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    What causes lower right abdominal pain?

Posted on Tue, 4 Jul 2017 in Abdominal Pain
Question: Hi,
From the last year or so, I have been often getting lower right abdominal pain of a sharp nature, whenever I take a deep breath or suck in my stomach, or when I press the specific area with my hand. There is no pain as such when I cough, bend forward, run, swim etc. but I can will it to occur whenever I pull in my stomach. There is no visible swelling or hardness of the abdomen. I had an abdominal scan done last year and no physical problem was found. Endoscopy indicated GERD and Antral Erythema, but that healed after 2 months with treatment by Providac and Rabium. There was a Vitamin D deficiency for which i was given treatment. However the abdominal pain continues to occur even today whenever I breathe deeply or suck in my stomach. What might be the root cause and what further tests are suggested if any?
Answered by Dr. Bhagyesh V. Patel 56 minutes later
Brief Answer:
intraluminal problem with intestine/nerve irritation in specific segment.

Detailed Answer:
Hello Dear XXXXXXX
I evaluated your query thoroughly .
* Seems in relation with intraluminal problem with intestines or particular nerve
irritation in specific segment during certain angels with some maneuver ( not
detectable many times in scan )
* Kindly provide me some more inputs as
1. Pain - exact area over abdomen in relation to umbilicus (be precise because
right lower abdomen and stomach area are totally different ) , type of pain ,
intensity , any relation with food , relieving factors , any radiation , duration
of each pain episode , any of the aggravating or relieving factors , feel any
palpitation in abdomen at the time of pain , any relation with time of the day
means more at day or night when relaxing or anytime
2. bowel movements
3. associated nausea, vomiting , appetite / weight alterations
4. tobacco / alcohol if any
5. stress level - easily becoming anxious or cool personality
6. weight lifting activity as heavy work outs
7. any other information you would like to share regarding this
Thanks for using Healthcaremagic.com & giving me an opportunity to assist you
in your medical need .
Awaiting for your details eagerly .
Regards dear .
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Bhagyesh V. Patel 25 hours later
Here are the details

Pain - exact area: About 6 7 cm away from the navel to the right, and slightly below the navel, about 2 cm.

type of pain: sharp pain. occurs when pressed on the area with a finger with reasonable force.

intensity: when the pain occurs, it is usually high enough for me consider taking a nap.

any relation with food: possible, but not sure at all. I had a bout of gastric problems more than a year ago for a very long time. Recently, the pain happened when I had a late breakfast and a heavy early lunch, which was hard for my stomach to accept.

duration of each pain episode: generally half a day or so, to my knowledge.

any palpitation in abdomen at the time of pain: I believe, no.

any relation with time of the day: Maybe it is higher in the mornings (but take this as an assumption, I'm not sure)

bowel movements: seem fine.

associated nausea, vomiting , appetite / weight alterations: do feel a slight bit of nausea or an aversion from food. also coupled with a slight loss in appetite.

tobacco / alcohol: do not consume either

stress level- generally very calm about things. but i do have social anxiety.

weight lifting activity: haven't done weights in a long time.

any other information: have a persistent and perpetual back ache (mainly mid back) and a light persistent neck ache- if this helps.


Answered by Dr. Bhagyesh V. Patel 14 minutes later
Brief Answer:
Chronic appendicitis suspicious,ultrasound / diagnostic laparoscopy require

Detailed Answer:
Hello Dear
Thanks for all the details herewith .
* According to further evaluations likely chronic appendicitis or other intestinal
* Recommend to undertake high resolution Ultrasound examination of the
abdomen and pelvis ( non invasive part ) , if positive findings okay
if no abnormality found then diagnostic laparoscopy ( invasive ) is mandatory .
Hope this will help you definitely .
Welcome for any further assistance .
Regards dear .
Above answer was peer-reviewed by : Dr. Prasad
Answered by
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 15546 Questions


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