Right lower abdominal pain with flank pain

Many friends often feel pain in the lower right abdomen and accompanied by back pain in life. In fact, it is difficult to judge the cause of this phenomenon subjectively. Further medical examination and diagnosis are needed to find out the specific cause. There are many reasons for pain in the lower right abdomen, such as appendicitis, acute gastroenteritis, ectopic pregnancy, etc.

Pain in the right lower abdomen is accompanied by low back pain. We need to identify the main causes from the outside to the inside, including pain from external diseases of the skin, muscles, fascia, ligaments, and pelvic organs. When we think about the skin, muscles, fascia and ligaments, it is very simple to make an external judgment. We can understand whether it is a local external factor through local stretching, compression, and tenderness. However, some pain in the pelvis needs to be differentiated as acute inflammation or space-occupying lesions in the pelvic organs.

What organs are inside the pelvic cavity? They include the uterus and fallopian tubes, ovaries, intestines, bladder, ureters, kidneys, appendix, etc.

If these organs experience acute inflammation, not only pain and inflammation may occur, but also some functional changes.

There are also some common space-occupying lesions, including benign and malignant tumors. In this case, the doctor needs to conduct a comprehensive physical examination and auxiliary examination based on other combined symptoms to further clarify the diagnosis.

Women's right lower abdominal pain may be caused by these diseases

1. Appendicitis

The first symptom of acute appendicitis is abdominal pain. In the early stage, the pain is mostly in the upper and middle abdomen or around the umbilicus. After a few hours, the pain may move to and settle in the right lower abdomen, and the previous upper abdominal or around the umbilicus pain will be alleviated or disappear. In addition, it may be accompanied by nausea, vomiting, loss of appetite, low fever and other symptoms.

Chronic appendicitis may also cause pain in the right lower abdomen. The symptoms of this disease are intermittent dull pain or bloating, which is sometimes light and sometimes heavy. The pain is in a fixed location and is usually more obvious during exercise, fatigue, cold, and after meals.

Response: For those with severe symptoms, you should consider whether resection is necessary. When pain occurs occasionally, you can take medication for a period of time to suppress the pain, but it is not recommended to take it all the time. You should maintain a good attitude, avoid cold drinks, avoid catching cold, eat more fruits and vegetables, and pay attention to food hygiene.

2. Acute gastroenteritis

Acute gastroenteritis is usually caused by food poisoning due to eating some unhygienic food. The patient may also experience pain in the right lower abdomen, often accompanied by severe vomiting, diarrhea, fever and other symptoms.

Response: For patients with mild symptoms, oral glucose can be taken, and antiemetics and antispasmodics can be injected if necessary. Patients should strictly control food hygiene, wash their hands before and after meals, disinfect vegetables and fruits before eating them raw, and avoid eating at street stalls frequently.

3. Ectopic pregnancy

Women who have sex need to pay special attention. Ectopic pregnancy refers to the pregnancy process in which the fertilized egg implants and develops outside the uterine cavity. Patients often experience severe pain in the right lower abdomen, which is usually severe and dangerous. Due to intra-abdominal bleeding, the patient will feel anal prolapse, frequent urge to defecate, pale face, dizziness and weakness, and will be accompanied by vaginal bleeding, which can severely lead to hemorrhagic shock.

Response: Ectopic pregnancy is a relatively serious disease, so you should take precautions in your daily life. If you are not considering becoming a mother for the time being, you should take good contraception, pay attention to hygiene during menstruation, delivery and postpartum period, treat reproductive system diseases in time, and avoid the possibility of ectopic pregnancy.

4. Acute cholecystitis

The pain of acute cholecystitis usually occurs after meals or in the middle of the night. The pain is generally located in the right upper abdomen or upper abdomen. Sometimes the pain extends to the right shoulder or scapula. The patient may also have fever, vomiting, jaundice and other phenomena.

Response: Patients need to drink plenty of water, and can supplement sodium and potassium salts in the water; it is best to eat light liquid foods that are high in carbohydrates, low in fat, and low in cholesterol, such as rice soup, lotus root powder, red date soup, etc.; avoid fried, irritating, and high-sugar foods, and eat more fruits and vegetables.

5. Follicle rupture

Follicle rupture often occurs during ovulation due to. After the follicles mature, the eggs are released from the ovaries. The rupture of the follicles causes lower abdominal pain. The abdominal pain may occur alternately on the left and right sides every month, but not every woman will experience ovulation abdominal pain every month, and it generally does not cause adverse consequences to women's health.

Response: Be sure to keep warm during ovulation. Due to increased secretions, special attention should be paid to personal hygiene to avoid inflammatory infections. If the abdominal pain is severe, you can take some painkillers under the doctor's advice.

6. Gynecological inflammation

There are many gynecological inflammations that can cause pain in the right lower abdomen of women, such as pelvic inflammatory disease, adnexitis, endometriosis, etc., which often occur in women of childbearing age. The pain is on one or both sides. In addition to feeling pain in the right lower abdomen, it is usually accompanied by an odor and increase in leucorrhea, low back pain, menstrual disorders, etc. Under the stimulation of excessive leucorrhea, it is also easy to cause vulvar itching and burning.

Response: Conduct targeted examinations, and actively cooperate with the doctor for treatment after diagnosis. Pay attention to personal hygiene, keep the vulva clean, try to wear pure cotton light-colored underwear, eat less spicy, raw, cold, sweet and greasy foods, and avoid eating shrimp, beef, mutton and other irritating foods. Drink more warm water and eat a light diet.

7. Abdominal pain caused by physiological deformity

Common ones include hymen occlusion and vaginal septum. Symptoms include abdominal pain due to menstruation and obstruction of menstrual blood discharge during adolescence. The pain is closely related to menstruation and occurs cyclically, requiring surgical correction.

8. Abdominal pain caused by tumor

The abdominal pain, bloating, back pain and feeling of falling caused by tumors are generally persistent. If the tumor twists, ruptures, or bleeds, sudden abdominal pain often occurs. This is the "self-exposure" of the tumor and usually requires immediate surgical treatment.