Q.

What leads to abdominal pain on the right side?

Asked by Second Medic Team ·

Medically reviewed by SecondMedic medical review team

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Answered by SecondMedic Expert

Gastroenterologist · Gastroenterology

Right abdominal pain can have various causes, as the abdomen contains many organs and structures. The specific cause of right abdominal pain can vary depending on factors such as the location, type of pain, and accompanying symptoms. Here are some common causes of right abdominal pain:

1. Appendicitis: Inflammation of the appendix, a small organ located in the lower right abdomen, can cause sudden and severe right-sided pain. This condition often requires surgical intervention.

2. Gallstones: Gallstones can block the bile ducts, leading to pain in the upper right abdomen, especially after eating fatty meals. This pain is often associated with nausea and may radiate to the back or right shoulder.

3. Liver conditions: Liver issues, such as hepatitis, fatty liver disease, or liver abscess, can cause right upper abdominal pain. Jaundice (yellowing of the skin and eyes) may also be present.

4. Gastrointestinal disorders: Conditions like irritable bowel syndrome (IBS), Crohn's disease, or diverticulitis can cause right-sided abdominal pain, often accompanied by changes in bowel habits and digestive issues.

5. Kidney stones: Kidney stones can cause severe flank pain on the right side of the back that may radiate to the lower abdomen as the stone moves through the urinary tract.

6. Muscle strain: Straining or injuring the muscles in the right abdominal area can lead to localized pain, especially if you've been involved in strenuous physical activity.

7. Ectopic pregnancy: In women, a fertilized egg may implant outside the uterus, typically in the fallopian tube. This can cause right lower abdominal pain and is a medical emergency.

8. Ovarian cysts or torsion: Ovarian cysts can lead to intermittent right lower abdominal pain. In some cases, ovarian torsion (twisting of the ovary) can cause severe pain on the right side.

9. Hernia: An inguinal hernia or femoral hernia can cause a bulge and pain in the lower right abdomen, especially when straining or lifting heavy objects.

10. Gas and bloating: Sometimes, excess gas or constipation can lead to right-sided abdominal discomfort.

It's important to note that this list is not exhaustive, and the specific cause of right abdominal pain should be determined by a healthcare provider through a thorough medical evaluation. If you or someone you know is experiencing severe or persistent right abdominal pain, seeking prompt medical attention is essential to identify and address the underlying cause.

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