Dull pain in the lower right abdomen outside of menstrual period

　　Dull pain in the lower right abdomen outside of menstruation may be caused by physiological factors, or it could result from pathological conditions such as appendicitis or pelvic inflammatory disease. Most cases can be improved through general management or medication. The specific analysis is as follows:

　　I. Physiological Causes

　　Prolonged exposure to cold environments may lead to local muscle spasms due to cold stimulation, resulting in the aforementioned symptoms. These usually gradually resolve once the environmental temperature is improved.

　　II. Pathological Causes

　　1. Appendicitis

　　Appendicitis is an inflammatory change in the appendix caused by blockage of the appendiceal lumen, often accompanied by bacterial infection. If this condition is present, the aforementioned pain may occur under the influence of inflammation. In such cases, treatment with medications such as Lanyixiaoyan tablets or Lanyiling granules should be followed according to medical advice.

　　2. Pelvic Inflammatory Disease (PID)

　　Pelvic inflammatory disease may arise due to compromised natural defense mechanisms, reduced immune function, or other causes. This condition may lead to local pelvic swelling due to inflammatory infection, thereby causing the symptoms described above. Under a doctor's guidance, medications such as Qianjin Zhidai pills or Gynecological Qianjin tablets may be used to improve the condition.

　　In addition to the above-mentioned causes, this symptom may also be associated with enteritis, adnexitis, endometritis, and other conditions. If discomfort persists or fails to improve, prompt medical evaluation is recommended.