Persistent dull pain in the lower right abdomen in males
Feb 22, 2023
Source: Cainiu Health
Dr. Shen Yonghua
Introduction
Persistent dull pain in the lower right abdomen in males may be caused by improper diet, intestinal spasm, ulcerative colitis, benign prostatic hyperplasia, appendicitis, or other reasons. Targeted treatments should be selected according to the specific cause. It is recommended to seek timely medical consultation, complete relevant examinations, and actively treat once the underlying cause is identified. During treatment, avoid consuming raw, cold, or irritating foods to prevent further stimulation of the intestines and worsening of symptoms.
Persistent dull pain in the lower right abdomen in men may be caused by improper diet, intestinal spasm, ulcerative colitis, benign prostatic hyperplasia (prostate enlargement), appendicitis, and other conditions. Targeted treatments can be selected based on the specific underlying cause.
1. Improper Diet
Consuming large amounts of spicy or irritating foods may stimulate the gastrointestinal tract, causing abdominal muscle spasms. Symptoms usually gradually subside with a light diet and adequate rest.
2. Intestinal Spasm
Excessive gas production in the intestines may react with gastric acid and undergo bacterial fermentation, increasing intestinal motility and resulting in dull lower abdominal pain. This may be accompanied by discomfort such as vomiting and bloating. Medications such as atropine sulfate tablets, raceanisodamine tablets, or belladonna tablets may be used under medical guidance to relieve smooth muscle spasms.
3. Ulcerative Colitis
In patients with ulcerative colitis, inflammation typically begins in the rectum. If it spreads to the segment of the colon in the lower right abdomen, inflammatory irritation may lead to symptoms such as abdominal pain, ulcers, and mucosal erosion. Under a doctor's supervision, medications like sulfasalazine enteric-coated tablets, oxyclozanide sodium capsules, or mesalazine enteric-coated tablets may be prescribed to reduce inflammatory responses.
4. Benign Prostatic Hyperplasia (Prostate Enlargement)
If urinary tract obstruction caused by prostate enlargement leads to changes in detrusor muscle function, it may result in persistent dull pain in the lower right abdomen. Symptoms such as frequent urination, urgency, and urinary incontinence may also occur. If symptoms do not significantly affect daily life, regular monitoring under medical advice may be sufficient. For difficulty in urination, medications such as finasteride tablets, dutasteride soft capsules, or epristeride tablets may be prescribed to improve urinary symptoms. In severe cases, surgical options such as transurethral resection of the prostate (TURP) or retropubic prostatectomy may be recommended by a physician.
5. Appendicitis
Appendicitis is an inflammatory condition of the appendix caused by blockage of the appendiceal lumen, often accompanied by bacterial infection. It commonly presents as initial upper abdominal pain that shifts to the lower right abdomen, causing persistent dull pain. Symptoms may include fever, skin tenderness, and vomiting. Under medical guidance, antibiotics such as amoxicillin capsules, roxithromycin dispersible tablets, or cefadroxil tablets may be used to treat the infection. If the appendix has ruptured, infection has spread, or an abscess is present, surgical interventions such as laparoscopic appendectomy or open appendectomy may be necessary.
It is recommended to seek timely medical evaluation at a hospital, complete relevant examinations, identify the underlying cause, and actively cooperate with treatment as directed by a physician. During treatment, avoid consuming raw, cold, or irritating foods to prevent further gastrointestinal irritation and worsening of symptoms.
