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Published on: 8/20/2026

What could cause pain in the lower right abdomen when I cough?

Pain in the lower right abdomen when coughing is most often caused by a muscle strain, but it can also signal appendicitis, a hernia, or other conditions that need prompt attention.

Because coughing puts sudden pressure on the abdominal wall and surrounding organs, pinpointing the true cause based on symptoms alone can be difficult. A quick, private evaluation can help you understand whether your pain is likely muscular or something more serious, so you know whether to rest at home or see a doctor. Take a free, instant, online symptom check to clarify what may be causing your pain and confidently plan your next steps.

Reviewed for medical accuracy: 07/15/2026

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Explanation

When you cough, your abdominal muscles flex to help you push the air out, and sometimes this extra pressure can strain or injure the muscles, especially in the lower part of your belly. A muscle injury will be aggravated by coughing and can sometimes feel worse when you move. Although muscle strain is common and usually harmless, it is important to monitor for bruising in the area or severe pain as these can indicate a more serious injury. In some cases, coughing may also worsen pain that starts from other causes from inside the abdomen. But if the pain is limited to times you are coughing, it is most likely due to a strain of your abdominal wall. If the pain continues or worsens, you can check your symptoms to better understand what might be causing your discomfort and determine whether you need to seek medical care.

(References)

  • Gaude GS. Pulmonary manifestations of gastroesophageal reflux disease. Ann Thorac Med. 2009 Jul;4(3):115-23. doi: 10.4103/1817-1737.53347. PMID: 19641641; PMCID: PMC2714564.

  • Kodama K, Takase Y, Yamamoto H, Noda T. Cough-induced internal oblique hematoma. J Emerg Trauma Shock. 2013 Apr;6(2):132-4. doi: 10.4103/0974-2700.110789. PMID: 23723625; PMCID: PMC3665063.

  • Mostafavi M, Kamangar N. A 44-year-old man with abdominal pain, lung nodules, and hemoperitoneum. Chest. 2015 May;147(5):e181-e184. doi: 10.1378/chest.14-1735. PMID: 25940261.

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