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What causes severe pain in lower right side of abdomen?

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Posted on Wed, 20 May 2015
Question: Hello Dr. Rynne, I am a 54 yr old woman who has been having severe pain the past couple weeks in the lower right side of my abdomen. This has happened about two yrs ago as well. went thru testing on uterine and intestinal plus heart work. was also suggested that it may be muscle pull? It is right around my old cesarean scar.Thank you. MaryAnn Erickson
doctor
Answered by Dr. Vasudha Jayant Athavale (1 hour later)
Brief Answer:
Investigations /Urologist/orthopedicsurgeon's advise/spcific management .

Detailed Answer:
HiXXXX,
Thanks for your query under HCM forum.
I have read your query carefully, & agree with your concern to find the basic cause of your pain & eagerness to get rid of it.Please don't worry, methodical investigations & expert advise /treatment will help you.
Abdomen with many organs inside, is called as a magic box ,& to locate the pain causation becomes challenging
The pain in lower right side of abdomen can be due to many causes like Intestinal causes,uterine causes,pelvic causes, kidney & bladder causes,underlying bones, joints, spinal problems.
Out of these you have already investigated for intestinal & uterine causes. So what remains is-
* Kidney & bladder problems. This type of pain can arise from kidney infection, urinary bladder infection or renal stones which in ureter.So investigations like
Consultation & expert examination by a urologist followed by-
urine routine & microscopic examination,/ culture & sesitivity test
Xray to detect kidney ureteric or bladder stone
will give clue about kidney involvement.
* Pelvic inflammation& endometriosis along LSCS scar)- can be judged by a gynecologist's consultation & investigations like high vaginal swab testing/USG abdomen, laproscopic examination in few cases.
*Bones/ joints pain can be due to infection, inflammation, calcium & vit. D defeciency, Spinal & disc problems can cause it by getting nerve compressions at spinal canal - resulting in muscular / joint stress & pain.
- these can be pointed out by an examination by orthopedic surgeon & Xrays. Vitamin D, calcium & R factor testing of blood would help to pin point the cause.&Blood sugar testing & diabetic profile to exclude ketoacodosis.
*Pain at old LSCS scar can be due to - itching & inflammation / abscess formation an scar tissue, scar hernia,Endometriosis at scar.
An expert examination by surgeon would note them.
** in this perspective would advise you to call your doctor . He will examin you & direct you to spinal surgeon/ orthopedic surgeon/urologist/ gynecologist as per his impression.
A detailed examination & investigations would be done by the expert concerned which will include few enlisted above.followed by specific treatment.
* Self care- Till you get an expert advise-
- take rest & easy to digest diet.
- Drink plenty of water,
- avoid massage or fomentation of the painful part.
- A pill of NSAID like Ibuprofen can be taken after food -for sever
pain,
- I case of unbearable pain go to ER for urgent treatment.
I hope the answer is informative & helpful for you. Any follow up query is welcome,.
Thanks.





Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Vasudha Jayant Athavale

General & Family Physician

Practicing since :1970

Answered : 8615 Questions

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What causes severe pain in lower right side of abdomen?

Brief Answer: Investigations /Urologist/orthopedicsurgeon's advise/spcific management . Detailed Answer: HiXXXX, Thanks for your query under HCM forum. I have read your query carefully, & agree with your concern to find the basic cause of your pain & eagerness to get rid of it.Please don't worry, methodical investigations & expert advise /treatment will help you. Abdomen with many organs inside, is called as a magic box ,& to locate the pain causation becomes challenging The pain in lower right side of abdomen can be due to many causes like Intestinal causes,uterine causes,pelvic causes, kidney & bladder causes,underlying bones, joints, spinal problems. Out of these you have already investigated for intestinal & uterine causes. So what remains is- * Kidney & bladder problems. This type of pain can arise from kidney infection, urinary bladder infection or renal stones which in ureter.So investigations like Consultation & expert examination by a urologist followed by- urine routine & microscopic examination,/ culture & sesitivity test Xray to detect kidney ureteric or bladder stone will give clue about kidney involvement. * Pelvic inflammation& endometriosis along LSCS scar)- can be judged by a gynecologist's consultation & investigations like high vaginal swab testing/USG abdomen, laproscopic examination in few cases. *Bones/ joints pain can be due to infection, inflammation, calcium & vit. D defeciency, Spinal & disc problems can cause it by getting nerve compressions at spinal canal - resulting in muscular / joint stress & pain. - these can be pointed out by an examination by orthopedic surgeon & Xrays. Vitamin D, calcium & R factor testing of blood would help to pin point the cause.&Blood sugar testing & diabetic profile to exclude ketoacodosis. *Pain at old LSCS scar can be due to - itching & inflammation / abscess formation an scar tissue, scar hernia,Endometriosis at scar. An expert examination by surgeon would note them. ** in this perspective would advise you to call your doctor . He will examin you & direct you to spinal surgeon/ orthopedic surgeon/urologist/ gynecologist as per his impression. A detailed examination & investigations would be done by the expert concerned which will include few enlisted above.followed by specific treatment. * Self care- Till you get an expert advise- - take rest & easy to digest diet. - Drink plenty of water, - avoid massage or fomentation of the painful part. - A pill of NSAID like Ibuprofen can be taken after food -for sever pain, - I case of unbearable pain go to ER for urgent treatment. I hope the answer is informative & helpful for you. Any follow up query is welcome,. Thanks.