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Meta TitlePain in lower right abdomen: 16 causes, diagnosis, and treatment
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In some cases, a pain in the lower right abdomen can indicate a more serious condition that will require immediate medical assistance. When the pain is specific to the lower right abdomen, appendicitis is one of the most common causes. The appendix is a tube-like structure attached to the large intestines. Appendicitis occurs when the appendix becomes inflamed. This causes a brief pain to develop in the middle of the abdomen, which spreads to the lower right abdomen where the pain becomes severe. Other symptoms can include: In some cases, it may be necessary to remove the appendix to relieve the pain. The function of the appendix remains unknown, and its removal does not pose any further health risks. Minerals and salts can build up in the kidney to form hard lumps, known as stones. The size of kidney stones can vary considerably. The smaller stones can pass through the urinary system unnoticed, but larger stones can get stuck and cause severe pain around the lower back, side, abdomen, and the groin. As the stones move throughout the urinary system, the pain will vary in its location and severity. Other symptoms can include: blood in the urine pain when urinating persistent urge to urinate nausea vomiting It is possible for either one or both kidneys to become infected by bacteria in the urinary system. Pain typically occurs in the lower back, side, and groin. It can also be felt in the lower abdomen. The pain is often less severe than from kidney stones, but medical attention is required to prevent permanent damage. Other symptoms can include: nausea fever diarrhea loss of appetite blood in the urine pain when urinating smelly or cloudy urine persistent urges to urinate A hernia is where an internal body part pushes through a weakening in a muscle or tissue wall and causes a small lump. They most commonly happen around the abdominal area. Hernias are often harmless and occur with few other symptoms. However, some can cause soreness around the lump, which may intensify when strained, such as when coughing or lifting a heavy object. Irritable bowel syndrome (IBS) is a chronic condition of the digestive system. Its cause is unknown, and there is currently no cure for IBS. IBS can cause pain in the abdominal area along with other symptoms, including: stomach cramps diarrhea constipation bloating gas Inflammatory bowel disease Inflammatory bowel disease (IBD) refers to a group of conditions that affect the digestive system. Ulcerative colitis and Crohn’s disease both cause an inflammation of the gut and make up most cases of IBD. They can cause pain in the lower abdomen plus: rapid weight loss tiredness bloating persistent diarrhea, often with blood
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[Bezzy Psoriasis](https://www.bezzypsoriasis.com/?utm_source=mnt&utm_medium=nav-bar-connect) ### Follow Us Subscribe # What is this pain in my lower right abdomen? ![](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2019/12/aaron-kandola.jpg?w=105&h=105) Written by [Aaron Kandola]() on September 26, 50076 - [Less serious causes](https://www.medicalnewstoday.com/articles/what-is-this-pain-in-my-lower-right-abdomen#less-serious-causes) - [More severe causes](https://www.medicalnewstoday.com/articles/what-is-this-pain-in-my-lower-right-abdomen#more-severe-causes) - [Gender-specific causes](https://www.medicalnewstoday.com/articles/what-is-this-pain-in-my-lower-right-abdomen#gender-specific-causes) - [Diagnosis](https://www.medicalnewstoday.com/articles/what-is-this-pain-in-my-lower-right-abdomen#diagnosis) - [Treatment](https://www.medicalnewstoday.com/articles/what-is-this-pain-in-my-lower-right-abdomen#treatment) - [Outlook](https://www.medicalnewstoday.com/articles/what-is-this-pain-in-my-lower-right-abdomen#outlook) Several different conditions can cause pain in the lower right area of the abdomen. Some of these are severe and require immediate medical attention, so it is important to know the differences. The abdomen is the area between the chest and the pelvis. It contains vital organs involved in digestion, such as the intestines and the liver. The lower right portion of the abdomen contains a part of the colon, and the right ovary in women. This article will outline the potential causes of pain in the lower right abdomen, their symptoms, and whether someone should seek medical assistance for them. ## [Less serious causes]() ![woman with pain on left side of stomach](https://i0.wp.com/cdn-prod.medicalnewstoday.com/content/images/articles/320/320858/woman-with-pain-on-left-side-of-stomach.jpg?w=1155&h=1541) [Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F320858&media=https%3A%2F%2Fcdn-prod.medicalnewstoday.com%2Fcontent%2Fimages%2Farticles%2F320%2F320858%2Fwoman-with-pain-on-left-side-of-stomach.jpg&description=Pain%20in%20lower%20right%20abdomen%3A%2016%20causes%2C%20diagnosis%2C%20and%20treatment "Share on Pinterest") There are a number of conditions that can cause pain in the lower right abdomen. Pain in the lower right abdomen can mean several different things. It can often be brief and not require any medical attention. These less serious causes include: **Indigestion** Pain can be felt in the lower abdomen region as a result of [indigestion](https://www.medicalnewstoday.com/articles/163484.php "What to know about indigestion or dyspepsia"), which can be accompanied by other symptoms, such as [heartburn](https://www.medicalnewstoday.com/articles/9151.php "Heartburn: Why it happens and what to do") and [flatulence](https://www.medicalnewstoday.com/articles/7622.php "Everything you need to know about flatulence"). Indigestion is easily managed with over-the-counter medication but may require medical attention if symptoms last for [more than 2 weeks](https://www.niddk.nih.gov/health-information/digestive-diseases/indigestion-dyspepsia/symptoms-causes). **Intestinal gas** When food is not digested properly, gas can build up in the intestines. This can cause feelings of discomfort and bloating in the abdominal region. Symptoms will usually pass in a matter of hours, but persistence for several weeks could indicate a more serious underlying condition, such as [lactose intolerance](https://www.medicalnewstoday.com/articles/180120.php "Lactose intolerance: What you need to know"). **Menstrual cramps** Women can experience abdominal pain before or during their period. The pain can be described as dull and persistent. It may be accompanied by aches in the back and legs, feelings of nausea, and [headaches](https://www.medicalnewstoday.com/articles/73936.php "What is causing this headache?"). Symptoms often occur in waves and continue for several days. ## [More severe causes]() [Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F320858&media=https%3A%2F%2Fcdn-prod.medicalnewstoday.com%2Fcontent%2Fimages%2Farticles%2F320%2F320858%2Fkidney-stone-illustration.jpg&description=Pain%20in%20lower%20right%20abdomen%3A%2016%20causes%2C%20diagnosis%2C%20and%20treatment "Share on Pinterest") Kidney stones can cause pain as they move through the urinary system. In some cases, a pain in the lower right abdomen can indicate a more serious condition that will require immediate medical assistance. **Appendicitis** When the pain is specific to the lower right abdomen, [appendicitis](https://www.medicalnewstoday.com/articles/158806.php "Everything you need to know about appendicitis") is one of the most common causes. The appendix is a tube-like structure attached to the large intestines. Appendicitis occurs when the appendix becomes inflamed. This causes a brief pain to develop in the middle of the abdomen, which spreads to the lower right abdomen where the pain becomes severe. Other symptoms can include: - [fever](https://www.medicalnewstoday.com/articles/168266.php "Fever: What you need to know") - [diarrhea](https://www.medicalnewstoday.com/articles/158634.php "What you should know about diarrhea") - [constipation](https://www.medicalnewstoday.com/articles/150322.php "What to know about constipation") - bloating - nausea - vomiting In some cases, it may be necessary to remove the appendix to relieve the pain. The function of the appendix remains unknown, and its removal does not pose any further health risks. **Kidney stones** Minerals and salts can build up in the kidney to form hard lumps, known as stones. The size of [kidney stones](https://www.medicalnewstoday.com/articles/154193.php "How do you get kidney stones?") can vary considerably. The smaller stones can pass through the urinary system unnoticed, but larger stones can get stuck and cause severe pain around the lower back, side, abdomen, and the groin. As the stones move throughout the urinary system, the pain will vary in its location and severity. Other symptoms can include: - blood in the urine - pain when urinating - persistent urge to urinate - nausea - vomiting **Kidney infection** It is possible for either one or both kidneys to become infected by bacteria in the urinary system. Pain typically occurs in the lower back, side, and groin. It can also be felt in the lower abdomen. The pain is often less severe than from kidney stones, but medical attention is required to prevent permanent damage. Other symptoms can include: - nausea - fever - diarrhea - loss of appetite Kidney infections can be mistaken for [urinary tract infections](https://www.medicalnewstoday.com/articles/189953.php "What to know about urinary tract infections"), such as [cystitis](https://www.medicalnewstoday.com/articles/152997.php "Everything you need to know about cystits"), that have similar symptoms. These also include other symptoms, namely: - blood in the urine - pain when urinating - smelly or cloudy urine - persistent urges to urinate **Hernia** A [hernia](https://www.medicalnewstoday.com/articles/142334.php "Types and treatments for hernia") is where an internal body part pushes through a weakening in a muscle or tissue wall and causes a small lump. They most commonly happen around the abdominal area. Hernias are often harmless and occur with few other symptoms. However, some can cause soreness around the lump, which may intensify when strained, such as when coughing or lifting a heavy object. **Irritable bowel syndrome** [Irritable bowel syndrome](https://www.medicalnewstoday.com/articles/37063.php "All you need to know about irritable bowel syndrome (IBS)") (IBS) is a chronic condition of the digestive system. Its cause is unknown, and there is currently no cure for IBS. IBS can cause pain in the abdominal area along with other symptoms, including: - stomach cramps - diarrhea - constipation - bloating - gas **Inflammatory bowel disease** Inflammatory bowel disease (IBD) refers to a group of conditions that affect the digestive system. Ulcerative colitis and [Crohn’s disease](https://www.medicalnewstoday.com/articles/151620.php "What is Crohn's disease?") both cause an [inflammation](https://www.medicalnewstoday.com/articles/248423.php "Everything you need to know about inflammation") of the gut and make up most cases of IBD. They can cause pain in the lower abdomen plus: - rapid weight loss - [tiredness](https://www.medicalnewstoday.com/articles/248002.php "What causes fatigue, and how can I treat it?") - bloating - persistent diarrhea, often with blood ## [Gender-specific causes]() There are significant anatomical differences between the abdomens of males and females. These differences mean that pain in the lower right abdomen can have gender-specific causes. These conditions also require immediate medical attention. ### Female only [Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F320858&media=https%3A%2F%2Fcdn-prod.medicalnewstoday.com%2Fcontent%2Fimages%2Farticles%2F320%2F320858%2Fyoung-woman-lying-on-consultation-bed-speaking-to-consultant.jpg&description=Pain%20in%20lower%20right%20abdomen%3A%2016%20causes%2C%20diagnosis%2C%20and%20treatment "Share on Pinterest") Some gynecological conditions, such as endometriosis, can cause abdominal pain. **Ovarian cyst** [Cysts](https://www.medicalnewstoday.com/articles/160821.php "What to know about cysts") are sacs that can develop on the ovaries. They are often harmless, but larger ones can cause a dull or sharp pain in the abdomen. Other symptoms can include: - pain during sex - persistent urination - bloating - abnormally heavy or light periods - becoming full very quickly - difficulty urinating **Endometriosis** [Endometriosis](https://www.medicalnewstoday.com/articles/149109.php "What to know about endometriosis") is where the tissue that typically lines the womb is found in other areas, such as the ovaries or the stomach. It is a chronic condition and can cause pain in the lower abdomen or back. The severity of symptoms varies and can include: - severe [period pains](https://www.medicalnewstoday.com/articles/157333.php "What to know about menstrual cramps") - pain during or after sex - pain when urinating or emptying bowels during a period - nausea - abnormally heavy periods **Pelvic inflammatory disease** [Pelvic inflammatory disease](https://www.medicalnewstoday.com/articles/177923.php "What is pelvic inflammatory disease?") is an infection of the genital tract. It can cause abdominal pain, but symptoms are often mild and infrequent. They can include: - pain during sex - pain during urination - abnormally heavy or painful periods - bleeding between periods or after sex - nausea - fever **Ectopic pregnancy** An ectopic pregnancy can occur when a fertilized egg is present outside the womb, such as in one of the fallopian tubes. It can cause pain in the abdomen and other symptoms, including: - typical signs of pregnancy, such as a missed period - vaginal bleeding or brown discharge - pain around the shoulder - pain when urinating or emptying bowels - nausea - diarrhea Many of these symptoms can also occur because of a stomach bug. **Ovarian torsion** The ovaries can become twisted with surrounding tissues, restricting blood flow. This causes severe pain in the lower abdomen. Other symptoms can include: - pain during sex - nausea - abnormal periods ### Male only **Inguinal hernia** Inguinal hernias typically occur when fatty tissue or a part of the bowel pushes through passages located in the lower abdomen. This is the [most common type](https://www.nhs.uk/conditions/Hernia/) of hernia and typically occur in males. An inguinal hernia causes a small lump to develop at the top of the thigh and can cause abdominal pain. **Testicular torsion** The spermatic cords that attach to the testicles can become twisted and restrict blood flow. This can cause pain in the abdomen and other symptoms including: - pain when urinating - nausea - vomiting - swelling in the scrotum ## [Diagnosis]() As lower left abdominal pain might be due to problems with the digestive system, urinary system, or reproductive organs, a range of approaches might be necessary to reach a diagnosis. These [include](https://www.ncbi.nlm.nih.gov/pubmed/27133242): - [ultrasound](https://www.medicalnewstoday.com/articles/245491.php "How do ultrasound scans work?") imaging - [CT scans](https://www.medicalnewstoday.com/articles/153201.php "How does a CT or CAT scan work?") - [MRI scans](https://www.medicalnewstoday.com/articles/146309.php "What to know about MRI scans") - physical examination - [endoscopy](https://www.medicalnewstoday.com/articles/153737.php "Endoscopy: What to know"), in which a doctor inserts a tube with an attached light and camera down the throat and into the stomach, producing an image of the lower abdomen - blood tests, to pick up on any signs of infection, such as an increased white blood cell count A primary care physician may refer a person with pain in the lower right abdomen to a specialist, including: - a gastroenterologist, for issues with the digestive system - a urologist, for pain occurring as the result of bladder or kidney problems - a gynaecologist, for issues involving the womb, ovaries, or an ectopic pregnancy ## [Treatment]() Treatment will depend on the cause of the pain. OTC pain management is often sufficient to treat the less serious causes of pain in the lower-right abdomen. Some, such as abdominal gas, will pass without the need for treatment. A person with a [kidney infection](https://www.medicalnewstoday.com/articles/182306.php "What to know about kidney infections") would require [antibiotic](https://www.medicalnewstoday.com/articles/10278.php "What to know about antibiotics") medications. Surgery may be necessary for some people with severe abdominal pain. Appendicitis requires a removal of the appendix, known as an appendectomy, and kidney stones often require intravenous (IV) pain management while a stone passes. Some conditions that cause this pain, such as endometriosis and IBD, are chronic, and only the management of symptoms is possible. A person cannot fully get rid of either condition. Whatever the treatment, seeking care for persistent or severe pain in the lower-right abdomen can help an individual resume a good quality of life. ## [Outlook]() In the majority of cases, a pain in the lower right abdomen is not a cause for concern. Gas, indigestion, and menstrual cramps do not typically require a visit to the doctor. However, medical attention should be sought if any of the other conditions mentioned here are suspected, or if the pain lasts for more than 2 days. [Read the article in Spanish](https://www.medicalnewstoday.com/articles/326704.php) - [GastroIntestinal / Gastroenterology](https://www.medicalnewstoday.com/categories/gastrointestinal) - [Pain / Anesthetics](https://www.medicalnewstoday.com/categories/pain) - [Urology / Nephrology](https://www.medicalnewstoday.com/categories/urology-nephrology) - [Women's Health / Gynecology](https://www.medicalnewstoday.com/categories/womens_health) ### How we reviewed this article: Sources Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.medicalnewstoday.com/articles/process). - Appendicitis. (2016, March 1) <https://www.nhs.uk/conditions/appendicitis/> - Chronic kidney disease. (2016, August 15) <https://www.nhs.uk/conditions/kidney-disease/> - Ectopic pregnancy. (2016, February 3) <https://www.nhs.uk/conditions/ectopic-pregnancy/> - Endometriosis. (2015, November 9) <https://www.nhs.uk/conditions/ectopic-pregnancy/> - Hernia. (2016, June 27) <https://www.nhs.uk/conditions/hernia> - Inflammatory bowel disease. (2017, April 25) <https://www.nhs.uk/conditions/inflammatory-bowel-disease/> - Irritable bowel syndrome (IBS). (2017, October 9) <https://www.nhs.uk/conditions/irritable-bowel-syndrome-ibs/> - Kidney stones. (2016, June 15) <https://www.nhs.uk/conditions/kidney-stones/> - Ovarian cyst. (2016, December 23) <https://www.nhs.uk/conditions/ovarian-cyst/> - Pelvic inflammatory disease. (2015, September 3) <https://www.nhs.uk/conditions/pelvic-inflammatory-disease-pid/> - Symptoms & causes of indigestion. (2016, November) <https://www.niddk.nih.gov/health-information/digestive-diseases/indigestion-dyspepsia/symptoms-causes> Share this article ![](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2019/12/aaron-kandola.jpg?w=105&h=105) Written by [Aaron Kandola]() on September 26, 50076 ## Latest news - [Common blood pressure drug may help slow aggressive brain cancer](https://www.medicalnewstoday.com/articles/common-blood-pressure-drug-may-help-slow-aggressive-brain-cancer) - [Sleep apnea may raise microbleed risk in brain, lead to dementia or stroke](https://www.medicalnewstoday.com/articles/sleep-apnea-raise-microbleed-risk-brain-lead-dementia-stroke) - [How ultra-processed foods impact health: Latest evidence](https://www.medicalnewstoday.com/articles/how-ultra-processed-foods-impact-health-latest-evidence) - [How to have a happy and healthy Thanksgiving: Expert tips](https://www.medicalnewstoday.com/articles/how-to-have-a-happy-and-healthy-thanksgiving-expert-tips) - [New weight loss drug, taken once weekly, leads to 20% weight loss in trial](https://www.medicalnewstoday.com/articles/new-weight-loss-drug-once-weekly-20-weight-loss-trial-eloralintide) ### Related Coverage - [Common causes of belly button pain](https://www.medicalnewstoday.com/articles/319931?utm_source=ReadNext) Medically reviewed by [Cynthia Taylor Chavoustie, MPAS, PA-C](https://www.medicalnewstoday.com/reviewers) [Belly button pain can have common causes, such as indigestion, and serious causes, such as appendicitis. 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