Acute and Chronic Right Lower Abdominal Pain – Diagnosis

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Acute Right Lower Abdominal Pain

A sudden and newly appearing acute right lower abdominal pain can be caused due to any of the following conditions:

Appendicitis – Sudden moderate to severe pain is noticed in appendicitis which starts from the navel and proceeds towards the right hip. Often the pain is accompanied by low-grade fever, nausea or vomiting. CT scan and blood tests are reliable for diagnosing in this condition.

Inguinal Hernia – Pain observed on the protruding of a small intestine part through the gap in the abdominal wall muscle can be diagnosed by physical examination.

Volvulus – Cecum volvulus is usually noticed in children with symptoms like sudden pain in the lower right abdomen, vomiting, bloating and nausea. An X-ray with barium swallow contrast can reveal this particular cause.

Pain Related to Female Reproductive Organs – Painful ovulation, rotation of the right side ovary, ruptured ovarian cyst, miscarriage or ectopic pregnancy can give rise to a sharp pain in the lower right abdomen.

Pain Related to Male Reproductive Organs – A right lower abdominal pain is noticed in disorders related to spermatic cord, testicular veins and right testis torsion.

Pain Related to Abdominal Muscles – A right lower abdominal pain is also noticed in abdominal muscle disorder conditions like Psoas abscess.

Skin Related Disorders – Herpes Zoster results in a burning pain and producing a rash over spinal nerves’ course.

Chronic Right Lower Abdominal Pain

A long-term or recurring abdominal pain in the lower right part can last for a few months to years. Such chronic right lower abdominal pain can be caused due to the following conditions:

Crohn’s Disease – It usually affects adults of young to middle age. The symptoms noticed along with right lower abdominal pain are nausea, diarrhea, mild fever, bloody stool, mouth ulcers and skin rash. A colonoscopy is the best way to diagnosis a case of Crohn’s disease.

Polycystic Ovarian Syndrome – Irregular periods, increased blood pressure and hirsutism are seen in PCOS in addition to pain in the lower right abdomen. It can be diagnosed by using transvaginal ultrasound test.

Endometriosis – Endoscopy of the abdominal cavity can reveal the presence of a condition known as endometriosis. It occurs due to some abnormal growth of uterine mucosa on the exterior part of uterus.

Carcinoid – If a slow growing tumor appears in the appendix or cecum, it can result in severe lower right abdominal pain combined with nausea, hot flashes and diarrhea. This condition known as Carcinoid can be diagnosed by blood tests for serotonin or serotonin. A CT of the appendix too reveals a Carcinoi



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