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Published on: 4/7/2025

What Are Common Causes of Pain in the Lower Right Abdomen?

Appendicitis is an important cause of pain in the lower right abdomen. However, there are many possible causes of pain in the area.

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Explanation

Common causes of pain located in the lower right abdomen include:

  • Appendicitis: a condition that can cause sharp pain in the lower right abdomen due to inflammation of the appendix and requires immediate medical attention as it may lead to serious complications if left untreated.
  • Constipation: a common digestive condition characterized by difficulty passing stool or infrequent bowel movements, which can cause discomfort or pain in the abdomen.
  • Inflammatory bowel conditions: these chronic diseases that cause inflammation and damage to the digestive tract, with Crohn's disease and ulcerative colitis being the main types. These conditions can cause abdominal pain and other digestive symptoms that may significantly impact daily life.
  • Mesenteric adenitis: an inflammation of the lymph nodes in the abdomen, particularly common in children. It often causes pain in the lower right abdomen that can mimic appendicitis.
  • Reproductive organ issues in women such as ovarian cysts, ovarian torsion, or ectopic pregnancy

While this list represents some common causes, there are many other possible causes of pain in the lower right abdomen. If pain is severe, does not go away, or is associated with other concerning symptoms, you should discuss with a healthcare provider.

(References)

  • Purysko AS, Remer EM, Filho HM, Bittencourt LK, Lima RV, Racy DJ. Beyond appendicitis: common and uncommon gastrointestinal causes of right lower quadrant abdominal pain at multidetector CT. Radiographics. 2011 Jul-Aug;31(4):927-47. doi: 10.1148/rg.314105065. PMID: 21768232.

  • Hatipoglu S, Hatipoglu F, Abdullayev R. Acute right lower abdominal pain in women of reproductive age: clinical clues. World J Gastroenterol. 2014 Apr 14;20(14):4043-9. doi: 10.3748/wjg.v20.i14.4043. PMID: 24744594; PMCID: PMC3983461.

  • Lambropoulos V, Papageorgiou I, Kepertis C, Sfoungaris D, Spyridakis I. Uncommon Surgical Causes Of Right Lower Quadrant Pain In Children. Single Center Experience. J Clin Diagn Res. 2015 May;9(5):PR01-3. doi: 10.7860/JCDR/2015/12449.5913. Epub 2015 May 1. PMID: 26155519; PMCID: PMC4484111.

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