I Have Lower Abdomen Pain Upper Right Abdomen Tenderness

Posted on Mon, 21 Apr 2025

Question: male
age 65
good health
symptoms for two weeks, getting worse
lower abdomen pain
upper right abdomen tenderness
frequent bm and often urgent, but small pellets

Answered by Dr. Hari Charan Perigela (9 hours later)

Brief Answer:
You should get investigated

Detailed Answer:
Hi,

Pain in Right lower quadrant can be due to Appendicitis, Right-sided Ureteric stone, Infection or Caecum etc. Ultrasound abdomen will give a clue. If it is inconclusive, the CT scan Abdomen should be taken.

As you have problems with stool, if any large bowel lesion is not made out by the above investigations, Colonoscopy should be done.

Till investigations, you should take pain killers. Please consult a Surgical Gastroenterologist and proceed further.
Nothing to worry about.

Hope I answered your query.If you have any questions, I will clarify further.

Wishing you good health and speedy recovery
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Hari Charan Perigela (15 hours later)

You gave me right lower abdomen issues.

I clearly stated upper right abdomen in my inquiry.

Answered by Dr. Hari Charan Perigela (12 minutes later)

Brief Answer:
Ultrasound abdomen should be done

Detailed Answer:
Hi
If the tip of the Appendix is inflammed and if it is at right upper quadrant,there will be tenderness there.In Appendicular Dyspepsia,pain will be in Upper part of Abdomen.
Apart from this,Gall bladder stones,any liver pathology can cause pain in Right upper quadrant.
Ultrasound abdomen is the basic investigation follwed by CT scan if necessary.
Please consult a Surgical Gastroenterologist and proceed further
Hope I answered your question
Regards

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Above answer was peer-reviewed by : Dr. Raju A.T