Dull pain in the lower right abdomen in women, radiating to the lower back
May 11, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
During menstruation, pelvic congestion and elevated prostaglandin levels stimulate spasmodic contractions of the uterine smooth muscle, leading to pain and discomfort in the right lower abdomen and waist. Abundant inflammatory secretions can irritate the right abdominal and lumbosacral regions, causing the aforementioned symptoms. When appendicitis involves the peritoneum, it stimulates the腰部 (lower back), and since the appendix is located in the right lower abdomen, this results in right lower abdominal pain accompanied by low back pain.
Hidden pain in the lower right abdomen of women, accompanied by back and waist pain, may be related to physiological dysmenorrhea, or could be caused by pathological conditions such as pelvic inflammatory disease or appendicitis. The specific analysis is as follows:
I. Physiological Causes
During menstruation, women may experience lower right abdominal and waist pain due to pelvic congestion and increased prostaglandins, which stimulate spasms and contractions of the uterine smooth muscle. These dysmenorrheic symptoms typically resolve after menstruation ends.
II. Pathological Causes
1. Pelvic Inflammatory Disease (PID)
Pelvic inflammation can lead to pelvic congestion and edema. A large amount of inflammatory secretions may irritate the right lower abdomen and lumbosacral region, causing the aforementioned discomfort. Treatment may include medications such as Fuke Qianjin Tablets, Jinji Capsules, and Metronidazole Tablets, taken as directed by a physician.
2. Appendicitis
Appendicitis, triggered by bacterial infection and obstruction of the appendix cavity, can spread inflammation to the peritoneum, stimulating the腰部 (lower back). Since the appendix is located in the lower right abdomen, it causes pain in this area along with low back pain. Treatment may involve medications such as Metronidazole Tablets and Amoxicillin Capsules under medical guidance; surgery may be necessary in some cases.
Besides the above-mentioned causes, other conditions such as adnexitis, ureteral stones, and intestinal tumors may also cause similar symptoms. It is recommended to seek medical evaluation and appropriate diagnostic tests at a hospital for accurate diagnosis and treatment.
