What Causes Intermittent Lower Right Abdominal Pain?

Posted on Thu, 10 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 10 Nov 2016 Answered on

Fri, 2 Dec 2016 Last reviewed on

Question : Have dull, but sharp at times pain on my right side of lower abdomin area. It comes and goes but always in the same spot, about 4 inches below the belly button. Sometimes i'll wake up and there will be no pain sometimes for days or even a week or so yet not totally gone. Other times, like right now,it is very uncomfortable and has been that way for about 4 days. At times when lying down I can shift around to lessen the pain. When sitting the pain is constant. Getting up I have to do it slowly and walking is uncomfortable at first but eventually seems to ease the pain somewhat. I cannot stand still in one place very long, 2 or 3 minutes XXXXXXX Any longer seems to aggravate the situation. I have to sit or begin walking. Coughing and sneezing hurts pretty bad. I am scared but too hardheaded and stubborn to see a docter,but I know I'll have to sooner than later. Can you give me an idea of what I am expriencing? As I mentioned, I'm scared.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Causes as mentioned, Consult a General Surgeon

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/56 - scared - taking Ibuprofen - pain on right lower as explained along with aggravating and reducing factors - willing now to see a Doctor.

As per the history your have provided, the probable reasons are:
Appendicitis.
Inflamed part of small or large intestine in this area.
Lymph node mass.
Diverticulitis.

I would advise you the following:
Clinical evaluation and actual Physical examination by a Doctor, preferably a General Surgeon.
Tests of blood, urine and stool.
Preliminary ultrasound of abdomen and CT scan of the abdomen- helps a lot in getting the correct diagnosis so that a proper management can be instituted.

I hope this answer helps you to get an early and proper diagnosis so that the proper treatment can be instituted asap.

Making late can increase the complications and sequel.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar