Pain Management Specialist Questions Abdominal Pain

Can you explain the conditions which cause right lower abdominal pain?

I have been noticing a right lower abdominal pain whenever I walk too fast. What could be the cause for this pain? Is it my walking posture or something else?

1 Answer

PainManagementSpecialistAbdominalPain
That question is very difficult without diagnostic studies and a more complete history. If it just started in your abdomen and went to the right lower quadrant with fever, it could be appendicitis. If it is associated with constipation and/or associated with food intake, it could be some form of diverticulitis. If it hurts in the groin, not the lower abdomen, it could be referred pain from pinched nerves in the lumbar or thoracic spine. This could be associated with upper lumbar or lower thoracic back pain. If you have lesions on your skin in a line pathway, it could be herpes zoster. In summary, the diagnosis is dependent on the symptoms and the exam findings. More likely to be appendicitis if you have rebound tenderness over the lower right abdomen and a fever. You should see a doctor immediately to have dx studies and possible removal.

If sexually active, it could be a lower ovarian pain or infection or an ectopic pregnancy. Ultrasound to work up and check for fever. Sexually transmitted disease can cause these issues if associated with discharge from female region or if pregnant could be some issues an obstetrician needs to evaluate. Some of the nerves from the lower thoracic region (thoracic radiculopathy) could be irritated and cause the pain and may have numbness in the lower right abdomen area of pain. These nerves can also be irritated by Shingles or by intercostal neuralgia if bruised ribs are causing pain. See your PCP, check if pregnant, check if fever, discharge, bleeding, stool changes or changes in strength on right upper legs and abdomen or numbness in this area. If not improving, see your doctor.

Doctor Stanley Whisenant, MD
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