Dull pain in lower right abdomen

Everybody knows that there are a couple of vital organs being located in the abdomen. A person will experience abdominal pain if one of these organs is not functioning properly or suffers from a certain disorder. The experts have divided the abdomen into four quadrants. This is done so that they would diagnose a patient more easily. These quadrants are upper right, upper left, lower right, and lower left. The underlying cause will determine the pain a person will experience. This pain can range from dull to severe.

Dull Pain In Lower Abdomen Causes

Appendicitis is one of the most common causes of lower abdominal dull pain. Almost all people know that the appendix is an organ not that big in size and is located in the lower right abdomen. When the appendix gets inflamed a person will suffer from appendicitis which can be a life-threatening disease if not treated. The symptoms of appendicitis are pain in the lower right abdomen, reddening, and irritation of the appendix.

Constipation is another cause of dull abdomen pain that occurs even more than appendicitis. A person who does not intake enough fiber and water will suffer from constipation. Known symptoms of this disorder are nausea, pain in the abdomen, and loss of appetite.

Menstruation also causes a lot of dull abdominal pain. Menstruation occurs when hormones change during a monthly cycle.

Stomach ulcer is another cause of dull abdominal pain. Stomach ulcer occurs when ulcer or soreness is caused inside the inner lining of the stomach because of the juices in the stomach. This gastric inflammation is caused by alcohol, consumption of spicy foods, and certain medications. Known symptoms of stomach ulcers are dull abdominal pain, vomiting, and nausea.

A person may also experience dull abdominal pain because of pelvic inflammatory disease, diverticulitis, ectopic pregnancy, and various other causes. Pregnant women also suffer from dull abdominal pain but that is because of the extra weight.

Abdominal pain is one of the most frequent chief complaints in primary care settings, accounting for 5% to 10% of visits to emergency departments. Diseases causing abdominal pain range from mild conditions cured by conservative medical treatments alone to severe acute diseases requiring emergency surgery. Given the possibility of severe disease requiring urgent treatment, it is vital that physicians make accurate and expeditious diagnoses. CT may be the most accurate imaging modality for the assessment of abdominal pain, and is widely accepted as the first-line imaging modality for patients who present with this type of pain. However, it is necessary to select CT and other imaging tests (eg, abdominal ultrasonography or MRI) based on pretest probability, because these tests cannot be performed for some patients with abdominal pain; moreover, unnecessary examination and hospitalisation should be avoided.

The present investigation was a single hospital-based prospective observational study conducted from April 2017 to March 2018. All new outpatients aged ?20 years were enrolled, who visited the Department of General Medicine at Saga University Hospital in Japan with abdominal pain as a chief complaint or other symptoms excluding the chief complaint.
The types of examinations included blood and/or urinary tests, blood gas analysis, chest or abdominal X-ray, including kidney ureter bladder (KUB), ultrasonography (US), CT and MRI, including magnetic resonance cholangiopancreatography (MRCP), electrocardiography, oesophagogastroduodenoscopy (OGD) and colonoscopy (CS). A correct diagnosis of abdominal pain could be elusive, difficult and time-consuming, especially when associated with psychiatric conditions that require exclusion of most major organic diseases.
Furthermore, additional examinations performed at another visit, with or without improvement of abdominal pain, could aid physicians in making a correct diagnosis. Therefore, the period of 3 months (also used in our previous study1 was considered an appropriate duration for confirmation of the final diagnosis.
We classified the final diagnoses into 11 categories: ‘Oesophagus, stomach and duodenum’, ‘Liver and biliary tract’, ‘Pancreas’, ‘Intestinal’, ‘Urinary tract’, ‘Gynaecological’, ‘Musculoskeletal’, ‘Respiratory’, ‘Cardiovascular’, ‘Dermatological’ and ‘Other’ disease. ‘Other’ disease consisted of ‘without definitive diseases’, ‘unknown’, ‘psychological’ and ‘organ-indeterminate diseases’.
Of the 326 patients included in the study, 126 (38.6%) had been referred to our department either by another hospital (93; 73.8%), another department of our hospital (28; 22.2%) or by general practitioners working at community health centres (5; 4.0%). A total of 209 (64.1%) patients visited during the daytime, 18 (8.6%) of whom visited during a national public holiday and who were thus considered ‘outside normal office hours’ patients in accordance with our hospital procedures.
In the present study, many organs involved were identified in multiple abdominal sites, potentially because sites of referred pain or minor non-specific pain were included, in addition to primary sites of abdominal pain. This is a potential limitation to diagnosis of abdominal disease based on the site of abdominal pain. In such instances, we attempted to clarify the accuracy of using sites of abdominal pain to identify the organs involved, which confirmed that some sites of abdominal pain could be used to identify the organs involved.

✓ Fact confirmed: Relationships between sites of abdominal pain and the organs involved: a prospective observational study Shun Yamashita, Masaki Tago, Naoko E. Katsuki, Tomoyo M. Nishi, Shu-ichi Yamashita; June 22, 2020.

Dull Pain In the Lower Right Abdomen Treatment

If the pain lasts for more than 24 hours a person should go to the hospital. The doctor will usually perform a couple of tests like a physical examination and an X-ray in order to discover the cause. In case of appendicitis, the doctor will immediately recommend surgery. In case of constipation, a person will be advised to make certain changes in the diet. A person can also buy certain laxatives in order to get rid of constipation. Rest is also important.