Lower Right Abdominal Pain – Common Causes And What You Need To Know

Experiencing a dull or mild pain in the lower right corner of your abdomen can be concerning, but it is often linked to various gastrointestinal or genitourinary conditions. Understanding the potential causes can help you determine whether medical attention is necessary.

1. Irritable Bowel Syndrome (IBS)

One of the most common reasons for intermittent lower abdominal discomfort is irritable bowel syndrome. This condition involves improper coordination of intestinal muscles, which may result in cramping or spasms. Factors such as irregular eating habits, stress, or exposure to cold temperatures can trigger these symptoms. Patients may also notice changes in their bowel movements, including diarrhea or constipation, with relief often occurring after defecation.

2. Inflammatory Or Neoplastic Conditions Of The Right Colon

Conditions like Crohn's disease, ulcerative colitis, or tumors in the right colon can cause persistent discomfort in the lower right quadrant. Inflammation or abnormal growths may irritate nerve endings and surrounding tissues, leading to a dull ache that doesn't go away easily. These conditions may also be accompanied by weight loss, fatigue, or blood in the stool.

3. Intestinal Tuberculosis

Although less common in developed countries, intestinal tuberculosis can affect the ileocecal region and lead to chronic lower right abdominal pain. This infection typically presents with additional systemic symptoms such as low-grade fever, night sweats, and unexplained weight loss. Prompt diagnosis and treatment are crucial for recovery.

4. Urinary Tract Infections Or Inflammation

Infections affecting the urinary system—especially on the right side—such as ureteritis or cystitis, can also manifest as discomfort in the lower right abdomen. Symptoms often include frequent urination, urgency, painful urination, or even visible blood in the urine. Antibiotics are usually effective if a bacterial infection is confirmed.

5. Gynecological Causes In Women

For women, pelvic inflammatory disease (PID) or inflammation of the right fallopian tube or ovary can present as localized pain in the lower right abdomen. These conditions may also cause irregular menstrual cycles, unusual vaginal discharge, or fever, and require prompt gynecological evaluation.

If you're experiencing persistent or worsening pain, it's important to consult a healthcare provider. Diagnostic tools such as colonoscopy, CT scans, or MRI scans of the lower abdomen can help identify the underlying cause and guide appropriate treatment. Early detection and management are key to preventing complications.