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Causes of lower abdominal pain

The painful sensations arising from the woman's lower abdomen on the right may indicate a huge number of pathologies and diseases, since it is in this area that a large number of vulnerable organs are located. In addition, the cause of the pain can be determined depending on its nature: pulsating, shooting, cutting, piercing. What is the lower right abdomen in women? How to act with one or another of the symptoms? This is what we will discuss in the article.

What is the lower right abdomen in women?

The right lower abdomen of a woman contains the following vulnerable organs:

  • the appendix is ​​a process of the worm-shaped species, which opens into the rectum,
  • most of the intestines, the divisions of which are highly susceptible to inflammatory diseases, obstruction and oncology,
  • the ureter is the organ that controls the transport of urine from the kidneys to the bladder,
  • the fallopian tubes.

The main causes of severe pain in the lower right abdomen

According to numerous studies by medical practitioners, severe pain in the lower abdomen on the right of women can directly indicate the presence of lesions of the internal organs located in this area.

The main causes of pain in this area include the following:

  • acute appendicitis
  • chronic and acute diseases associated with the functioning of the intestines,
  • acute and chronic forms of diseases of the reproductive system,
  • pathology associated with the functioning of the kidneys and urinary system.

Sharp pains

A sharp pain in the lower abdomen on the right in women is most often associated with an attack of appendicitis and requires immediate surgical intervention by medical professionals. Confirmation of the diagnosis is the fact that for a long time before the attack, the woman felt nagging pain in different parts of the abdomen.

Attention! If the discomfort is accompanied by a significant increase in body temperature and emetic urge is present, then wait until the pain becomes sharp, you should not, you should immediately contact the doctor.

In addition, the presence of pain in the right lower abdomen in women, extending to the lower back and left side, may indicate an ectopic pregnancy. This pathology is characterized by the fact that the ovum is placed in one of the fallopian tubes. Due to the fact that the fallopian tubes are quite thin, the fertilized egg formed there can provoke a rupture of the tube, as a result of which there are sharp pains. Quite often there are situations when the pipe is broken even before the woman learns about pregnancy.

It is necessary to regularly visit the gynecologist, then identify the pregnancy, and even more ectopic, is not difficult. If this is not done and there is a rupture of the fallopian tube, then there is a high probability that in the future a woman may have difficulties in trying to get pregnant.

Quite often, sharp painful sensations arise due to the presence of inflammation of a chronic form in the intestine. A prime example is Crohn's disease. With this disease, the pain is almost identical to those that occur with appendicitis, but there are a few differences. Even before the occurrence of a sharp pain in a woman over a long period of time (from 2 days to 2 months) there is an unstable chair. Therefore, it is not always the knowledge of what is in the lower abdomen to the right of women, allows you to immediately make an accurate diagnosis. Sometimes it is necessary to pass an additional examination.

Painful sensations of whining character

The aching pain on the right lower abdomen in women is not news to anyone, since it almost always occurs during menstruation. But if the unpleasant sensations of this nature do not coincide with the period of the onset of menstruation, then you should immediately contact the doctor, since there is a likelihood of an acute or chronic inflammatory process in the abdominal cavity.

Therefore, if there is a pulling pain in the right lower abdomen of a woman, the first thing to be suspected is the presence of chronic or acute inflammation of the appendages. This pathology is also called adnexitis. An additional symptom characteristic of the presented pathology is the presence of mucopurulent discharge from the vaginal area. The presence of adnexitis can be a complication due to abortion or the result of severe hypothermia.

In the absence of timely access to a doctor, the pathology will develop, increasingly affecting the genital organs, as a result of which the woman will not be able to give birth to a child in the future.

Pain associated with intestinal pathologies

A piercing pain in the lower abdomen on the right in women can be triggered by the presence of the following diseases associated with the intestines:

  1. Diverticulosis - a disease in which there is a protrusion of the intestinal walls. Symptoms are similar to signs of appendicitis. In severe cases of the disease, intoxication is observed. In addition to the painful sensations, general weakness, increase in body temperature, diarrhea or constipation, emetic urges are characteristic.
  2. Occlusion. In the presence of torsion of the intestines, the pricking pain can transform into a sharp one. For the pathology is also characterized by such manifestations as gagging after eating food, the absence of peristaltic noise, accompanied by a lumen in the loops of the intestines.
  3. Duodenitis - the presence of inflammation in the duodenum and small intestine. A related symptom is digestive upset.
  4. Diseases of the liver. If hepatitis is in the initial stages, then they can absolutely not manifest themselves, the piercing pain is characteristic of the later stages and if at this time, nothing is done, then the pain becomes very strong. The formation of cirrhosis and cholecystitis is observed.
  5. Pancreatitis - the presence of inflammation in the pancreas.

Pain in gynecological diseases

Cutting, pulling, sharp and dull pain in the right lower abdomen in women can be triggered by a number of gynecological diseases:

  1. Salpingitis is a disease characterized by the presence of an inflammatory process in the area of ​​the right fallopian tube. The disease can develop due to mechanical (complications from abortion, labor or other surgical interventions) and microbial (presence of sexually transmitted infections) causes. In addition to the presence of painful sensations in the lower right part of the abdomen, an increase in the body temperature index is observed. There is an increase in pain during urination, sex and exercise.
  2. Ovarian cyst (observed his bulging). A bubble develops on the ovary, inside of which there is a translucent or completely transparent liquid. As a result, the ovary increases in size. The causes of cyst formation can be normal hormonal disorders. In some situations, the cyst can disappear on its own, but in most cases surgery is required.
  3. Ovary apoplexy. There is a rupture of a cyst in the area of ​​the ovary, which may be accompanied by the occurrence of bleeding. Apoplexy develops as a result of an overgrowth of a cyst, stretching of the walls of the ovary, or prolonged exercise. Painful in nature are similar to those that occur during appendicitis. With the development of such a pathology, urgent surgical intervention is necessary.
  4. Endometriosis is a disease characterized by rapid proliferation of the mucous membranes of the uterus. In the presence of such a pathology, hormonal disturbances and heavy bleeding can be observed. In addition to the painful sensations in the right lower abdomen, this pathology is characterized by such manifestations as an increase in the duration of menstruation and the occurrence of discomfort during sexual intercourse.
  5. Endometritis - the presence of inflammation in the surface layers of the uterus wall. Among the main reasons for the development of this pathology are the presence of sexually transmitted infections, hypothermia, and disruptions in the hormonal background. In addition to pain in the area presented, you can observe an increase in body temperature, symptoms of intoxication and purulent discharge from the vagina.

Lymph node pathology

If a woman has a pain in the lower abdomen, on the right, closer to the vagina, this may indicate the presence of an inflammatory process in the pelvic organs, which leads to an increase in the inguinal lymph nodes.

The inflammatory process in the area of ​​the inguinal lymph nodes is called lymphadenitis and can occur on both the right and left side. It is the right-sided lymphadenitis that causes pain in the area presented. Also, pathology may be accompanied by a significant increase in body temperature and symptoms characteristic of intoxication.

Painful sensations in diseases of the veins

At this stage of time, a large number of girls and women suffer from such a disease as pelvic varices, which provokes the development of persistent pain in the specified area of ​​the abdomen. The main reason for the development of pathology is the presence of stagnation of blood in the vessels of the pelvis, which occurs in connection with the hormonal changes in the body, including during the first menstrual periods and carrying a child.

At the initial stages of development, the disease may absolutely not manifest itself, and the pain will appear immediately before or during menstruation. If at this moment the disease is not diagnosed, then a persistent pain syndrome arises, the treatment of which is possible only with the use of the whole complex of drugs, and in some cases it is impossible to do without surgical intervention.

Femoral artery lesions

The femoral artery is responsible for supplying the anterior abdominal wall with blood, therefore, for the smallest lesions of the abdomen, the side of the lower right abdomen may hurt in women.

The following types of femoral artery pathologies can be observed:

  1. Aneurysm - the inner walls of the arteries are stratified, the bulge of the bag-shaped form is formed on them. Slightly lower than the aneurysm there are signs of lack of blood supply, and slightly higher signs of stagnation of blood are visible. The pain in the right lower abdomen is very strong, sometimes, it is almost impossible to endure.
  2. Thrombosis of blood vessels. A lumen of arteries in the area of ​​occurrence of cholesterol plaques.

Painful sensations during menstruation

Pain in the right lower abdomen occurs in about 10% of women during menstruation. In most cases they are piercing or pulling. In the area of ​​pain localization, there may be a feeling of having a tight lump.

In most cases, these feelings last for 24-48 hours and disappear during the release of the egg from the ovary. If you pay attention to vaginal discharge, then in a specified period of time they will be more mucous and thick, it is possible that there will be a small number of bloody inclusions.

If these painful sensations do not have associated symptoms, then there is no need to treat them. In cases where the pain is hard to endure, the doctor prescribes a single use of antispasmodics or painkillers.

What to do if there is pain in the right lower abdomen?

If you experience pain in the right lower abdomen, you should not immediately take painkillers, as this may make it difficult to diagnose the cause of this condition.

That is why in case of pain in the specified area, the following actions should be performed:

  1. It is necessary to abandon the movements and take a position in which the pain at least slightly decreases.
  2. It is required to assess the nature of the pain, while taking into account such factors as the presence of pregnancy and chronic diseases. Be sure to pay attention to the presence of concomitant symptoms (fever, diarrhea, retching, general weakness).
  3. If the pain is not present before, then you must call an ambulance. If the existing nature of the pain has already arisen, then you can go to the local clinic on your own.

You need to understand that self-medication for such manifestations of pain is unacceptable, because you can only complicate the situation. Particular attention to such manifestations should be given to women who are carrying a child, since the pain in the right lower abdomen can directly indicate the presence of ectopic pregnancy.

In any case, even if you know that women are in the lower abdomen on the right, if you have painful sensations, you should not diagnose the cause yourself. This can be done only by the attending physician. Therefore, be sure to visit it, and then follow all its regulations.

Abdominal pain: organic causes

Pain in the lower peritoneal region, with a clear and vague localization (right, left, in the lower part, covering the entire lower abdomen) can occur as a result of organic causes and physiological processes in women. Pain syndrome can also accompany physiological processes, such as painful sensations when the bowel is bulging with gases produced during digestion, or pain when the muscular-ligamentous apparatus adapts to the growing volume of the uterus during the child's gestation.
Abdominal pain in organic disorders due to various diseases and can occur in the following cases:

  • in diseases of the reproductive organs (endometritis, endometriosis, ovarian apoplexy and cystic formations in this organ, andexitis, uterine myoma, etc.),
  • in diseases and pathologies of the urinary system, digestive tract, acute surgical pathologies (appendicitis, cholecystitis, pyelonephritis, bladder inflammation, intestinal infections, etc.),
  • the presence of a foreign body in the uterine cavity (intrauterine device, especially if the rules of use are not followed, the terms of replacement, the spiral grows into the endometrium),
  • pathologies of the gestation period: ectopic pregnancy, developing miscarriage, the process of premature placental abruption, the consequences of medical abortions and other surgical interventions.

Pain is determined by the nature of the disease or pathology and can be characterized as sharp, pulling, grappling, aching, spilling, stabbing, sharp, dull, etc.

Abdominal pain as a symptom of appendicitis

Inflammation of the appendix or appendicitis, contrary to popular belief, may be accompanied not only by pain in the iliac region to the right. The classical picture of appendicitis starts with pain in the epigastric region, most often it shifts to the right, however, pain may spread to other parts of the abdominal cavity and radiate to the lower back. The severity and variety of sensations can be changed from sharp, cutting pains to dull and aching, depending on the severity of the inflammatory process. Appendicitis is also accompanied by an increase in body temperature, symptoms of general malaise (nausea, vomiting, chills).

Pain with infections of the urinary system

Most often, with cystitis, pyelonephritis, the lower abdomen in women hurts, male patients with urinary tract diseases experience other symptoms due to the different anatomical structure of the body.
Pain in infectious diseases of this type are accompanied by frequent urination, there may be bloody inclusions in the urine. When pyelonephritis is also observed pain in the lumbar spine, often - hyperthermia of the body, signs of general intoxication (loss of appetite, feeling of nausea, headaches, etc.).

Endometriosis

Endometriosis, the proliferation of endometrial cells, characteristic of the uterine cavity, in the intrauterine space and outside it, is most often expressed by nagging pains that increase during the premenstrual and menstrual periods. Painful sensations vary depending on the stage of the disease and localization: the lower abdomen in the middle region hurts when the endometrium grows in the uterus, the retrocervical form of endometriosis and the growth of tissues in the appendages can hurt below the abdomen, in the groin or pubic region.

Pain as a symptom of ovarian apoplexy

Ovarian apoplexy develops as a result of a ruptured mature follicle during the ovulatory period. The condition is accompanied by damage to the vessels of the ovary, hemorrhage into the peritoneal cavity. The provoking factors include intense physical exertion, sexual intercourse, etc.
Резкая боль справа или слева (в зависимости от локализации поврежденного яичника) у женщины в период овуляции, сопровождающаяся падением кровяного давления, обморочным состоянием, бледностью кожных покровов – повод для срочного вызова специалиста. Апоплексия яичника – состояние, угрожающее жизни и требующее экстренного оперативного вмешательства.

Боли при миоме матки

Uterine fibroids are accompanied by pain in the lower abdomen with large-sized formations that exert pressure on the surrounding tissues and neighboring organs (aching, numbing pain), as well as in the removal of the formation: rejection of myoma node is accompanied by cramping pains, bleeding from the vagina. The treatment is entirely surgical.

Ovarian cyst: pain when torsion of the legs

Ovarian cyst is a formation consisting of the body and the “leg” containing blood vessels. With physical effort, fall, sudden movements of the body, gymnastic exercises, the leg of the cystic formation is prone to twisting due to the displacement of the body position of the cyst. Partial torsion disrupts the outflow of venous blood from the cyst body, which is accompanied by nagging, aching pain from the affected ovary.
Full torsion of the legs stops arterial blood flow, causing tissue necrotization. This process is accompanied by a clinical picture of "acute abdomen": strong, cramping lower abdominal pains on the right or left, hyperthermia, signs of poisoning of the body. Urgent surgery is required.

Inflammation of the appendages, uterus

Andexitis, salpingoophoritis, endometritis, inflammation of the uterus and its appendages of various etiologies, depending on the form of the disease, can be accompanied by aching, pulling pain in the lower abdomen and groin, as well as by pronounced painful sensations that increase with palpation of the inflamed organ.

Pain in ectopic pregnancy

The implantation of the egg after fertilization outside the uterus (most often in one of the fallopian tubes, less often inside the ovary, in the peritoneum) is accompanied by pain of a pulling, aching nature in the lower abdomen, radiating to the lumbar region.

With the growth of the embryo, increased pressure on the surrounding tissue begins, with tubal pregnancy without surgery, accompanied by rupture of the fallopian tube, sharp, severe pain, internal hemorrhage. Treatment is emergency, operative.

Why lower abdomen hurts women during pregnancy

Photo: fizkes / Shutterstock.com

The first trimester of the gestation period is often accompanied by pain in the lower abdomen. Hurt below the abdomen, in the groin area in the first months, with threatening miscarriage, ectopic pregnancy, accompanying gestation and aggravating diseases due to its background.

However, most often such nagging, aching pains are called "uterus tone" and mean the physiological process of adaptation of the muscle tissue and ligaments to changes in the reproductive organ. In the absence of additional symptoms, such pain does not require therapy or anesthesia. In some cases, spasmolytics may be prescribed (Papaverin, No-Spa).

Sick lower abdomen in the second and third trimester may also be due to the increasing load on the ligamentous apparatus, accompanied by softening of ligament tissue, lack of calcium, pressure on the cervix. Normally, physiological pain does not require treatment and pass with relaxation, change of body position, moderate physical exertion.
A sharp, pronounced pain syndrome with localization of the lower abdomen with a low location of the placenta may be a sign of its premature detachment and require urgent medical intervention. Cramping pain, periodic tension of the uterus may be a sign of the beginning of the “training fights” of Brexton-Hicks, a physiologically normal phenomenon, and a symptom of the threat of miscarriage. With the appearance of any new pain, consultation of a specialist is necessary.

Algomenorrhea

This diagnosis is most common at the age of puberty and the formation of organs of the reproductive system. Algomenorrhea is accompanied by pain before menstruation. It requires differentiation from premenstrual syndrome, endometritis, endometriosis, stagnation associated with uterine bend, intrauterine inflammatory diseases, etc.

Why does the lower abdomen hurt in the middle of the menstrual cycle?

Pain during the ovulation period occurs in about 10% of women of reproductive age. They are most often characterized as stabbing, localized on the side of one of the ovaries (bottom right or left), or pulling, accompanied by a feeling of a "tight lump" in the lower abdomen.

As a rule, such sensations last no more than 24-48 hours, ending with the release of an egg from the ovary. If you pay attention to the vaginal discharge, then on this day they will be more mucous, thick, "vitreous", there may be minor bloody inclusions.

Such pain, which is not accompanied by additional symptoms, does not require treatment. A single dose of antispasmodics or painkillers can be prescribed by a doctor.

Pain after intercourse

Most often, pain at the end of sexual intercourse, which is not accompanied by orgasmic contractions, is associated with edema of tissues, a rush of blood to organs in the process of arousal. It is also possible pain associated with tissue trauma during excessive sexual intercourse, and pain as a symptom of diseases of the pelvic organs: adhesive disease, endometriosis, endometritis or andexitis in a chronic form, cervicitis, tumorous tumors of the genital organs.

Pain is most often a sign of disorders, dysfunctions, and disease processes in organs and tissues. The physiological causes of pain in the female reproductive system are limited to the menstrual cycle, ovulation, gestation, and usually manifest as pulling, aching pain, limited in time and occurring on certain days and periods.

All other manifestations should be a reason for examination by a specialist and a course of treatment.

Why is this happening

Right pain in women can occur for various reasons. Sometimes this is a consequence of diseases and organic causes, and it happens that it becomes a consequence of physiological processes.

For example, with increased gas formation, there is an expansion of muscle tissue in the intestine, which leads to the corresponding consequences of the pain effect.

A similar picture can be observed with an increase in the uterus and changes in the muscle and ligamentous tissues during childbirth.

All these processes affect the state of well-being of women, so each cause should be considered separately.

But it happens that the reasons why there is pain in the lower abdomen on the right side are of organic origin. Often they arise as a result of the activities of numerous diseases.

Main reasons:

  • The occurrence of diseases associated with the reproductive system. These include uterine fibroids, ovarian cysts, polyps, endometritis and others.
  • Diseases and pathologies in the urinary system, in the gastrointestinal tract, complex forms of surgical pathologies. These include intestinal infection, cystitis, pyelonephritis, inflammation of appendicitis and inflammation in the bladder.
  • If a foreign body is present in the body. For example, there is a spiral in the uterus. Failure to comply with certain rules of use, there are serious complications. This is due to non-compliance with the shelf life of the wearing or growing of the subject in the fabric.
  • Various pathologies may develop associated with multiple abortions, the development of ectopic pregnancy, the formation of premature abdomen in the uterus and the development of miscarriage. Often such pathologies occur after surgical interventions.

Depending on the provoking reasons, share the degree of pain. They are pulling, aching, stabbing, sharp and cramping. Consider the most common diseases in which they occur.

Inflammation of appendicitis

Many people mistakenly believe that an inflamed appendicitis can manifest pain only on the right.

This is indeed a misconception, because the disease originates from the epigastric region.

Further, the pain flows into the ileum and the lower back. Pain syndrome is able to cover the entire abdomen, especially below and in the right part.

At this time, associated signs may occur. This is an increased body temperature, chills, nausea, emetic urge. The nature of the pain effect is balanced from acute pain, to aching and dull.

In the most acute cases, there is cramping pain, which holds down all movements of the patient.

In this case, you need to immediately call an ambulance, because an appendix rupture and blood infection may occur.

Intestinal infections

With the defeat of the body intestinal infection, there is a defeat of the body with toxins and harmful substances that actively poison the body.

All this is accompanied by relevant signs, among which pain is not the last value.

Initially, it covers the entire abdominal cavity and does not have an exact location.

But as the malady develops, the pain rushes to the lower abdomen, accompanying additional signs of the disease.

This is the development of diarrhea, fever, general malaise, weakness and drowsiness. In acute forms, nausea is observed, which flows into vomiting.

Sometimes the painful effect can spread to neighboring departments, for example, to the lumbar.

Problems in the urinary system

Problems in this area include diseases affecting the urinary system. These are cystitis, pyelonephritis and other inflammatory processes.

In women, these diseases have slightly different symptoms, because there is an anatomical difference between the sexes. In the weaker sex, acute pain in the abdomen is observed.

The patient has a constant desire to visit the toilet. But each such visit is accompanied by severe pain syndromes.

If the cystitis is infectious, in addition to the inflammatory process, spotting may be observed in the patient's urine.

This form is considered acute and requires immediate treatment under the supervision of a physician.

Dizziness, nausea, vomiting and weakness join the listed symptoms. General malaise may last for a week or more.

Endometriosis development

When this disease occurs, there is a massive proliferation of endometrial tissue cells. They cover the entire uterine region, so it can form on the right.

Such growths in the uterine cavity, outside and cover its appendages. Such a process always accompanies pain. It is located in the lower abdomen and is defined as pulling.

Often manifested at the time of menstruation and before it begins. Depending on the degree and stage of damage, depends on the nature of the pain, and the place of its localization.

In the most complex forms, an acute and stabbing attack of pain can be observed, which spreads throughout the abdomen. Sometimes painful sensations are given to the groin and pubic area.

Ovary apoplexy

This condition of the ovary occurs as a result of a follicle rupture during ovulation. At this time, the blood vessels in the ovary are damaged, causing a sharp pain on the right or left.

It all depends on which side the damaged ovary is in (on the right or left side). Hemorrhage occurs in the abdominal cavity. The reasons for this manifestation can be both physical exercise and sexual intercourse.

If this condition is accompanied by a decrease in blood pressure, weakness, dizziness, pallor of the face and skin, this is a serious reason to cause emergency care, since this condition requires hospitalization, inpatient treatment and intervention of medical staff and surgical care.

This disease has very serious consequences that are very dangerous for life.

Uterine myoma

Myoma in the uterus is called a tumor, which is located in the cavity of this organ in women and is constantly increasing in size.

As she grows, she is accompanied by a characteristic aching pain in the lower abdomen on the right or left.

When the neoplasm reaches a large size, this node begins to extend beyond the uterus.

This action is accompanied by acute and cramping pain, since the large node begins to put pressure on both adjacent organs and connective tissues, and on the walls of the uterus.

The painful condition affects the general condition, and blood can be released from the vagina.

At the first such signs, immediately call an ambulance. This disease requires medical care and can only be treated surgically.

Cyst in the ovary

When a cyst is formed in the ovary, a neoplasm occurs that affects the ovary. The body of this formation consists of two parts - the legs and the main body.

During vital activity (any physical activity, physical activity, sports exercises, etc.), twisting of the stem of this neoplasm can occur.

When the leg of the ovary is partially twisted, the venous blood is blocked, which causes a nagging pain in the lower abdomen to the right or left (depending on the location of the affected organ - the right or left ovary).

All this is accompanied by weakness, malaise and a deterioration in the general condition of women.

But if there was a complete twisting of the cyst stem, arterial blood is blocked, with terrible consequences.

There are acute pains in the lower abdomen on the left or on the right. The general condition is accompanied by sensations as in case of poisoning of the body.

Here it is important to call a doctor in time, because one cannot do without surgical intervention. This condition is life threatening.

Lower abdominal pain on the right. What could it be?

Lower abdominal pain on the right may indicate damage to organs located directly in the right iliac region. This is the final section of the small intestine (ileum) and the initial sections of the large intestine (cecum, appendix, ascending section of the colon).

In women, pain in the right lower abdomen can occur with gynecological pathology (right-sided lesion of the uterus appendages - the ovary and / or fallopian tube).

In addition, in this area there is an irradiation of pain in diseases of the urinary system (renal colic).

For correct diagnosis, the intensity of pain should be taken into account - a sharp pain in the right lower abdomen, as a rule, indicates an acute process. In such cases, it is important to exclude pathologies that require emergency surgery (acute appendicitis, interruption of tubal pregnancy, torsion of the legs of an ovarian cyst, etc.).

Detailing pain syndrome includes determining the nature of pain. Cramping pain indicates contractions of the smooth muscle muscles, and is especially characteristic for abortion of tubal pregnancy and renal colic.

An important diagnostic value is the direction of the irradiation of pain. Abdominal pain on the right, caused by the defeat of the relevant sections of the intestine, as a rule, do not radiate. In the case of renal colic, pain gives in the lower back, in the groin, on the inner surface of the thigh. When gynecological problems, pain, in addition, often radiates to the sacrum and rectum.

Attention should be paid to the factors that reduce and strengthen the pain syndrome. Thus, in case of acute appendicitis and gynecological pathology, the pain syndrome decreases with the patient's sparing position in bed, and in the case of renal colic, the pain causes the patient to constantly be in motion.

It is important to determine the initial localization of pain, since in many diseases the pain syndrome has a characteristic migration. So, in the case of acute appendicitis, it occurs in the central regions of the abdomen, and then shifts to the right and down. In inflammatory diseases of the appendages, pain is first of all bilateral.

In addition, pay attention to related the symptomssuch as nausea, vomiting, urinary disturbance.

It is also necessary to find out the background to the appearance of pain - have there been any previously unpleasant feelings in this area, and does the patient have diagnosed diseases of the digestive tract, urinary system, or chronic gynecological pathology?

It is especially important to identify the circumstances preceding the appearance of pain in women:
1. Delayed menstruation is characteristic for interrupting ectopic pregnancy.
2. Inflammation of the appendages is often preceded by manipulation of the uterus or hypothermia.
3. Torsion of the legs of an ovarian cyst often occurs after physical overstrain.
4. Ovarian apoplexy is usually associated with ovulation.

A thorough analysis of the symptoms and information about the beginning of the disease allows you to make a preliminary diagnosis, and decide on treatment tactics.

Character, symptoms and types

The pains in women in the lower abdomen on the right are constant and periodic, sharp, dull, aching, pulling, burning, cutting, and so on.

They can often be accompanied by other symptoms.. These include diarrhea, nausea, vomiting, general weakness, fever, pressure drop, and so on.

The location of pain may vary, they can be given to the thigh, sacrum, lower back, to capture the abdominal space entirely.

Часто боли снизу справа живота у женщин связаны с гинекологическими причинами.

Если ощущения возникают резко и интенсивно, речь наверняка идет об острой патологии.

Read on our site all about the treatment of colpitis in women! You will learn about the most effective drugs and recommendations of doctors.

In the next article we will talk about the symptoms of chronic adnexitis and how the disease is treated in the acute stage.

How to cure bacterial urethritis in women? We offer to get acquainted with modern methods of treatment and preventive measures right here: https://beautyladi.ru/uretrit/.

Diseases in which pain may occur

The first suspicion of the appearance of severe pain on the right side of the lower abdomen in a woman is gynecological diseases, but the problem may lie in the other. It is necessary to highlight such popular causes of this trouble:

If there is a sharp cramping pain in the lower abdomen on the right, the woman abnormal tubal pregnancy is possible.

This condition requires immediate surgical intervention.

Since the cause is quite common, all patients of childbearing age with complaints of pain are diagnosed ectopic pregnancy.

The condition is usually accompanied by additional symptoms.such as delayed menstruation, bloody discharge, pallor of the skin, rapid pulse, decrease in pressure. If the operation is done later than necessary, the woman may lose a lot of blood.

  • Overturn or similar deviation of the cyst stem. Actual problem for young women. Additionally, nausea, fever, problems with urination, secretions of blood makes itself felt. If there is even minimal suspicion of this condition, as soon as possible go to the doctor.
  • Ovary apoplexy. This term refers to damage to the ovarian membrane, which is characterized by bleeding in the inner zone of the abdomen. Symptoms may be the same as in ectopic pregnancy.
    • Inflammation of the appendages. It can provoke both aching, and pulling, and stitching pains in the lower abdomen on the right in women. Symptoms are similar to acute appendicitis, so only a doctor can make a diagnosis. The disease may escalate as a result of hypothermia. Chronic form is usually easier to diagnose.
    • Intestinal pathologies. Painful sensations of a cutting or pulling character at the very bottom of the right part of the abdomen are possible with certain disorders in some parts of the large intestine and in the lower part of the small intestine.
    • Acute appendicitis. Usually it is this reason that is assumed to be one of the first. The pain in women in this case will be sharp and sharp, they are localized in the lower part of the lower abdomen to the right. In the classic version of an acute attack, discomfort usually occurs in the center of the abdomen, and then shifts to the right and down.
    • Diverticulitis. This condition is characterized by colic in the right lower abdomen. If an acute form or exacerbation of the chronic is suspected, timeliness of therapy is especially important. In some cases, immediate hospitalization with surgery is needed.
    • Crohn's disease. It suggests prolonged inflammation in the intestinal area, which is found in 20% of appendicitis removal operations. The reasons are similar to the latter. If Crohn’s disease is suspected, additional tests will be indicated.

    Tumors in the intestines. Pulling pain in the lower abdomen can speak of benign and malignant tumors in the large or small intestine.

    Painful sensations often occur after pressing on tissues that are close together. In addition, right-sided tumors in the intestines often provoke bleeding, which is why chronic anemia is possible.

    Malignant tumors have other characteristic symptoms, such as loss of appetite, exhaustion, weakness. In this case, it is important to have a detailed examination in stationary conditions with further removal of the neoplasm.

  • Acute mesadenitis. This is an inflammation of the lymphatic vessels of the intestine, in which discomfort occurs in the very lower abdomen. The intensity may be different. Often this condition is manifested against the background of tuberculosis.
    • Diseases of the urinary system. Usually they make themselves felt like stitching pains. We can talk about renal colic, which requires examination and therapy in inpatient conditions.

    Pregnancy. Dull and nagging pains are often manifested in pregnant women due to certain physiological characteristics. They can trigger an increase in the uterus.

    When can you take action yourself

    Any pain is a symptom of something wrong in the body. Therefore, medical intervention is necessary in most cases.

    But there are situations when things are not so serious, and you can take appropriate measures yourself. For example, if the cause is intestinal colic, and you know about it.

    Then it may be enough to drink No-shpy and soothe the digestive tract with herbal decoction, for example, mint.

    Lower right abdominal pain often occurs in women before or during menstruation. Although normally they should be painless, few women can boast of it.

    Such discomfort is physiological, and usually passes by itself, but you should not endure it. You can drink painkillers, which should always be in your medicine cabinet just in case.

    When do I need to go to the doctor?

    If the pain is intense, do not cease for several hours and in principle interfere with the usual activities, you need to contact a specialist. The first is to visit a gynecologist and a gastroenterologist.. If necessary, they will refer you to other doctors, such as an infectious diseases specialist or even an oncologist.

    Since the diagnosis for such a blurry symptom is quite complicated, It is recommended to conduct a series of samples:

    • General blood analysis,
    • Urinalysis, involving seeding and susceptibility testing with respect to antibiotics,
    • Diagnosis of pregnancy
    • Ultrasound of the pelvic organs to detect tumors,
    • If inflammation is suspected, an analysis of church mucus is performed,
    • Kuldocentez, which determines the presence of fluid in the area of ​​the uterus and direct intestine,
    • X-ray of the peritoneum,
    • Laparoscopy of the pelvis.

    Find out on our website about drugs in the treatment of cystitis in women! Look for a list of the most popular and effective in our article.

    What causes ureaplasma in women? You will learn all about this disease and its effective cure from our special review.

    About how hormonal failure in women manifests, and what should be the correct treatment, tell here: https://beautyladi.ru/gormonalnyj-sboj/.

    Prevention and helpful recommendations

    Please note that If acute pains have arisen in the lower abdomen, the following actions should not be performed:

    • Try not to take antispasmodic and analgesic drugs. They can make it difficult to diagnose.
    • Do not apply heat to the affected area, otherwise the infection may spread through the blood.
    • Do not flush the intestines. If the cause was intestinal obstruction, water will only worsen the situation.
    • Do not take laxatives. They can only aggravate your condition.

    Why does Elena Malysheva tell in the next video why the stomach hurts women in the lower right?

    Severe lower right abdomen pain in women - already reason to see a doctor. Since the causes of this condition can be many, the main measure of prevention is to regularly visit the gynecologist and, if possible, periodically complete a comprehensive examination of the body. Also important is a healthy lifestyle and proper nutrition.

    Why does the belly hurt left

    The body of children is significantly different from the body of an adult person, not only anatomically, but also physiologically. Many organs and systems begin to work fully only at the age of majority.

    This explains some of the differences in the causes that can cause right abdominal pain in adults and children. Statistically there is a significant part of the pathologies, which occurs more often in younger children and almost never occurs later.

    That is why the pain in the abdomen in children requires special attention and appeal to the pediatrician, a specialist familiar with the features of the child's body.

    Abdominal pain

    are quite common that the vast majority of women face. Most often they are caused by physiological causes and do not indicate the development of any serious disease. Moderate recurrent pain and discomfort can be caused by overeating, fetal growth, child movements (

    ), the compression of some organs or their displacement. However, any regular pain, and especially acute, should be taken seriously. Many dangerous diseases will debut or worsen during pregnancy. In this case, they may endanger the health of both the mother and the fetus.

    • feature of intercourse,
    • diseases of internal genital organs.

    At the beginning of sexual activity, the girl may experience lower abdominal pain during and after intercourse. However, normally, over time, the pain passes. In addition to pain, girls may have spotting in the first sexual acts, which also disappear after a time.

    Pain in the lower abdomen during or after intercourse may be triggered by insufficient production of natural vaginal lubrication. The lack or scarcity of lubrication leads to the fact that during intercourse creates friction, which can injure the mucous membrane of the vagina and cause painful sensations in a woman.

    Another cause of lower abdominal pain during intercourse can be vaginismus. Vaginismus is a disease characterized by a painful spasm of the vaginal muscles, which during sexual intercourse causes a woman to feel discomfort and pain in the lower abdomen.

    Abdominal pain, which increases with urination, is the main symptom of cystitis.

    1 inflammation of the right testicle (concomitant symptoms - an increase in the size of the affected organ, headache, fever, weakness. If the inflammation is not resolved in time, the disease can turn into a chronic stage. Launched orchitis can lead to infertility, impotence, metabolic disorders, changes in the shape of the female type, the formation of malignant tumors),

    3 prostatitis, with such a problem, abdominal pain can give in the right side (diagnosed in every second man over the age of forty, accompanied by a decrease in sexual desire, compaction of the prostate tissue in the absence of signs of inflammation, frequent urination, sluggish erection, premature ejaculation, partial emptying of the bladder.

    In the acute form of the disease, fever, chills, and swelling of the prostate gland are added to the indicated signs, preventing the flow of urine. The transition of the disease to the chronic stage is fraught with the development of such complications as infertility, impotence, sepsis, pyelonephritis, recurrent cystitis) ,.

    1 dysfunction of the urinary system,

    2 inflammation of the appendix (with appendicitis, pain is localized in the lower third of the abdomen and is permanent. On palpation of the abdominal cavity, muscle tension is felt, which is accompanied by fever, chills, diarrhea, nausea, and vomiting.

    If a person does not provide medical care in time, the appendix can rupture, and its contents will spill out into the abdominal cavity, causing blood poisoning and inflammation of the tissues of nearby organs (sepsis and peritonitis).

    Periodic or protracted abdominal pains during pregnancy disturb almost every woman. They are the most frequent reason for visiting female consultation, because in some cases, they can be a dangerous symptom and require immediate treatment. So, below we consider why the stomach hurts during pregnancy.

    Required tests

    Since it is very difficult to recognize the causes of pain, it is appropriate to carry out diagnostic tests:

    1. Complete blood count to diagnose inflammatory processes by changing the number of enzymes.
    2. Urinalysis with seeding and testing for susceptibility to antibiotics (the presence of bacteria, a change in the number of red blood cells or white blood cells indicates pathological processes in the urinary system).
    3. Diagnostic study on the presence of pregnancy in a woman.
    4. Conducting an ultrasound examination of the pelvic organs to detect tumors, such as tumors in the appendages.
    5. Analysis of cervical mucus if there is a suspicion of an inflammatory process with antibiotic susceptibility testing.
    6. Conduct cultured for the presence of fluid in the uterine and rectal region.
    7. X-ray picture of the organs of the peritoneum, standing, lying on its side and on the back, to identify intestinal obstruction, internal bleeding, ruptures of the cyst, areas of calcification during stone formation in the gallbladder and kidneys.
    8. Laparoscopy of the pelvic organs, to determine the most acceptable methods of patient management without extensive surgical intervention.

    Gynecological diseases

    In case of inflammation of the appendix, paroxysmal stabbing or aching pain of fuzzy localization appears first above the navel, after which it moves to the iliac-inguinal area on the right and becomes permanent. As the disease progresses, it becomes oppressive, arching or burning.

    If the patient lies on his left side, then a sharp pain in the lower abdomen increases, there is severe vomiting, chills, loss of appetite. Antispasmodic and analgesic drugs are contraindicated.

    Dangerous symptoms of peritonitis - inflammation of the abdominal wall - are the strongest pain syndrome, fever. Gradually increasing pain in the abdomen spreads to the soft tissues of the abdominal cavity. The patient needs urgent help from a doctor, because there is a risk of serious complications.

    The feeling of pain in the right side may be associated with irregular menstruation, hormonal disruption, exposure to pathogenic microorganisms. Sometimes the feeling of pain is a normal reaction of the body to menstrual bleeding - this condition is called algomenorrhea and is accompanied by increased blood flow to the pelvic organs.

    Painful sensations on the right side can disturb a woman with impaired urine formation, as well as blood filtration. The pain is accompanied by the development of inflammatory processes, as well as the development of dystrophic, degenerative, oncological pathologies. In some cases, the pain can be so intense that they can not be stopped by using drugs with anesthetic action.

    Diseases of the urinary system

    Right-sided abdominal pain is observed with renal colic, pyelonephritis, bladder inflammation, kidney tumor. The most common cause of pain in the right side of the abdomen is urolithiasis.

    Comprehensive diagnostics will allow you to understand the causes of discomfort. Ultrasound, X-ray diagnostics with a contrast agent, clinical analyzes make it possible to identify pathology.

    Stitching pains in the abdomen in the lower right side, of paroxysmal character, as a symptom of exacerbation of diseases of the upper urinary system. The pathological processes associated with the upper part of the urinary system are characterized by stabbing paroxysmal pain, localized in the very lower abdomen. A patient with renal colic needs to be placed in a hospital, a series of additional tests and a course of therapy should be carried out.

    In 25% of cases, pain in the lower abdomen is caused by inflammatory diseases of the gastrointestinal tract. Gastritis and pancreatitis are the most common ones.

    Gastritis - inflammatory and dystrophic changes in the gastric mucosa. Long-flowing disease, while ignoring the treatment of which, goes into a stage of destruction of the stomach - an ulcer.

    The treatment is made by prescribing a therapeutic diet - essential diets, as well as the use of medical drugs that change the acidity level of gastric juice and drugs that keep the stomach from exposure to hydrochloric acid.

    Pancreatitis - inflammation of the pancreas. Enzymes and toxins that are released during illness, when discharged into the bloodstream, can cause significant damage to vital organs (heart, stomach, kidneys).

    Pain in the abdominal cavity in this disease is the most acute, and, more often, treatment is carried out in stationary conditions.

    Pain in the lower abdomen can also manifest itself during exacerbation of lumbosacral osteochondrosis (in combination with lower back pain), pelvic varicose veins, exacerbations of hemorrhoids (combined with bleeding from the anus, itching and discomfort during defecation).

    Bowel disease

    Urolithiasis (urolithiasis) is a disease of the kidneys and bladder, manifesting the release of stones (stones). Dangerous because it later provokes the development of pyelitis and pyelonephritis, renal colic.

    Treatment produces diuretic anti-inflammatory drugs, as well as citrate suppositories.

    Pulling, aching, or stabbing pain in the lower abdomen to the right is characteristic of lesions of the end section of the thin

    Judging by the fact that you are now reading these lines - the victory in the fight against diseases of the gastrointestinal tract is not on your side ...

    И вы уже думали о хирургическом вмешательстве? Оно и понятно, ведь желудок — очень важный орган, а его правильное функционирование- залог здоровья и хорошего самочувствия. Frequent abdominal pain, heartburn, bloating, belching, nausea, impaired stool ... All these symptoms are familiar to you firsthand.

    Appendicitis

    Hot stitches in the lower abdomen on the right are often found in diseases of the upper urinary tract. They are especially characteristic of the so-called renal colic, which most often accompanies urolithiasis.

    Even experienced surgeons often experience difficulties in the differential diagnosis of renal colic and appendicitis.

    By the nature of the pain

    Stitching pain, having a right-sided localization, in women may be associated with inflammation of the right appendage. With this pathology, a woman complains of severe pains on the right side, which appear in the lower back, sacrococcygeal region and lower abdomen. In acute infectious inflammation, the pain syndrome can have such a high intensity that it completely limits the mobility of the patient.

    Other clinical manifestations of salpingoophoritis (as well as its isolated forms - salpingitis and oophoritis), which together allow you to diagnose disorders in the functioning of the appendages, are:

    • painful sensations of sharp or sharp nature on the side of the abdominal area,
    • temperature increase (usually within a subfebrile condition),
    • nausea (very rarely - vomiting),
    • weakness,
    • severe headaches, in intensity resembling a migraine attack,
    • signs of general intoxication (headache, chills).

    Salpingoophoritis treatment is carried out in a hospital. The woman is prescribed antibacterial and anti-inflammatory drugs in an injection form, physiotherapeutic procedures, and anesthetic drugs. The duration of treatment is usually 7-10 days, but in severe cases, hospitalization can be delayed for up to three weeks.

    abdomen may vary in nature and intensity. Each patient describes the pain in different ways, as this is a subjective sensation, and the doctor cannot determine its nature. However, based on the complaints of the patient, it is sometimes possible to suspect a particular disease. Of course, the diagnosis does not end there. Analysis of complaints and identifying the nature of pain will only narrow the range of possible diseases.

    It should be remembered that almost all pathologies that cause pain in the right side of the abdomen can cause various pains. That is, when

    , for example, pain can be dull at first, then pulling, and then acute, unbearable (

    ). However, a certain pattern in the nature of pain can be distinguished. It focuses not only on the type of pain, but also on the conditions in which it appears.

    • hurts stomach right when walking,
    • hurts stomach right when pressed
    • hurts stomach on the right during menstruation,
    • hurts stomach right after sex,
    • aching pain in the stomach on the right,
    • cutting pain in the lower abdomen on the right,
    • throbbing lower right abdomen,
    • constant abdominal pain on the right,
    • recurrent abdominal pain on the right,
    • cramping pain in the lower abdomen on the right,
    • sharp sharp abdominal pains on the right.

    Hurts stomach right when walking

    When walking, tension in the abdominal muscles and an increase in intra-abdominal pressure occur. This explains the exacerbation of abdominal pain. The root cause of these pains can be a variety of diseases, from muscle pathologies to inflammatory processes and neoplasms. If the pain is exacerbated when walking, you must comply with bed rest. In no case can not ignore this symptom (

    ) and walk through force. The pain speaks of the irritation of certain structures in the abdomen. The longer this happens, the more serious the consequences. For example, a chronic appendicitis in such conditions can turn into acute, and elastic, unrestricted

    - complicate and cause

    Sore belly on right when pressed

    Clicking on the abdomen increases intra-abdominal pressure, which, in turn, can provoke increased pain in some pathologies. Also, when you press the leaf, the peritoneum presses against the area of ​​inflammation, which causes pain. In general, it is believed that increased pain during palpation of the abdomen in a certain place says that the pathological process is localized there. That is, with reflected pains (

    ) the pain will not intensify in response to pressing.

    If pain appears when you press on the lower part of the abdomen to the right, we can talk about appendicitis, and

    Diagnosing pain in the right side of the abdomen is a very complicated process, as this symptom can be caused by many different reasons. At the same time, to establish the cause is necessary for the appointment of the correct treatment.

    A preliminary diagnosis is usually made by emergency doctors or a family doctor at the first contact with the patient. After that, depending on the results of this examination, the patient can be hospitalized in the department of surgery, gastroenterology, gynecology, therapy for further examination and diagnosis.

    Physical examination

    Physical examination involves a series of simple manipulations and a general examination of the patient in order to collect primary information about the disease. For abdominal pains, palpation of the abdomen is usually the most attention.

    This is the palpation of organs and formations of the abdominal cavity through the anterior abdominal wall. The patient assumes a lying position, slightly bends his legs at the knees, breathes deeply and relaxes the abdominal muscles.

    Palpation must begin from the area that is least painful, and end with the most painful area. Some diseases can be suspected with a high degree of probability already at this stage (.

    • increased pain (often talking about the inflammatory process),
    • hypersensitivity of the skin - pain with a simple touch in certain places,
    • abdominal muscle tension - often speaks of ulcer perforation, peritonitis and other serious surgical pathologies,
    • pain when slowly pressing and abrupt tearing of the arm (a positive symptom of Shchetkin-Blumberg) indicates a local involvement of the peritoneum in the inflammatory process,
    • liver enlargement - may indicate hepatitis of different origin,
    • pain in the right ileal fossa - often occurs with appendicitis, adnexitis in women,
    • local abdominal distention - can speak about intestinal obstruction in this place,
    • abnormally located seals - as a rule, they turn out to be tumors of various organs,
    • uniform increase in the abdomen with fluid accumulation - most often indicates pathological processes in the liver.

    There are other pathological changes by which the doctor may suspect a diagnosis. In addition to palpation, it is important to listen to the breath and feel the pulse. Both breathing and pulse increase in acute inflammatory process. In addition, with severe pain, the patient's breathing is modified, he tries to increase the inspiratory amplitude of the chest, but the stomach is not involved in this process.

    Other important indicators of overall health are

    ) heart tones. All this gives information about how the various systems of the body work and often makes it possible to suspect the cause of pain.

    Radiography

    One of the most serious conditions in medicine is the acute abdomen. It is characterized by severe pain in any part of the abdominal cavity and is most often caused by an active inflammatory process. Diseases with symptoms of acute abdomen are an urgent indication for admission to a specialized (

    ) Department of the nearest hospital. The most favorable prognosis is when surgery is performed in the first few hours of the onset of symptoms. With a later visit to the doctor, serious complications develop that worsen the evolution of the pathological process and lengthen the recovery period after the provision of qualified medical care.

    For severe abdominal pains, it is unacceptable to engage in self-treatment and self-diagnosis, to refuse hospitalization or to apply various manipulations at home in order to reduce symptoms. It is also inappropriate to prematurely waste time on attempts to establish the exact cause of the symptoms.

    There are too many of these reasons, and some of them require immediate treatment. The final diagnosis will be made in the hospital.

    Sometimes it becomes clear only during the operation, which is carried out, if the pain does not go away, and their cause is not clear.

    • history taking,
    • abdominal examination
    • blood test.

    To eliminate the pain in the lower abdomen, it is first necessary to reliably determine its cause. For this, a medical examination, palpation, laboratory and instrumental methods are used.

    Depending on the etiology of the disease, the nature of the pain is different, as they may be:

    The reasons for which the lower abdomen may hurt women, experts classify as two main groups.

    Aching pains

    Occurs in the following diseases:

    • Prostatitis.
    • Prostate hyperplasia (proliferation of prostate tissue, indistinguishable from symptoms of prostatitis).
    • Vesiculitis Inflammation of the seminal vesicles. "Goes" in conjunction with prostatitis and creates a typical clinical picture with him.
    • Cystitis.
    • Pyelonephritis.
    • Nephritis.
    • Sigmoiditis.
    • Colitis.

    Pains

    Most characteristic of:

    • Cystitis
    • Urinary tract problems.
    • Colitis.
    • Orchitis and testicular problems. Including cryptorchidism, testicular torsion, epididymitis (inflammation of the appendages).
    • Herniated intervertebral discs (give symptomatology with radiating pain in the lower abdomen, incontinence of urine, feces, gas, problems with motor activity).

    Sharp pains

    • Appendicitis.
    • Pancreatitis.
    • Cholecystitis.
    • Flatulence (less).

    Regardless of the nature of the pain syndrome, it is not possible to make an accurate diagnosis based only on the data of the patient’s oral questionnaire and history taking. The doctor pays close attention to a whole range of objective data, including laboratory and instrumental research data.

    Pain in the lower abdomen occurs in many diseases. Understand yourself is impossible. Examination and diagnosis - the prerogative of the doctor. Spending time on empty guesses is not worth it, it is recommended to contact a specialist.

    The pains in women in the lower abdomen on the right are constant and periodic, sharp, dull, aching, pulling, burning, cutting, and so on.

    They can often be accompanied by other symptoms. These include diarrhea, nausea, vomiting, general weakness, fever, pressure drop, and so on.

    The location of pain may change, they can be given to the thigh, sacrum, lower back, to capture the abdominal space as a whole.

    Often the pain from the bottom right of the abdomen in women is associated with gynecological causes.

    When diagnosing the cause of the pain in the lower abdomen of a woman, the pain itself is often conditionally divided into three types.

    Pain in the hypochondrium and right side in pregnant women, causes of lower abdominal pain during pregnancy

    Dull abdominal pain on the right at the very bottom of women, occasionally appearing, may be in pregnant women due to physiological characteristics. An increase in uterus size is also accompanied by pain.

    If a pregnant woman has pain cramping in nature, then this is a sign of pathology in this case, you need to contact a gynecologist. To diagnose the course of pathological processes in women in the second part of pregnancy is particularly difficult because of the displacement of internal organs.

    Whatever the causes of pain in the lower right of women, you should not engage in self-diagnosis, it is better to consult a specialist.

    1 the process of implantation of the embryo into the uterine lining,

    2 stretching the uterus under the pressure of a growing fetus,

    3 excessive motor activity of the infant,

    4 pathologies of fetal development,

    5 inflammatory process in the pelvic organs,

    7 digestive disorders,

    8 intestinal infection

    9 inflammation of the spleen,

    10 renal dysfunction

    11 the threat of spontaneous abortion.

    If the pain in the side and hypochondrium is accompanied by the release of blood from the vagina, high body temperature, dizziness, nausea, and gagging, then urgent aid should be called in to eliminate the threat to the life and health of the infant and his mother.

    Inflammation in the uterus and its appendages

    Any disturbances, inflammations and diseases affecting the uterus and its appendages in women are accompanied by unpleasant symptoms, among which pain is noted.

    It is localized in the lower abdomen and can be either on the left or on the right. There is a deterioration of the patient, weakness, dizziness and apathy. Nausea and loss of appetite may occur.

    Among the ailments, such symptoms can provoke andexitis, uterine inflammation, salpingoophoritis and endometritis. The characteristic of pain can be varied and depend on the degree of damage.

    Allocate as sharp and stabbing, and aching pain. On palpation of the inflamed areas, pain may increase.

    With such violations necessarily seek help from professionals. It is impossible to postpone a visit to the hospital, it can cause serious complications.

    Ectopic pregnancy

    When ectopic pregnancy occurs in women, a sensation of pulling pain can also be observed. In this situation, the fertilized egg moves and secures outside the uterus.

    Often, it attaches and develops in the right or left fallopian tube. Sometimes it happens that such a pregnancy occurs in the right side of the ovary. Accordingly, there is a aching pain in the right lower abdomen.

    As the pain increases, such sensations can be felt in the lumbar and other areas of the abdomen.

    As pregnancy develops, an increase in the embryo occurs, which exerts its pressure on the adjacent walls of the organs.

    If an ectopic pregnancy develops in the fallopian tube, as the embryo grows, pressure on the tube walls occurs.

    If this pathology is not detected in time, rupture of the fallopian tube may occur, leading to internal bleeding in the abdomen and further complications.

    This condition requires immediate surgical intervention.

    At the first signs of pain on the right, or in the left part of the lower abdomen, which are accompanied by these signs, urgently cause emergency care.

    This condition requires surgery, otherwise there may be serious consequences and a threat to life.

    Pregnancy

    In the early stages of pregnancy, women may experience pain. It bothers the lower abdomen, and can also be localized on the right.

    Such a manifestation can cause various causes associated with ectopic pregnancy, the threat of miscarriage and various comorbidities.

    Such painful sensations have a nagging and pulling character. And often they do not require any treatment, since they are a sign of the organism's adaptation to new changes in the uterus.

    This phenomenon is called uterine tone, which can be disturbing on the right. If it is not accompanied by additional symptoms, it does not need to be treated.

    To reduce pain, the doctor may prescribe a pregnant antispasmodic.

    In the later stages of pregnancy, painful sensations in the lower abdomen on the right may appear due to a strong strain on the ligamentous tissues. This is due to the growth of the fetus and the increase in its mass.

    In a normal pregnancy, this condition does not require any treatment, and all the signs disappear with the correct body position, complete relaxation and a conveniently chosen posture for sleep.

    If these feelings take an acute form of pain, rolling from left or right, an urgent appeal to the doctor is necessary, as the threat of miscarriage or premature birth may develop.

    At this point, there may be premature placental abruption, which entails these consequences.

    Premenstrual syndrome

    During ovulation, there may be pain, mostly of a pulling or aching nature. These unpleasant sensations cover the lower abdomen and can be both on the right and on the left.

    This syndrome covers women in reproductive age. These sensations last from one to several days, after which the syndrome goes out. At this point, the egg leaves the ovary.

    The nature of vaginal discharge in this period will be thick, slimy, having a vitreous structure. In rare cases, there is bloody discharge.

    In the absence of additional symptoms, no special treatment is required. For anesthesia it is allowed to take a painkiller once, but only after consulting a doctor.

    After intercourse

    If at the end of sexual intercourse, there is pain, covering the lower abdomen, the formation of edema of the tissues, accompanied by a rush of blood to the genitals due to sexual arousal.

    This also includes injured tissues during intensive sexual intercourse, diseases in the pelvis. These include adhesions, cancer tumors, endometriosis, cervicitis, andexitis and endometritis.

    Unpleasant sensations can cover the entire abdomen - right, bottom and left.

    At the first painful sensations in women, when the pain syndrome covers the abdomen, regardless of the place of localization (right, below or in the left area), immediately consult a doctor.

    In many cases, this is a consequence of a developing disease, and sometimes its aggravation. Особенно это касается острых болевых проявлений, когда ощущаются нестерпимые боли, нарастающая и схваткообразная.

    If you ignore these signs, there may be serious complications, and sometimes it is life threatening. Only a doctor is able to examine the body in detail, and diagnose the disease.

    After clarifying the diagnosis, the doctor will prescribe the correct treatment. Self-treatment is dangerous both for health and for human life.

    Sharp pain in the lower abdomen on the right with acute appendicitis

    Acute appendicitis is the first suspicion arising from a doctor when the patient complains of a sharp pain in the lower right abdomen.

    The fact is that acute appendicitis, which is an inflammation of the appendix of the cecum, is the most common disease in which severe pain is typical in this area.

    With classic acute appendicitis, pain occurs in the central part of the abdomen, and after 12-24 hours it shifts down and to the right.

    A sharp pain in the lower abdomen on the right with appendicitis may increase and subside, but once it has arisen, it does not disappear. As a rule, pain increases with coughing and walking, weakens in the prone position on the diseased (right) side.

    Nausea and vomiting (usually single), rarely diarrhea. Characterized by mild fever.

    If acute appendicitis is suspected, emergency medical care is necessary (surgery to remove the appendix), since the delay threatens with serious complications such as rupture or gangrene of the inflamed appendix with subsequent development of peritonitis.

    Possible causes of abdominal pain during pregnancy

    In answering this question, all possible causes can be divided into two large groups - those associated with pathologies of organs in both female and male bodies, and those caused by gynecological diseases. Since the first part of the reasons was discussed in detail in the article “Pain in the lower abdomen on the right,” this is why in this publication we will focus on purely female issues.

    Physiological causes

    As you know, inside the abdominal cavity of a person there are many different muscles and organs. In this regard, the complaint of pain in the right part of the abdomen requires careful consideration of various factors, and examination to identify the real cause of such pain.

    As a rule, a person experiencing pain in any part of his body, including in the abdomen, tends to take a pain relief pill as soon as possible in order to alleviate his condition. This is fundamentally wrong and in some cases even unacceptable.

    Abdominal pain on the left, most often indicates any disruption of the functioning of the spleen. Disruption of the work of the spleen categorically can not be left without attention, because it may be fraught with rupture of the organ.

    At the same time, a person feels a pain of strong intensity that cannot be sustained, and the skin on the abdomen turns blue sharply. In this case, a person’s life directly depends on how quickly emergency medical assistance will be provided.

    Causes of pain in women can be divided into 2 groups: organic and functional.

    Causes of pain in women

    Diagnosing pain in the right side of the abdomen is a very complicated process, as this symptom can be caused by many different reasons. At the same time, to establish the cause is necessary for the appointment of the correct treatment.

    A preliminary diagnosis is usually made by emergency doctors or a family doctor at the first contact with the patient. After that, depending on the results of this examination, the patient can be hospitalized in the department of surgery, gastroenterology, gynecology, therapy for further examination and diagnosis.

    Ectopic Reproductive Disorders

    • history taking,
    • abdominal examination
    • blood test.

    Some causes of pain in the right side of the abdomen are associated with anatomical and physiological differences. But there are diseases that develop with equal frequency in women and in men.

    Why hurts in the right side of the lower abdomen in women

    When patients call the doctor, voicing a complaint of acute pain from the right side of the abdomen, the surgeon first examines them. The most dangerous disease in this case is appendicitis.

    Among the functional reasons, there are:

    • menstrual pathologies,
    • inflammation in the female organs,
    • uterine bleeding,
    • Uterus bend,
    • pain during ovulation.

    According to the way the pain symptom is manifested in women, it is blunt or pulsating, paroxysmal, acute or pulling. Accompanied by lower abdominal pain, nausea with vomiting, high fever, vaginal discharge with a musty odor, weakening of the body.

    Menstrual flow is associated with contractions of the uterus that cause pain. It hurts the lower abdomen at the beginning of menstruation in girls and women who have not given birth. After the end of critical days, painful manifestations are more often present in adult women when there have been several genera.

    The reason for the deterioration of health and pain before menstruation are various factors. Slight malaise and aching pain during this period are considered the norm.

    Possible causes of pain:

    • diet and unhealthy diet
    • overwork and overcooling
    • diseases of female organs,
    • injuries after an abortion or childbirth with complications,
    • the effect of the intrauterine device,
    • hormonal changes,
    • inflammation in the body
    • PMS,
    • algomenorrhea.

    If you feel pain in the abdomen on the left, then you need to accurately determine exactly which place on the left side hurts. The cause of the pain is usually a disruption of one of the organs located on the left side of the abdominal cavity. Often pain can be caused by disturbances in other parts of the body, as well as psychological problems.

    Diverticulitis, which, in addition to abdominal pain, is accompanied by nausea, constipation, and sometimes fever.

    Intestinal obstruction. This disease can cause very severe pain from both the left side and the entire abdominal cavity. Has additional symptoms: vomiting, loose stools, or the complete absence of stool. This is quite a serious disease requires the mandatory treatment in a medical institution.

    Abdominal pain of this kind, and especially constant, can be a symptom of a rather dangerous or even fatal disease. On the right side in the abdominal cavity are the vital organs:

    • gall bladder
    • and liver
    • cecum
    • and appendix.

    1 the process of implantation of the embryo into the uterine lining,

    2 stretching the uterus under the pressure of a growing fetus,

    3 excessive motor activity of the infant,

    4 pathologies of fetal development,

    5 inflammatory process in the pelvic organs,

    7 digestive disorders,

    8 intestinal infection

    9 inflammation of the spleen,

    10 renal dysfunction

    11 the threat of spontaneous abortion.

    If the pain in the side and hypochondrium is accompanied by the release of blood from the vagina, high body temperature, dizziness, nausea, and gagging, then urgent aid should be called in to eliminate the threat to the life and health of the infant and his mother.

    Depending on the etiology of the disease, the nature of the pain is different, as they may be:

    The reasons for which the lower abdomen may hurt women, experts classify as two main groups.

    Causes of Symptom in Men

    Stitching pain, having a right-sided localization, in women may be associated with inflammation of the right appendage. With this pathology, a woman complains of severe pains on the right side, which appear in the lower back, sacrococcygeal region and lower abdomen.

    In acute infectious inflammation, the pain syndrome can have such a high intensity that it completely limits the mobility of the patient.

    Other clinical manifestations of salpingoophoritis (as well as its isolated forms - salpingitis and oophoritis), which together allow you to diagnose disorders in the functioning of the appendages, are:

    • painful sensations of sharp or sharp nature on the side of the abdominal area,
    • temperature increase (usually within a subfebrile condition),
    • nausea (very rarely - vomiting),
    • weakness,
    • severe headaches, in intensity resembling a migraine attack,
    • signs of general intoxication (headache, chills).

    Salpingoophoritis treatment is carried out in a hospital. The woman is prescribed antibacterial and anti-inflammatory drugs in an injection form, physiotherapeutic procedures, and anesthetic drugs. The duration of treatment is usually 7-10 days, but in severe cases, hospitalization can be delayed for up to three weeks.

    • epigastric (upper floor of the abdominal cavity),
    • mesogaster (middle floor of the abdominal cavity),
    • hypogastric (lower floor of the abdominal cavity).

    Treatment of the pathology that caused the development of lower abdominal pain should be aimed at restoring the normal function of the affected organ (

    ), improving the quality of life of the patient, as well as the prevention of relapse (

    If you have symptoms of inflammation of the pelvic organs, you should seek medical advice as soon as possible. Early detection can prevent an undesirable outcome of the disease. Such a symptom as pain in the abdomen can be a manifestation of not only any gynecological problem, but also a surgical pathology (for example, appendicitis).

    Determining the causes of pain in the lower abdomen in women, doctors divide them into two conditional groups. The reasons why a woman’s lower abdomen hurts can be organic and functional.

    Sharp or / and cramping abdominal pain in the right abdomen in violation of tubal pregnancy

    - pathology in which the fertilized egg for one reason or another begins to develop outside the cavity

    The first thing that comes to mind when it comes to pain in the abdomen on the right side is an inflammation of the appendix. But there are many other diseases that are characterized by similar manifestations.

    Lower left abdominal pain in women may be the result of gynecological ailments, as well as diseases of other organs located in the area or in other parts of the body. In the latter case, talking about the radiating pain.

    Before mentioning the main causes of this condition, it is worth saying that it is not an independent disease. Pain in the groin on the right in women always indicate a process.

    It may be pathological or functional. Independently diagnose is almost impossible.

    However, a woman can fully appreciate the nature and intensity of the discomfort. They can be piercing, cutting, pulling or sharp.

    Pain in the groin on the right of a woman can give to the abdominal cavity, leg, or lumbar region.

    Pain during pregnancy

    Abdominal pain

    Lower abdominal pain may be one of the first signs of pregnancy.

    Fertilization of the egg occurs in the ampullary part of the fallopian tube. From the moment of the merger of the sperm and the egg, the woman begins pregnancy.

    The fertilized egg, thanks to the flickering of cilia of the epithelium and peristaltic movements, moves through the fallopian tube to the uterine cavity. Having reached the uterine cavity on the sixth - eighth day, the embryo (blastocyst) is implanted in its mucous layer.

    The introduction of the embryo into the uterine wall can cause a woman to develop painful sensations in the lower abdomen and the appearance of bleeding in small quantities. However, it should be noted that the manifestation of pain in the lower abdomen is a presumptive sign of pregnancy.

    The alleged signs of pregnancy also include:

    • taste perversion
    • nausea and vomiting,
    • exacerbation of smell,
    • general weakness and malaise,
    • drowsiness,
    • frequent urination,
    • coarseness and tenderness of the mammary glands,
    • increase in the abdomen in size,
    • skin pigmentation.

    These signs are based on the subjective feelings of the woman. Therefore, to confirm the pregnancy, a woman is recommended to visit a gynecologist or obstetrician, undergo an ultrasound examination or make

    Dull abdominal pain on the right at the very bottom of women, occasionally appearing, may be in pregnant women due to physiological characteristics. An increase in uterus size is also accompanied by pain.

    If a pregnant woman has pain cramping in nature, then this is a sign of pathology in this case, you need to contact a gynecologist. To diagnose the course of pathological processes in women in the second part of pregnancy is particularly difficult because of the displacement of internal organs.

    Whatever the causes of pain in the lower right of women, you should not engage in self-diagnosis, it is better to consult a specialist.

    Pain in any part of the body of a pregnant woman should cause serious concerns and requires immediate treatment to a specialist.

    If the gestation period is short, then acute pain in the abdomen may appear due to a rupture of the tube, if the pregnancy is ectopic.

    The course of pregnancy is associated with pulling pain in the abdomen at different times. They are of physiological and pathological origin. Physiological pain does not require treatment and is associated with the development of the fetus.

    In the initial period, the pulling pains cause changes in the body associated with an increase in blood flow in the uterus and its stretching, swelling of the ligaments and blood vessels of the reproductive organs. A volatile, throbbing pain during this period is considered normal. It is easily removed by relaxing in a horizontal position.

    In the second trimester, the uterus is actively growing, which is accompanied by stabbing and pulling sensations. They are marked on the right and left, amplified after sharp movements. Silence after changing the position of the body.

    A pulling, and later a sharp pain on the left or on the right during pregnancy may be disturbed by the threat of miscarriage, therefore if a woman is pregnant and her stomach hurts like before menstruation during pregnancy, it is necessary to find out why it is not delaying.

    If there is a threat of miscarriage, cutting, stabbing, nagging pains manifest as a result of uterine contraction to 22 weeks of gestation. A woman complains that her back aches, sometimes there is bloody discharge, as during menstruation. Whether the stomach can hurt, how strong such pains, depends on the condition of the woman.

    However, in pregnant women, it periodically hurts on the right or on the left almost on everyone. And such aching pains are often associated with the growth and development of the fetus. But still, if a woman has a delay in menstruation, and she suspects pregnancy, why the lower abdomen hurts, it is better to ask a specialist whose profile is gynecology.

    Pain during pregnancy can be divided into two groups.

    A sharp pain in the lower abdomen to the right with torsion of the cyst legs of the right ovary

    Torsion of a cyst (tumor of the ovary) occurs, as a rule, at a young age. The development of complications contribute to the size of the tumor, as well as various conditions, accompanied by changes in intra-abdominal pressure and blood circulation in the tumor (increased physical exertion, overflow of the bowel or bladder, pregnancy, a sharp change in body weight, etc.).

    When twisting the legs of a cyst of the right ovary, the pain in the lower abdomen on the right is so sharp that in some cases it leads to fainting. The pain intensifies with movements, so that the patient tries to take a sparing position in bed.

    At the height of the pain, nausea and vomiting are possible, the temperature rises to subfebrile numbers (37-38 degrees Celsius). Characterized by increased heart rate, decreased pressure, cold sweat. Often there is a disorder of the chair, urination disorders. Often, patients complain of bleeding from the external genital tract.

    Torsion of ovarian cysts is a pathology requiring emergency surgery, so if you suspect this disease, you should immediately contact the hospital for help.

    Sharp pain in the lower abdomen on the right with apoplexy of the right ovary

    Ovarian apoplexy (ovarian rupture, ovarian infarction, ovarian hematoma) is an acute violation of the integrity of the organ with bleeding into the abdominal cavity.

    This pathology is often right-sided, and the clinic strongly resembles an interrupted ectopic pregnancy. Ovarian apoplexy occurs relatively rarely, and this circumstance increases the number of misdiagnosis.

    Ovarian rupture with bleeding is found in 2% of all cases of celiacsection produced in connection with the diagnosis of acute appendicitis or ectopic pregnancy.

    A sharp pain in the lower abdomen on the right with apoplexy of the right ovary resembles a pain syndrome in acute appendicitis. However, the characteristic feature of ovarian apoplexy will be characteristic irradiation (to the sacrum, rectum, thigh).

    In cases of severe bleeding, symptoms of acute anemia develop (rapid pulse, low blood pressure, dizziness, and faintness), which never occurs with acute appendicitis.

    The greatest difficulty is the differential diagnosis between ovarian apoplexy and interruption of tubal pregnancy, since both pathologies are characterized by pronounced blood loss and similar directions of irradiation.

    В таких случаях следует учитывать то обстоятельство, что апоплексия яичника чаще всего происходит в середине менструального цикла (в момент овуляции, или сразу же после нее), а для прерывания трубной беременности характерна задержка менструации. В сложных случаях показана экспресс-диагностика беременности.

    Suspected ovarian apoplexy is an indication for emergency hospitalization. Medical tactics for this pathology is largely determined by the severity of bleeding: with little blood loss, conservative treatment is performed, and if there are signs of increasing anemia, emergency surgery is necessary.

    Repeated stabbing pain in the lower abdomen on the right with diverticulitis

    Diverticula are called sacciform formation of the intestinal wall, communicating with its lumen. Due to the nature of the structure, intestinal contents are often stagnant in the diverticula, which contributes to the development of inflammation.

    Repeated stabbing pain in the lower abdomen on the right occurs when the inflammation of the diverticula of the end section of the small intestine (Meckel's diverticulum), as well as the diverticulitis of the cecum and ascending colon. Diverticula in these departments are usually sporadic, and the clinical picture of their inflammation largely coincides with the clinic of acute appendicitis.

    A characteristic feature of diverticulitis is a chronically relapsing course. Exacerbations often begin with constipation, which are replaced by diarrhea.

    If acute or chronic diverticulitis is suspected, a thorough examination and conservative treatment are indicated.

    In the absence of therapy, diverticulitis can lead to serious complications, such as: suppuration and perforation with the development of peritonitis, the formation of fistulas.

    Therefore, if a seizure of severe pain in the lower abdomen on the right is accompanied by symptoms of local peritonitis, such as muscle tension in the anterior abdominal wall, painful percussion (tapping), a positive Shchetkin-Blumberg symptom (increased pain when the arm is removed after light pressure) - emergency room placement is recommended to address the issue of surgical treatment.

    Severe lower right abdominal pain with Crohn's disease

    Chronic inflammatory bowel disease - Crohn's disease - in 20% of cases detected during surgery for acute appendicitis. The reason for the frequent mistakes in the diagnosis is the similarity of the clinical picture of these diseases.

    The fact is that the inflammatory process in Crohn's disease is most often localized in the terminal ileum, and is manifested by a sharp pain in the lower abdomen on the right, similar in nature to pain in appendicitis.

    Assistance in the diagnosis may have a history of collecting. As a rule, the first sign of Crohn's disease is diarrhea with a tendency to a chronic course. So the attack of severe pain in the lower abdomen on the right in this case is preceded by a rather long (from several weeks to several months, and even years) period of unstable stool with a tendency to diarrhea.

    In addition, signs of appendicitis, such as vomiting and migration of pain from the central regions of the abdomen to the right iliac region, are not characteristic of Crohn's disease.

    If Crohn’s disease is suspected, additional examination and appropriate treatment are recommended.

    Without adequate treatment, Crohn's disease leads to serious complications, including perforation of the intestine, so the symptoms of peritonitis are an indication for emergency surgical treatment of this pathology.

    Pulling, aching and stitching pains in the lower abdomen to the right with intestinal tumors

    Pulling pain in the lower abdomen on the right can occur in both benign and malignant tumors of the end section of the small and initial sections of the large intestine.

    The mechanism of pain is most often associated with the pressure of the growing tumor on the surrounding tissue. The mesentery of the intestines rich in nerve endings is especially sensitive to such pressure.

    With predominantly endophytic growth (growth in the intestinal lumen), pain occurs when inflammation develops, the tumor is destroyed or its germination through the intestinal wall into the surrounding tissues (observed in the later stages of malignant growth).

    In addition to pain, tumors of the right side of the intestine are prone to bleeding, and over time lead to the development of chronic anemia.

    Malignant growth is often accompanied by symptoms of cancer intoxication (exhaustion, increasing weakness, impaired mood, sleep and appetite).

    If an intestinal tumor is suspected, a thorough examination in the hospital is necessary. Both malignant and benign tumors are subject to surgical removal.

    Dull intermittent lower abdominal pain during pregnancy

    Periodic dull pain in the lower abdomen to the right during pregnancy may be due to physiological reasons.

    In the first trimester, an abdominal pain in the right lower abdomen is associated with the functioning of the corpus luteum in the right ovary.

    Later periodically appearing pain in the lower abdomen on the right and left is caused by an increase in the uterus and a stretching of its ligamentous apparatus.

    Such pains always have a pulling or aching nature, they are more pronounced during the first pregnancy, and never reach a high degree of intensity.

    In addition, the pain caused by physiological reasons, does not have a characteristic irradiation, and is not accompanied by any symptoms that indicate a violation of the functions of the digestive and / or urinary systems. At the same time, the general condition of the woman does not suffer.

    Cramping pain during pregnancy always indicates a pathology, so in such cases it is necessary to seek medical help. In the initial period, severe cramping pain may indicate ectopic pregnancy.

    A sharp pain in the lower abdomen on the right may indicate a surgical pathology of the digestive tract (acute appendicitis, diverticulitis, inflammatory or volumetric processes in the terminal part of the small intestine or the initial sections of the large intestine), gynecological problems (right inflammation of the appendages or torsion of the right ovarian cyst) or o lesions of the urinary system (renal colic).

    Diagnosis of acute pathological processes during pregnancy is particularly difficult in its second half, due to the displacement of organs. Therefore, when a sharp pain in the lower abdomen on the right is necessary, an urgent appeal to the hospital is necessary.

    Which doctor should I contact if there is pain in the right lower abdomen?

    Pain in the lower abdomen on the right side may be due to various reasons, so when they occur, you should contact the doctors of different specialties. And you need to contact a doctor, whose competence includes the diagnosis and treatment of the disease, which provoked the appearance of pain in the right lower abdomen. The choice of a specialist to which one should go with lower abdominal pains on the right depends on the nature of the pain syndrome and associated symptoms, since it is these characteristics that suggest the disease that provoked the pain.

    First, you should know that with acute severe pain in the lower abdomen on the right, which does not subside with time, but remains or increases, combined with increased body temperature, a sharp deterioration in general well-being, severe weakness, vomiting, not bringing relief, headache, reduction of blood pressure or fainting, you must immediately call an ambulance and be hospitalized in the hospital. This should be done because such a symptom complex indicates an acute emergency situation, in which specialized medical care is needed as soon as possible, because without treatment a person may die.

    And to consult a doctor in a planned manner with pain in the lower abdomen on the right is necessary in cases where the pain syndrome is provoked by diseases that do not threaten a person’s life.

    With intense, cramping pain in the lower abdomen on the right, which does not give to other parts of the body, but can simultaneously be felt in the lower abdomen on the left or in the navel, is combined with constipation, diarrhea, frequent defecation with soft feces, bloating, meteorism, nausea, rumbling stomach - it is necessary to consult a doctorgastroenterologist (to sign up) or therapist (to sign up), as similar symptoms indicate intestinal diseases (colitis, enterocolitis, Crohn's disease, ulcerative colitis, diverticulitis, celiac disease, irritable bowel syndrome).

    If a man or a woman has a pulling-aching pain in the lower abdomen, with sharp movements, stress or physical exertion, aggravated, becoming sharp, stabbing, but not combined with digestive disorders, general weakness, fever, are actually isolated pain, then you should apply to the doctor-surgeon (to sign up), because such symptoms indicate the formation of adhesions in the abdominal cavity, which can be formed after surgeries or inflammatory diseases of the stomach, intestines, pancreas, gall bladder, etc.

    With the appearance of constant, dull, moderate pain in the lower abdomen on the right, in the middle of the abdomen or at the top of the abdomen (it hurts at all at the same time, the pain does not give up in them), which does not subside with time, combined with vomiting, dry mouth, loss of appetite , irregular blood pressure, rapid heartbeat (up to 100 beats per minute) and breathing (40 breaths per minute) and elevated body temperature - should be referred to a surgeon, since the symptom complex corresponds to mesadenitis (inflammation of the mesenteric mesenteric lymph nodes).

    With the appearance of paroxysmal pain in the lower abdomen on the right, extending into the groin and lower part of the waist, combined with urinary disorders (blood in the urine, painful, frequent urination, etc.), forcing a person to constantly move, walk, looking for a posture in which the pain will not so strong - you should urgently contact a surgeon or urologist (enroll), as we are talking about renal colic due to urolithiasis. Also to the urologist or nephrologist (to sign up) should be treated if severe pain is localized in the center of the lower abdomen, gives to the right lower abdomen, combined with frequent and painful urination, blood in the urine, as in this case we can talk about cystitis.

    If a person has pain in the lower abdomen, mostly on the left or on the right, combined with frequent, thin and lean stools, rumbling, abdominal distention, painful acts of defecation, lack of relief after defecation and possibly vomiting, then he should consult a doctor.infectious disease disease (enroll), because, most likely, we are talking about an intestinal infection.

    Periodic pulling, dull, aching pain in the lower abdomen on the right, extending into the groin, combined with protrusion in the right inguinal fold, aggravated by physical activity, not combined with any other symptoms, require treatment to the surgeon, as the symptom complex indicates inguinal hernia.

    If a woman has a sudden severe, paroxysmal pain in the lower right and left abdomen, moving to the right after some time, or a dull, aching pain develops in the right half of the lower abdomen after stress, hypothermia, exercise, then you should consult a doctor.gynecologist (to sign up), as most likely it is an inflammation of the uterus appendages (ovary and fallopian tubes) - adnexitis or salpingoophoritis. Accompanying symptoms of inflammation of the uterine appendages is the spread of pain in the region of the sacrum, lower back, groin or rectum, as well as pain during urination, irregular menstrual cycle, irascibility, irritability, fatigue, inflammatory secretions (greenish, yellowish, grayish, with bubbles, flakes, pus, mucus, etc.) or fever.

    If a woman periodically has a pulling-aching pain in the lower abdomen on the right, often provoked by sexual intercourse, combined with intermenstrual bleeding or lengthening of the menstrual cycle, you should consult a gynecologist, as similar symptoms suggest a doctor about the presence of a cyst or ovarian cysts.

    Women have nagging, dull pains in the lower abdomen on the right, aggravated during menstruation, extending to the lower back, tail bone, sacrum, or rectum, combined with periodic bleeding, frequent toilet trips to urinate, the presence of clots in the menstrual blood, require treatment to the gynecologist, how similar symptoms indicate the presence of genital neoplasms (fibroids, polyps, etc.).

    When pains occur in a man's lower abdomen on the right, if she gives in the right side, perineum, lower lumbar, combined with difficulty urinating (slow urination, frequent visits to the toilet, etc.) and erection disorders, possibly with blood in the urine, consult a urologist as such symptoms indicate the presence of prostatitis or prostate adenoma.

    If the pain in the lower abdomen on the right does not persist, is present almost constantly, combined with a sharp deterioration in health, causeless weight loss, taste perversion, persistent constipation, unpleasant discomfort in the stomach, bloating and flatulence that are not amenable to therapy, you should consult a doctorOncologist (to sign up).

    What studies can appoint doctors with lower abdominal pain on the right?

    Since the pains in the lower abdomen on the right are provoked by various diseases, the doctor with this syndrome may prescribe various tests and examinations necessary to identify the pathology causing the pain syndrome. The list of tests and examinations is determined by the nature of the pain and associated symptoms that suggest a disease that causes pain syndrome.

    When a man or a woman periodically has pain in the lower abdomen on the right, which does not give to other parts of the body, but can simultaneously be felt in the left lower abdomen, in the navel area, combined with constipation, diarrhea, frequent bowel movements with soft feces, bloating, flatulence, nausea, rumbling in the stomach, the doctor may prescribe the following tests and examinations:

    • General blood analysis,
    • Analysis of feces on the eggs of the worm,
    • Coprologic analysis of feces,
    • Analysis of feces for dysbiosis,
    • Sowing feces or blood test for Clostridia,
    • Ultrasound examination of abdominal organs,
    • Colonoscopy (enroll)/sigmoidoscopy (enroll),
    • Irrigoscopy (intestinal X-ray with contrast) (enroll),
    • Computer or magnetic resonance imaging (enroll),
    • Analysis of feces for calprotectin,
    • A blood test for the presence of antineutrophil cytoplasmic antibodies,
    • A blood test for the presence of antibodies to saccharomycetes.
    The doctor does not immediately appoint the entire list of examinations and tests, but first of all selects those that allow you to make a diagnosis in most cases, namely: complete blood count, stool tests for eggs of the worm and coprology, ultrasound of the abdominal cavity organs and colonoscopy / sigmoidoscopy. Irrigoscopy and tomography may be additionally prescribed if there are doubts in the diagnosis. Blood tests and feces for clostridia are prescribed only in cases where there is a suspicion that the colitis is due to antibiotics. Stool tests for calprotectin, blood tests for antibodies to saccharomycetes and anti-neutrophilic cytoplasmic antibodies are prescribed only if Crohn's disease or ulcerative colitis is suspected.

    If a person has dull moderate pain, localized simultaneously in the lower right, lower left abdomen or in the navel (or in any one of these areas), not dying down with time, combined with vomiting, dry mouth, loss of appetite, irregular blood pressure, palpitations (up to 100 beats per minute) and breathing (40 breaths per minute) and elevated body temperature, the doctor prescribes the following tests and examinations to identify and distinguish mesadenitis from other diseases of the abdominal cavity:

    • General blood analysis,
    • General urine analysis,
    • Biochemical analysis of blood (bilirubin, urea, creatinine, total protein, amylase, AsAT, AlAT, alkaline phosphatase, LDH),
    • Analysis of fecal occult blood,
    • Coprologic analysis of feces,
    • Mantoux test, diaskintest or blood test for the presence of Mycobacterium tuberculosis,
    • Blood test for antibodies to hepatitis A, B, C viruses (ELISA),
    • Sowing blood for sterility,
    • Blood test for Epstein-Barr virus, enterovirus, Yersinia, Streptococcus, Staphylococcus, Campylobacter, salmonella (to enroll), E. coli by PCR,
    • Tests for ascariasis, enterobiosis, opisthorchiasis, giardiasis,
    • Ultrasound of the abdominal organs,
    • X-ray of the abdominal cavity (enroll),
    • Colonoscopy
    • Computed or magnetic resonance imaging,
    • Diagnostic laparoscopy (enroll) with sampling of tissue from inflamed lymph nodes for histological examination.
    На практике обычно врач сразу назначает практически все исследования, кроме рентгена брюшной полости, колоноскопии, томографии и диагностической лапароскопии, так как эти методы применяются только при необходимости, когда по результатам уже сделанных исследований картина заболевания не полностью ясна.

    If a person has paroxysmal pain in the lower abdomen on the right, radiating to the groin and lower lumbar region, combined with urinary disturbances (blood in the urine, pain when urinating, frequent visits to the toilet, etc.), forcing the person to persevere, as he can not find a position in which the pain subsides slightly, the doctor prescribes the following tests and examinations:

    • General urine analysis,
    • General blood analysis,
    • Ultrasound of the kidneys (to sign up) and bladder,
    • Cystoscopy (enroll),
    • Urography (x-ray of the urinary system with the introduction of a contrast agent) (sign up),
    • Kidney scintigraphy (to sign up) and urinary tract,
    • CT scan.
    Usually, the doctor first prescribes a general analysis of blood and urine, ultrasound of the kidneys and bladder, and urography, since it is these studies that can reveal nephrolithiasis. However, if the clinical picture remains unclear, then either scintigraphy or computed tomography or cystoscopy is prescribed. Instead of urography, computed tomography can be performed immediately (if technically possible).

    When pain is localized in the pubis and urethra or in the center of the lower abdomen, spreads to the lower right abdomen, is combined with frequent and painful urination, blood or turbid urine, the doctor suspects cystitis and prescribes the following tests and examinations:

    • General blood analysis,
    • General urine analysis,
    • Urine analysis according to Nechiporenko (to sign up),
    • Biochemical analysis of urine (creatinine, salt, etc.),
    • Bacteriological urine culture to identify the causative agent of the inflammatory process,
    • Blood and scraping from the urethra to identify pathogens of genital infections (gonorrhea (enroll), chlamydia (enroll)gardnerellosis ureaplasmosis (to sign up), mycoplasmosis (to enroll), candidiasis, trichomoniasis),
    • Uroflowmetry (study urine flow) (enroll),
    • Ultrasound of the bladder and kidneys,
    • Cystoscopy.
    First, various urine tests, bacteriological inoculation, or scrape or blood tests for the presence of pathogens are usually assigned. genital infections (enroll), and Bladder Ultrasound (enroll) and kidney. All other studies are usually appointed as additional, when the clinical picture is not entirely clear.

    When lower abdominal pains appear on the right and, possibly, simultaneously on the left, in combination with frequent, thin and lean stools, rumbling, abdominal distention, painful acts of defecation, lack of relief after defecation and sometimes vomiting, the doctor prescribes the following tests and examinations:

    • Bacteriological culture of feces, vomit or wash water in order to identify the causative agent of intestinal infections,
    • A blood test for the presence of antibodies to pathogens of intestinal infections (Salmonella, Shigella, Vibrio cholerae, rotavirus, etc.) by ELISA and PhRM,
    • Analysis of DNA detection of pathogens of intestinal infections by PCR in feces, vomit, wash water, blood,
    • Colonoscopy or sigmoidoscopy,
    • Irrigoscopy.
    Most often, the doctor prescribes a bacteriological culture or blood test for pathogens of intestinal infections. Colonoscopy and irrigoscopy are prescribed only in cases of suspected damage to the intestinal wall.

    When periodically arising dull, pulling, aching pains in the lower abdomen on the right, giving in the groin, combined with a protrusion in the right inguinal fold, the doctor prescribes only Ultrasound (enroll), since this is quite enough to diagnose a hernia.

    When in the lower right part of the abdomen there are intermittent pulling-aching pains, aggravated or appearing during sudden movements, stress, or physical exertion, at the moments of exacerbation they become sharp and stabbing, but not combined with digestive disorders, fever and as if isolated from other symptoms , the doctor prescribes a complete blood count, urinalysis, an ultrasound scan of the abdominal organs, an x-ray with contrast or tomography. Other studies, as a rule, are not prescribed, as these are quite sufficient to identify adhesions formed in the abdominal cavity after surgery or inflammatory processes.

    When a woman has severe paroxysmal pain in the lower abdomen on the right, she suddenly developed, and first she was localized both on the right and on the left, and then shifted to the right, or if after stress, hypothermia, physical exertion, dull, aching pain appeared in the right half of the lower abdomen ( both types of pain can be combined with the spread of pain in the sacrum, lower back, groin or rectum, as well as pain during urination, an irregular menstrual cycle, short temper, increased fatigue or increased body temperature), the doctor may prescribe the following tests and examinations to identify the causes of inflammation of the uterus:

    • General blood analysis,
    • General urine analysis,
    • Smear on flora from the vagina (sign up),
    • Analysis of blood, vaginal discharge and scraping from the urethra to genital infections (for chlamydia, mycoplasma, gardnerella, ureaplasma, trichomonads, gonococcus, Candida fungi),
    • Analyzes for the presence of viruses - herpes virus 1 and 2 types, human papillomavirus (enroll), cytomegalovirus (enroll), Epstein-Barr virus,
    • Blood test for syphilis (sign up),
    • Bacteriological seeding vaginal discharge
    • Ultrasound of the pelvic organs (to sign up),
    • Hysterosalpingography (enroll).
    The first is prescribed ultrasound of the pelvic organs, a smear on the flora of the vagina, as well as a general analysis of blood and urine. These examinations may be sufficient to diagnose adnexitis or salpingoophoritis and identify the causes of inflammation. If it is not possible to understand what provoked inflammation of the uterus, then the doctor prescribes additional tests and examinations listed in the list above.

    When a woman has a nagging pain in the lower abdomen on the right, occurring sporadically, especially often provoked by sexual intercourse, combined with intermenstrual bleeding or lengthening of the cycle, the doctor usually prescribes a pelvic ultrasound and a smear from the vagina on the flora, as it suspects an ovarian cyst. In addition, for ovarian cysts, the doctor may prescribe a blood test for the concentration of luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone, and prolactin (enroll).

    If a woman has pulling, aching, dull pains in the lower abdomen on the right, which are worse during menstruation or physical exertion, give to the lower back, coccyx, sacrum or rectum, combined with occasional bleeding, frequent urination, clots in the menstrual blood - the doctor prescribes an ultrasound small pelvis hysteroscopy (enroll)and, if possible, computed or magnetic resonance imaging. In addition, a general and biochemical blood test, urinalysis, coagulogram, blood test for sex hormones (LH, FSH, testosterone, etc.) can be assigned to assess the general condition of the body.

    If a man has a pain in the lower abdomen on the right, combined with pain in the perineum, extending to the right side and lower lower back, which is accompanied by difficulty urinating, erectile dysfunction, the doctor prescribes the following tests and examinations:

    • General urine analysis,
    • General blood analysis,
    • Palpation of the prostate through the anus with your finger,
    • Ultrasound examination of the prostate gland,
    • Prostate secretion microscopy,
    • Bacteriological culture of urine, prostate secretion and smear from the urethra to identify the pathogen microbe and its sensitivity to antibiotics,
    • Prostate secretion analysis (enroll), smear from urethra or blood for genital infections (chlamydia, candidiasis, ureaplasmosis, mycoplasmosis, trichomoniasis, gonorrhea, bacteroids),
    • Blood test for syphilis,
    • A blood test for the content of sex hormones and tumor markers (sex hormone binding globulin, testosterone, prostate-specific antigen).
    As a rule, first the doctor prescribes an ultrasound of the prostate gland, palpation of the prostate with a finger, microscopy of prostate secretions, smear from the urethra, urinalysis and blood count. These examinations allow in most cases to make a diagnosis and prescribe treatment. But if the examinations were not enough for accurate diagnosis, the doctor additionally prescribes other tests from the specified list.

    If a person has persistent persistent pains down the right abdomen, which are combined with a sharp deterioration of health, causeless weight loss, taste perversion, persistent constipation, bloating and flatulence, the doctor prescribes a wide range of examinations - x-ray and ultrasound of the abdominal organs, computed or magnetic resonance imaging, general and biochemical blood and urine tests, colonoscopy, rectoromanoscopy, etc. If a tumor is detected using these methods, the oncologist may prescribe blood test for tumor markers (to sign up), a list of which will be selected by a specialist, depending on the type of tumor and the affected organ.

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