Causes of dull pain in the right lower abdomen of girls

The reasons for abdominal pain in girls are actually not simple. There are many diseases that can cause abdominal pain, especially pain in the lower right abdomen, which should not be ignored. Gynecological diseases, gynecological inflammation, menstruation, ovulation, etc. are all major factors. Girls are different from boys. When girls experience abdominal discomfort, they should not delay or take chances. It is best to get checked quickly to avoid more diseases and damage to the uterus and ovaries. Only when you are healthy can you be a confident and happy woman.

Reasons for lower right abdominal pain in girls:

1. Caused by inflammation

The reason why women experience pain in the right lower abdomen is closely related to gynecological inflammation, the most common of which are adnexitis and pelvic inflammatory disease, and these conditions mostly occur in women of childbearing age. The pain in this case is generally on one or both sides, and is accompanied by an increase in leucorrhea. Some chronic patients may also experience dull pain, back pain or a feeling of heaviness; acute cases often present with abdominal pain that is resistant to pressure and is accompanied by fever.

2. Menstrual cycle

Some women often experience pain in the right lower abdomen during menstruation. Experts point out that these are normal physiological phenomena. If they are more serious, they will develop into dysmenorrhea. Postmenstrual dysmenorrhea is mostly caused by some disease. Women in this group should pay attention to early examination and treatment, and never blindly use painkillers on their own.

3. Gynecological diseases

The cause of pain in the lower right abdomen of women may also be certain gynecological diseases, such as endometriosis, which can form lumps on the ovaries, uterus, and rectum, which can aggravate abdominal pain before and during menstruation. Pelvic bleeding or blood stasis can also cause pelvic pain, and this pain often manifests itself in the base of one thigh.

4. Ovulation caused

Many women also experience lower abdominal pain during ovulation, which is caused by the rupture of the follicle. Generally speaking, this pain does not affect your health. At the same time, there are no adverse consequences, but in a very small number of people, due to large rupture of the ovarian follicle during ovulation, small blood vessels are damaged, causing ovarian rupture and intra-abdominal bleeding, resulting in gynecological emergencies. At this time, treatment must be carried out.

5. Physiological deformity

As for the causes of pain in the right lower abdomen of women, some factors are caused by physiological deformities, such as hymen occlusion and vaginal diaphragm. These symptoms can cause abdominal pain when the menstrual cycle and obstruction of menstrual blood discharge occur in adolescent women. Moreover, the pain is closely related to the menstrual cycle and occurs cyclically, requiring surgical correction.

6. Acute appendicitis

Another cause of right lower abdominal pain is acute appendicitis. The pain is initially in the upper abdomen and then gradually moves to the right lower abdomen. It is also accompanied by nausea, vomiting, loss of appetite, fever, and fear of pressing the right lower abdomen. If you experience symptoms of acute appendicitis, seek emergency medical attention as soon as possible.

Possible causes of right lower abdominal pain in men:

1. Non-pathological factors

For example, excessive drinking, insufficient rest, staying up late, overwork, etc., may cause great damage to the human body, resulting in pain in the lower right abdomen, and may also be caused by the occurrence of calcification foci in the liver.

2. Caused by liver and gallbladder diseases

Especially in liver diseases such as hepatitis B and cirrhosis, due to liver lesions, the liver morphology changes, causing the liver capsule outside the liver to be stretched or squeezed, causing pain in the lower right abdomen.

3. Reproductive system problems

When we suffer from reproductive system diseases, we will experience pain in the lower right abdomen, such as common urinary tract infection.

4. Appendicitis

When the disease occurs, the first symptom is dull pain in the upper abdomen or around the navel, often accompanied by loss of appetite, nausea or vomiting, and low fever, fatigue and other symptoms in the early stage of the disease. If treated in time, no serious consequences will occur.

5. Cholecystitis

It is one of the most common gallbladder diseases, with main symptoms including right upper abdominal pain, nausea, vomiting and fever.

6. Male prostatitis

It is the most common disease among adult males. Acute prostatitis may cause systemic symptoms such as pain in the right lower abdomen, chills, fever, fatigue, etc.

7. Viral hepatitis

In medicine, there are many cases of acute or chronic hepatitis that may cause pain in the lower right abdomen. And it is often accompanied by symptoms of nausea and vomiting.

8. Normal phenomenon

Men may experience dull pain on the right side of their abdomen after strenuous exercise. This pain is not a disease but a normal phenomenon and will gradually recover after proper rest. So, don’t worry. At the same time, experts also remind male friends to exercise in moderation.

Examination for right lower quadrant pain:

1. Routine examination of blood, urine and feces

An increase in the total white blood cell count and neutrophil granulocytes indicates inflammatory lesions, which is an item that almost every patient with abdominal pain needs to be examined. The presence of large numbers of red blood cells in the urine indicates urinary stones, tumors, or trauma. The presence of protein in the urine and white blood cells indicates a urinary tract infection. Purulent and bloody stools indicate intestinal infection, while bloody stools indicate strangulated intestinal obstruction, mesenteric thrombosis, hemorrhagic enteritis, etc.

2. Blood biochemical examination

Increased serum amylase indicates pancreatitis and is the most commonly used blood biochemical test in the differential diagnosis of abdominal pain. Blood glucose and blood ketone measurement can be used to diagnose abdominal pain caused by diabetic ketoacidosis. Increased serum bilirubin indicates biliary disease. Examination of liver, kidney function and electrolytes is also helpful in diagnosing the condition.

3. Routine and biochemical examination of peritoneal puncture fluid

When abdominal pain is undiagnosed and abdominal effusion is found, abdominal puncture examination must be performed. The fluid obtained from the puncture should be sent for routine and biochemical examinations, and bacterial culture should be performed if necessary. However, visual observation after obtaining the puncture fluid is usually helpful in diagnosing intra-abdominal bleeding and infection.

4. X-ray examination

Abdominal X-rays are the most widely used examination in the diagnosis of abdominal pain. If free gas is found below the diaphragm, gastrointestinal perforation is almost certain. Intestinal obstruction can be diagnosed by dilation of the intestinal cavity with gas accumulation and a large amount of fluid in the intestine. Calcifications in the ureteral area may indicate ureteral stones. Blurred or disappeared psoas muscle shadow indicates retroperitoneal inflammation or bleeding. X-ray barium meal or barium enema examination can detect gastric and duodenal ulcers, tumors, etc. Barium meal radiography should only be contraindicated when intestinal obstruction is suspected. Gallbladder and bile duct angiography, endoscopic retrograde pancreatic cholangiography and percutaneous cholangiography are very helpful in the differential diagnosis of biliary and pancreatic diseases.

5. Real-time ultrasound and CT examination

It plays an important role in the differential diagnosis of liver, gallbladder and pancreatic diseases. When necessary, liver puncture can be performed based on ultrasound positioning to confirm liver abscess, liver cancer, etc.

6. Endoscopic examination

It can be used for the differential diagnosis of gastrointestinal diseases, which is often needed in patients with chronic abdominal pain.

7. Ultrasound examination

It is mainly used to examine bile duct and urinary system stones, bile duct dilatation, pancreatic and hepatosplenomegaly, etc. It also has good diagnostic value for small amounts of abdominal effusion, intra-abdominal cysts and inflammatory tumors.

8. Electrocardiogram

For older people, an electrocardiogram should be performed to understand the myocardial blood supply and rule out myocardial infarction and angina pectoris.