallbladder, or too strong contraction of the wall of the gall bladder.

You can read more on biliary colic here. Cholecystitis. Cholecystitis is the word used to describe the presence of infection or inflammation in the gallbladder. Like biliary colic, it causes pain in the right upper abdomen too. The pain though, tends to last longer than that of biliary colic and there may be associated fever or high temperature, and jaundice or yellowness of the white of the eye.

There may also be associated pain in breathing deep on the right side (catching of your breathe when breathing in), due to the pain. If you have cholecystitis, you may have all the symptoms of biliary colic but feels more unwell and might lose appetite and pass dark colored urine.

You can read more on cholecystitis here. Costochondritis. Costochondritis is a common cause of chest pain or rib cage pain, due to the inflammation of a part of the rib. It causes a sharp or dull ache in the rib cage. The pain could be mild, moderate or severe. It is brought on by taking in a deep breath, coughing or touching the area.

Unlike biliary colic, the pain is always there and could take several days to settle and go away. Costochondritis does not lead to serious problems and with pain killers and rest, it often goes away on its own.

Kidney Stones. Kidney stones are debris that collect from the salts and chemicals in our urine to form hard rock-like materials which may accumulate in our kidneys or bladder. If a piece from this rock-like material breaks off, it travels down the tube that drain from the affected kidney.

If the size is very small, they pass down the tube or ureter without us ever getting to know. However, stones larger than 5 millimeter long in size could get trapped in the ureter.

This provokes a very strong contraction in the ureter, in a bid to dislodge the stone, leading to severe, often sudden onset loin pain. A stone in the right kidney therefore can cause sudden onset upper right abdominal pain, starting more from the upper right back, moves in a spiral fashion down the side to the front and spreads toward the groin.

The pain is often described by sufferers as the most severe pain ever. It comes in waves, just like that described for biliary colic above, and there may be associated nausea and vomiting.

Again like biliary colic or gallbladder stone pain, persons suffering with a kidney stone attack finds themselves pacing about, looking for a comfortable position to adopt. Apart from the pain, they often feel well in themselves. Occasionally, there might be associated fever - feeling hot and cold. The pain lasts for a few minutes (though there might still be a background level of aching), goes away, and then comes back.

A urine test by the doctor typically shows the presence of blood in the urine (not visible to the naked eye). Myofascial Trigger Point Pain (Myofascial Pain Syndrome). Myofascial trigger point pain is pain resulting from weakness or repetitive injury of a muscle, leading to a sustained contraction of a small part of the muscle.

Such contractions sends a trigger of painful sensation to other parts of the body, causing varying degree of intensity of pain. Trigger points are like a knot in your muscle, causing continuous misfiring of pain to a region of your body. Also called myofascial pain syndrome, these trigger points pain are an amazingly common cause of pain in many parts of the body, including the right upper abdomen.

There are at least 14 trigger points that can lead to pain in the right upper quadrant of the abdomen.

Unfortunately, myofascial trigger point pain is a concept not well appreciated by many doctors, as it is only recently that many pain specialist doctors are gaining better understanding of it. You can download a free copy of the myofascial trigger point manual here to see if this might be the cause of your chronic right upper stomach pain.

Musculoskeletal Pain. If you sprain a muscle in this region, from exercise or too much work or from hitting it on a hard surface, no doubt this will cause pain. Musculoskeletal pain will be easy to diagnose as you may remember hitting your body or being hit, or engaged in an unusual amount of strain. Lower right rib fracture can also cause upper right abdominal pain. Pneumonia.

A right lower lobe pneumonia (infection of the lower part of the right lung), can present as upper right abdominal pain. Patients with this condition will typically develop a crushing or sharp upper right abdominal pain, fever, difficulty in breathing and cough.

The cough may be productive of yellowish or brown phlegm or sputum. This is even more so in children, who sometimes come in complaining of upper right abdominal pain with heavy breathing, and looking very unwell with fever. Some doctors have been caught out, thinking such a child has appendicitis, when in fact, it is due to a lower lobe pneumonia. Liver Disease. Any disease affecting the liver can cause pain in the upper right side of the abdomen.

Such pain are typically a nagging long standing pain and are often not related to movement. The sufferer may become unwell, jaundiced and sometimes with associated weight loss depending on the type of liver disease. Common types of liver diseases that can cause a right upper abdominal pain include hepatitis, liver parasite infections like amoeba liver infection, liver cysts, liver cancer, Budd Chiari syndrome, ascending cholangitis (infection of the liver ducts leading to a combination of right upper quadrant pain, fever and jaundice), Fitz - Hugh - Curtis syndrome which causes liver pain in people with gonorrhea.

The above listed conditions are those that commonly cause right side stomach pain or pain under right rib.

There are other conditions like constipation, non alcoholic fatty liver disease, HELLP syndrome in pregnant women with pre-eclampsia, severe diabetic ketoacidosis, epiploic appendagitis, right pulmonary embolism or blood clot in the lower right lung, heart failure, cronh's disease, bowel cancer, and many others. If you have a right side abdominal pain that is not going away after an hour, it is recommended that you should seek medical advice from your healthcare provider.

Tests And Treatment Of Right Side Stomach Pain If you suffer with upper right abdominal pain that is difficult to diagnose, the following are the typical tests you may need to have done: Blood Tests. These could include a Full Blood Count - FBC ( or Complete Blood Count - CBC), Electrolyte And Urea Tests, Liver Function Test, C-Reactive Protein - CRP, Erythrocyte Sedimentation Rate - ESR, Blood Sugar levels, and clotting profile tests, as well as some other specialized blood test.

Your doctor will no doubt guide you as to which of these is most relevant for your condition. Urine Test. This is important to exclude conditions like urine kidney infection or kidney stone, as the cause of the upper right abdominal pain. There will be the presence of blood in the urine at microscopic level if kidney stone is the culprit, and leucocytes and nitrites, if kidney infection is the problem and both can co-exist.

Chest X-Ray. This may become necessary, if you doctor suspects that the cause of your upper right abdominal pain is from the lungs (e.g pneumonia or blood clot), or to exclude a bowel perforation, if you also have a shoulder tip pain. Ultrasound Scan & HIDA Scan. These are commonly requested scans needed to exclude or confirm a suspected case of gallbladder stones or gallbladder infection, kidney stone, or liver disease.

CT Scan & MRI. These may be necessary for more detail Endoscopy & Colonoscopy. Other Specialist Testings. The treatment of a upper right abdominal pain will obviously depend on what is causing the pain. We have provided a link to more details on the various common causes of pain in this region of the body. Do You Have Upper Right Abdominal Pain? Share Your Experience Here!Do you or your loved one have a upper right stomach or abdominal pain? When did it start? Where exactly is this pain? Does it spread any where? Is there any thing that seems to make the pain better or worse?

Is there any other worries with this? What do you think might be causing this pain? Share your thoughts and experience on your right rib cage or right upper stomach pain here.

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Your Name (first or full name)Your Location (e.g., City, State, Country)Submit Your Contribution Check box to agree to these submission guidelines . (You can preview and edit on the next page)What Other Visitors Have Said Regarding Their Upper Right Side Abdominal Pain Click below to see contributions from other visitors to this page... Upper Right Abdominal Pain I had back surgery four months ago with incisions on both the front and the back.

I developed an infection after the surgery and ended up back in the …sharp pain in my upper right abdomen Am 26 and About 7 months ago while taking a walk, I felt a sharp pain in my upper right abdomen.

I wasn't worried but became worried when I learn it was …Upper RH abdomen pain I'm experiencing this pain again seriously right now 11:58P. This is the first time I found something on this issue. Cant sleep, sharp pain like a nail …Pain in my side Not rated yet I have pain in the upper right quadrant in the front of my right side. This has been going on for over a month. I have had an ultrasound, CT scan, …RIGHT SIDE STOMACH PAIN Not rated yet MY NAME IS LINDA J JACKSON AGE 62 HAVE ASTHMA, COPD ALLERGIES HAVE BEEN HAVING ALOT OF PAININ RIGHT SIDE OF MY STOMACH AREA AND HAD GONE TO TEH …Click here to write your own.

Help Keep This Site Going Donate To Show Your Support Last Updated: 19th March 2013Related: New! Comments Have your say! Leave a comment in the box below. Related Topics: Biliary Colic Cholecystitis Costochondritis ERCPUpper Left Side Abdominal Pain Upper Central Abdominal Pain Lower Right Side Abdominal Pain Causes of Abdominal Pain Overview Return To Right Side Abdominal Pain Page From Upper Right Abdominal Pain Page

Pain in right side of the abdomen can be due to many conditions. As some types of pain can be severe and may relate to serious issues, it is important to be aware of the symptoms and causes of pain associated with such abdominal pains.

Pain on the Right Sides: Cause and Treatment

Pain on the Right Sides: Cause and Treatment Abdominal pain is a common symptom with many types of illness. Everyone will have experienced such pain at least once in their life. These pains may be localized in various areas, such as pain in the left, right or middle of the stomach.

These pains can be due to a bacterial or viral infection in most cases, but in some instances, it can be due to some other medical condition related to the abdominal area.

Different Types of Abdominal Pain in the Right Side

There are various reasons that cause pain in the right side of the abdomen. These may include appendicitis, problems in the gall bladder, ovarian cysts, etc. Below are some reasons for such pain symptoms: Appendicitis - Pain in the right side of the abdomen is very commonly associated with appendicitis.

ges Causes of Pelvic Pain Acute pelvic pain is pain that starts over a short period of time anywhere from a few minutes to a few days. This type of pain is often a warning sign that something is wrong and should be evaluated promptly. Pelvic pain can be caused by an infection or inflammation. An infection doesn't have to affect the reproductive organs to cause pelvic pain. Pain caused by the bladder, bowel, or appendix can produce pain in the pelvic region; diverticulitis, irritable bowel syndrome, kidney or bladder stones, as well as muscle spasms or strains are some examples of non-reproductive causes of pelvic or lower abdominal pain.

What Are the Causes of Pelvic Pain?

Menstrual Disorders Cramps What Are the Causes of Pelvic Pain? By Tracee Cornforth | Reviewed by Meredith Shur, MDUpdated February 13, 2018Share Pin Email Print Stock4B/Getty Ima

Other causes of pelvic pain can include pelvic inflammatory disease (PID), vaginal infections, vaginitis, and sexually transmitted diseases (STDs). All of these require a visit to your healthcare provider who will take a medical history, and do a physical exam which may include diagnostic testing.

Women who have ovarian cysts may experience sharp pain if a cyst leaks fluid or bleeds a little, or more severe, sharp, and continuous pain when a large cyst twists or ruptures - this is probably the most common gynecologic cause of acute onset pelvic pain.

Fortunately, most small cysts will dissolve without medical intervention after 2 or 3 menstrual cycles; however large cysts and those that don't rectify themselves after a few months may require surgery to remove the cysts. An ectopic pregnancy is one that starts outside the uterus, usually in one of the fallopian tubes.

Pain caused by an ectopic pregnancy usually starts on one side of the abdomen soon after a missed period, and may include spotting or vaginal bleeding. Ectopic pregnancies can be life-threatening if medical intervention is not sought immediately. The fallopian tubes can burst and cause bleeding in the abdomen, if left untreated.

In some cases surgery is required to remove the affected fallopian tube. Acute pelvic pain can also be a symptom of appendicitis. Chronic Pelvic Pain Chronic pelvic pain can be intermittent or constant. Intermittent chronic pelvic pain usually has a specific cause, while constant pelvic pain may be the result of more than one problem.

A common example of chronic pelvic pain is dysmenorrhea or menstrual cramps. Other causes of chronic pelvic pain include endometriosis, adenomyosis, and ovulation pain.

Sometimes an illness starts with intermittent pelvic pain that becomes constant over time, this is often a signal that the problem has become worse. A change in the intensity of pelvic pain can also be due to a woman's ability to cope with pain becoming lessened causing the pain to feel more severe even though the underlying cause has not worsened.

Women who have had surgery or serious illness such as PID, endometriosis, or severe infections sometimes experience chronic pelvic pain as a result of adhesions or scar tissue that forms during the healing process.

Adhesions cause the surfaces of organs and structures inside the abdomen to bind to each other. Fibroid tumors (a non-cancerous, benign growth from the muscle of the uterus) often have no symptoms; however when symptoms do appear they can include pelvic pain or pressure, as well as menstrual abnormalities.

Appendicitis is one of the most common causes of lower right abdominal pain in both men and women, old and young. Though appendicitis can occur at any age it is more common between the ages of 10 and 30.

Lower Abdominal Pain

"Lower Abdominal Pain Causes, Diagnosis & Treatment Of Lower Abdominal Pain What is Lower Abdominal Pain? Lower abdominal pain is any discomfort or annoying sensation rising or occurring in the abdomen at a level below the belly button or umbilicus. This could be: Lower right abdominal pain Lower left abdominal pain Lower central abdominal pain (just under the umbilicus or below the bikini line in the middle, also called suprapubic pain)Lower abdominal and back pain Do you have pain here?

Where exactly is your pain? The most important task now is to try and work out what is causing the pain and more importantly to exclude serious conditions of abdominal pain that require immediate medical attention.

To do so, let's take a look at the organs that are found in the lower abdomen and identify what can go wrong with these organs, the most common causes of abdominal pain in this region and how to identify them, as well as a list of other causes of pain in the lower abdomen.

Organs In The Lower Abdomen The lower abdomen is where the small and large intestines are located including the appendix, cecum, sigmoid colon and rectum. It is also the place where the following organs and structures are housed: Urine bladder Parts of the ureters Urethra Ovaries Fallopian tubes Womb or uterus Ligaments that hold the uterus in place (broad and round ligaments)Prostate Spermatic tubes Muscles Bones Nerves Large, medium and small sized blood vessels like the abdominal aorta, iliac arteries and inferior epigastric artery respectively Lymph nodes and a number of bones Below these but intimately connected to the lower abdomen are the scrotum, testicles and epididymis in men.

Any infection, inflammation or injury affecting any of these organs will result in pain and discomfort, often felt in the lower abdomen.

To aid our understanding of how to work out things that might be wrong in the lower abdomen, let's now re-arrange the organs in the abdomen, roughly as they would be naturally found in the abdomen.

Organs In Right Lower Abdomen The Appendix Cecum Ascending Colon (Early part of large bowel)Right Ovary and Fallopian Tube (in women)Right Psoas Muscle Lower Part of Right Ureter Right Iliac Artery and Vein Right Spermatic Cord Right Inferior Epigastric Artery Skin and Nerves over the Right Lower Abdomen Organs In Left Lower Abdomen Descending Colon Sigmoid Colon Left Ovary and Fallopian Tube (in women)Part of the Abdominal Aorta Left Psoas Muscle Lower Part of Left Ureter Left Iliac Artery and Vein Left Spermatic Cord Left Inferior Epigastric Artery Skin and Nerves over the Left Lower Abdomen Organs In Central Lower Abdomen Loops of Small and Large Intestines The Urinary Bladder Uterus (in women)Rectum and Anus The Bones of the Lower Spine (Lumbar and sacral Vertebra)Lower part of the Abdominal aorta Common Causes Of Lower Abdominal Pain Appendicitis, bladder infection or cystitis, pelvic inflammatory disease, menstrual or period pain, ectopic pregnancy, miscarriage, irritable bowel syndrome, endometriosis, diverticulitis, urine tract infection, fibroid, poly-cystic ovarian syndrome, lower ureteric stones, and constipation are the most common causes of lower abdominal pain.

Other causes of pain in the lower abdomen include intestinal gas or trapped wind, celiac disease, ulcerative colitis, Crohn's disease, bowel polyps, bowel cancer, cancer of the womb or Fallopian tubes, premenstrual syndrome, pelvic congestion and pelvic pain syndrome. The ten top common causes of lower abdominal pain in both men and women are:1. Acute Appendicitis

Symptoms of acute appendicitis last for a few days (usually between 3 to 6 days) and if not diagnosed and treated it will get worse with complications. It is rare for it to get better on it's own. The pain from appendicitis will not go on-and-on for weeks or months.

The early symptoms of an acute appendicitis are: A colicky or cramping central abdominal pain around the umbilicus which moves down to the lower right abdomen in a day or two Continuous dull to severe pain in the lower right abdomen Pain made worse by coughing, laughing or pressing directly on the lower right abdomen Feeling generally unwell Nausea and perhaps vomiting once or twice once the pain starts Loss of appetite A temperature (feeling feverish, hot and cold)There may be a mild episode of constipation (more in adults) and diarrhoea (more in common in children)Does this sound like you?

If you have more than half of the above symptoms, you are likely to be suffering from an appendicitis. Contact your doctor or go to your local Emergency Department. Treatment is usually by removal of the diseased appendix by surgical operation.

You can learn more about acute appendicitis here.2. Urine Tract Infection (Cystitis)Infection of the urinary tract is another very common of lower abdominal pain, especially in children and women. The urine tract starts from and includes the kidneys, ureters (the tube that connects the kidney to the bladder), the bladder (urinary bladder) and the urethra (the tube that connects the urinary bladder to the outside world.

A bladder infection is called cystitis. If it is not recognised and treated it could spread upwards to affect one or both of the kidneys.

In extreme cases it can lead to a very serious infection which may require hospitalisation. The symptoms of cystitis are: A dull lower central abdominal ache of gradual onset in the last day or two An increase in the number of times you pass urine.

You may notice that you go to pass urine in small amounts every few hours and yet still feel like you need to do more Pain, stinging or burning sensation when passing urine Lower abdominal and back pain.

The pain may even spread upward to the side of your back towards your kidney area Feeling more tired than usual Confusion and behaving irrationally (more likely in elderly people)Central abdominal pain and vomiting (more likely in children)Fever Blood in the urine or your urine becoming rose coloured Does that sound like you or someone you care for? It's time to seek medical attention. Antibiotics like Trimethoprim 200mg Twice Daily; Nitrofurantoin 50mg Four Times A Day; Or Co-amoxiclav 625mg Three Times daily, for up to 7 days, are frequently used in treating this condition in adults with excellent response.3.

Irritable Bowel Syndrome (IBS)Irritable bowel syndrome which is often referred to as IBS can cause pain and discomfort in the lower abdomen. IBS is extremely common with approximately 5 in every 20 people suffering from this condition. It is two and a half times more common in women than in men and can occur at any age.

The symptoms of IBS are: Lower central or left sided abdominal pain or discomfort (more often on the lower left abdomen) that is relieved with defecation Bloating or feeling mild to moderate abdominal tightness Change in the number of times you pass stools Abdominal pain made worse from eating Passing of mucus or slime in stools (without blood)Constipation or diarrhoea Feeling tired and lethargic most of the time Is that you?

Have these symptoms been going on for about 6 months or more? Why not have talks with your doctor as you may be suffering with irritable bowel syndrome.

Treatment options for IBS include: Dietary changes (keep a log or diary of what makes your pain worse and avoid them)Exercise Use of medications like mebeverine, alverine and peppermint oil Amitriptyline Loperamide for those with diarrhoea Acupuncture and use of aloe vera capsules or tablets IBS must only be diagnosed after every other possible causes of the type of pain that you have has been excluded. So it is important not to self diagnose and treat yourself for IBS, just in case it is something else. See your doctor.4. Mesenteric Adenitis Mesenteric adenitis, also referred to as non-specific mesenteric lymphadenitis, is another common cause of lower abdominal pain, especially in children.

It is a condition where the glands on the wall of the small bowels become inflamed, swollen and painful, usually following a sore throat or viral infection. Typically, the complaints are: Lower right sided abdominal pain A fever, cough and cold which has lasted up to two weeks Sore throat, tonsillitis or ear pain Diarrhoea and or vomiting This condition usually mimics acute appendicitis.

The difference is often that the child or adult would still have a good appetite, while in appendicitis, the appetite becomes poor.

The pain in mesenteric lymphadenitis could be fleeting. The pain could move around (as the small bowel floats around inside the abdomen) so it may not always be confined to the right lower abdomen as its often the case in appendicitis. Also the precedence of the pain by sore throat, cough and cold which is lasting a few weeks is unusual with appendicitis.

Treatment is with simple pain killers, lots of clear fluid intake and rest.5. Endometriosis Endometriosis is a condition where the normal tissue or cells that line the inner surface of the womb are found outside the womb. These tissues then respond to the same hormonal stimulation that causes menstruation, leading to menstrual bleed into spaces outside the womb.

The blood trapped in such abnormal site causes prolonged irritation, scarring and pain around the area they are deposited in. They also cause the surface of organs and bowels nearby to stick together, leading to Chronic lower abdominal pain Heavy menses Pain during intercourse Excessive tiredness Infertility (in some cases)Treatment is through pain killers, hormones, surgery and complementary medicine.

You can read more on lower abdominal and back pain due to endometriosis here.6. Pelvic Inflammatory Disease (PID)Pelvic inflammatory disease also known as PID is another common cause of lower abdominal pain in women.

It is an ascending infection of the female genital tract. The infection often involve the womb, Fallopian tube, ovaries and tissues surrounding the womb and ovaries. This infection is caused by sexually transmitted diseases in about 95 percent of cases. It is an infection commonly seen in women between the ages of 16 and 30, although can occur in any woman who is sexually active and have more than one sexual partner.

If not diagnosed and treated in time, it could lead to severe infections, infertility and increased risk of ectopic pregnancy.

The symptoms of pelvic inflammatory disease or PID are: Mild, moderate to severe lower abdominal pain that may spread to the lower back Pain during intercourse (deep inside the pelvis or lower abdomen)Abnormal vaginal discharge (may be foul smelling)New onset vaginal bleed after intercourse Heavy menstrual bleed with a combination of the above symptoms Fever and generally feeling unwell Pain when passing urine PID is best treated in the GUM clinic, though it can be treated by your doctor too.

Treatment involve the initial taking of a swab specimen from inside the vagina and neck of the womb for testing for chlamydia, gonorrhoea and other possible infections (if you have a coil or IUCD or IUS fitted this would be removed).

You will then be prescribed antibiotics. Commonly used antibiotics include Doxycycline 100mg to be taken TWICE Daily for 14 days, plus Metronidazole 400mg Three Times Daily for 7 -14 days; or ofloxacin 400mg and Metronidazole (flagyl) 400mg, both Twice Daily for 14 days; or other types of antibiotics as per local choice.

You can read more on PID here.7. Mid Cycle Pain (Mittleschmerz)Mittleschmerz or mid cycle pain is pain associated with ovulation. It is very common in young women, especially within a few years of their menarche or first menstrual period.

It is a common cause of lower abdominal pain. The symptoms of Mid Cycle Pain are pain in the right or left lower abdomen for about 2 weeks or after your last menstrual period, for those who have a 28 days regular menstrual interval. The pain could come on suddenly, lasting between a few minutes up to 3 days. The pain could be sharp or dull, moderate but rarely severe.

It happens once every month and could be on the right lower abdomen this month, and then the left lower abdomen the next month, or skips a few months before coming on again. Most women can tolerate the pain once they understand what it is. There is often no other associated symptoms.

A warm bath and the use of simple pain killers like paracetamol or Tylenol is all that may be required. You can read more about Mittleschmerz here.8. Constipation Yes. Constipation. This is a common cause of lower abdominal in children, men and women. Constipation is the infrequent or difficulty with the passage of faeces. Most people open their bowel daily or every other day.

A few would only open their bowel once or twice in a week. Has the number of times you pass stools recently reduced? Are you passing hard stools or perhaps even straining to let out faeces? If so, you may be constipated.

Other symptoms of constipation include: Dull or sharp lower abdominal pain. It could be on the left or right side or in the middle of abdomen Reduced appetite or avoiding meals until after your bowels are opened Farting more than usual Passage of very big stools Passage of small rabbit-droppings stools Not going to toilet for days and then passing small frequent loose watery stools with an awful odour (especially in children and the elderly)Children walking on tipped toes Vomiting In the majority of cases constipation is straight forward and treatable.

But sometimes, it might be a sign of something more serious, including a sign of conditions like bowel obstruction or cancer. If you are having on going constipation, abdominal pain, you are vomiting and your abdomen is getting distended see your doctor as soon as possible.

You should also visit the doctor if you are constipated on and off for months, losing weight and have a poor appetite. Laxatives like Senna, Lactulose, Fybogel and Movicol are very good medicines in the treatment of constipation.9. Ovarian Cyst Pain Ovarian cyst pain is very common. It is a frequent cause of lower right or left abdominal pain. The pain from an ovarian cyst could come in one of the following forms: Ruptured Corpus Luteum Cyst.

This is certainly the commonest cause of ovarian cyst pain. After ovulation around the middle interval between your periods, eggs are released from follicles on your ovary.

A number of days later or even up to a few days after your menstruation, blood could tract into the empty ""shell"" or follicle where the eggs are released from, distending the cyst and or bleed into the abdomen causing sharp irritating lower abdominal pain.

Such pain are often experienced a few days up to a week after your menses. This condition will often resolve on its own, does not need treatment and would not cause you any harm. Twisted Ovarian Cyst. This is a cause of severe lower abdominal pain. Cysts can be attached to the ovary, like apples to their stalk.

If the cyst twists on the stalk or pedicle, the blood flow to the cyst is cut off which causes a severe pain. This comes on as sudden onset of lower abdominal pain that goes to the hip, lower back and upper leg. The pain is always there and sometimes becomes even worse as the ovary is trying to un-twist itself.

You may vomit with the pain. If this sounds like what you are suffering with you will need to seek urgent medical attention. Ruptured Ovarian Cyst. This is similar in nature to a ruptured corpus luteum, except that it is happening in a bigger ovarian cyst. The pain is more sever and spreads to the back and upper thigh. You will need urgent medical attention here as well.10.

Diverticulitis Diverticulitis is a cause of lower abdominal pain, especially in middle-aged and elderly people. Diverticulitis is due to weakness in the wall of the large bowels, there could be out-pouching on the bowel wall, forming numerous finger-shaped pockets. As bowel contents move down, they could be trapped within these pockets. In large amounts, they lead to intermittent change in bowel habit - constipation alternating with diarrhoea.

There could also be passage of mucus in stools. If these pockets of out-pouched bowel walls with trapped feces becomes infected due to excessive activities of bacteria inside them, it causes: Constipation followed by diarrhoea Blood (and mucus) in the stool Constant lower left abdominal pain (though sometimes, the diverticular changes could also involve the right side)Fever Pain in the lower left abdomen when touched Increasing the bulk of fibre in your meal will help.

If you suspect though that you have diverticulitis, you will need to go to the hospital as soon as possible to be seen by a doctor.

You may need to be hospitalised and given intravenous antibiotics and drip. Other Common Causes Of Pain In The Lower Abdomen Other common causes of pain in the lower abdomen include: Ectopic pregnancy Fibroid Epiplocitis Gastroenteritis (Food poisoning)Hernia Abdominal Aortic Aneurysm Kidney stone Miscarriage Labour pain Broad ligament pain in mid and late pregnancy Symphysis pubis dysfunction in late pregnancy Diabetic Keto Acidosis Testicular torsion Prostatitis in men Crohns disease Ulcerative Colitis Trapped wind or Intestinal gas Coeliac disease Eosinophilic colitis Anxiety Retention of urine in the bladder Lactose Intolerance Food Allergy Adhesions if you have had previous abdominal surgery Loin Pain Haematuria Syndrome Bowel cancer Ovarian cancer Meckel's diverticulitis Have you suffered with any other causes of lower abdominal pain not mentioned here?

We would like to hear from you. Please use the box below to help add to the list of causes of lower abdominal pain.

Remember to share the details of your experience with this condition. References Oxford Handbook Of Obstetrics And Gynaecology.

2nd Edition. Published 2011Oxford Handbook Of Emergency Medicine. 3rd Edition. Published 2006Net Doctor, Lower abdominal pain in women, http://www.netdoctor.co.uk/conditions/digestive-health/a11617/lower-abdominal-pain-in-women/ (Accessed: September 2016)NHS Choices, Stomach ache and abdominal pain, http://www.nhs.uk/conditions/stomach-ache-abdominal-pain/Pages/Introduction.aspx (Accessed: September 2016)Lower Abdominal Pain? Share Your Story!Are you or a loved one suffering with a lower abdominal pain? Are you looking for answers to diagnose your lower abdominal or pelvic pain?

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Help Keep This Site Going Donate To Show Your Support Related: New! Comments Have your say! Leave a comment in the box below. You can read more about causes of pain in a specific part of the lower abdomen below: Lower Right Abdominal Pain Lower Left Abdominal Pain Lower abdominal and back pain Frequent Urination and Lower Abdominal Pain Lower Abdominal Pain in Women Lower Abdominal Pain in Pregnancy Lower Abdominal Pain in Men Lower Abdominal Pain In Children Return To Homepage From Lower Abdominal Pain Page "