Published on: 9/30/2024
Diseases such as gallbladder and bile duct diseases, gastric and duodenal ulcers, urinary tract stones, pyelonephritis and musculoskeletal causes are all some potential causes.
Pain in the right side of the abdomen is further divided into the right upper quadrant and the right lower quadrant because the causes may be quite different.
Typically, pain in the right upper quadrant may be caused by disease of the organs located in that area: gallbladder, liver, lungs, or kidneys.
Diseases of the liver and galbladder include things such as cholelithiasis, cholecystitis, cholangitis, hepatitis, liver abscess and liver tumors.
Diseases such as pneumonia and pneumothorax can cause right upper quadrant pain.
Diseases such as ureteral stones, pyelonephritis, and renal infarction occurring in the right kidney can lead to pain in the upper right flank.
The lower right side of the abdomen includes the appendix, large intestine, reproductive organs and bladder.
Diseases such as diverticulitis, enteritis, and appendicitis may lead to right lower quadrant pain.
You may feel pain around the lower right side of your flank when a urinary stone is near the bladder or you have a urinary tract infection.
When an ovarian tumor or ovarian bleeding occurs in the right ovary, the right lower quadrant may become painful.
Often times the pain is not so clearly split between upper and lower right abdominal pain. In such cases, we often think about diseases that involve organs of the entire abdomen like the stomach, small and large intestines and the blood vessels.
There are several conditions that lead to inflammation and even ulcers in the stomach and intestines. The pain may be in the right upper and lower quadrant.
Diseases such as aortic dissection, aortic rupture and inflammation of the aorta may lead to pain in the right side of the abdomen.
Diseases of skin like shingles, muscles aches, and bone pain may also lead to pain in the right upper and lower abdomen.
(References)
Yew KS, George MK, Allred HB. Acute Abdominal Pain in Adults: Evaluation and Diagnosis. Am Fam Physician. 2023 Jun;107(6):585-596. PMID: 37327158.
Mehta H. Abdominal Pain. Clinical Pathways in Emergency Medicine. 2016 Feb 22:329–45. doi: 10.1007/978-81-322-2710-6_26. PMCID: PMC7121692.
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Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center
Kenji Taylor, MD
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