What causes dull pain in the right lower abdomen in cholecystitis?

Jul 29, 2023 Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
Cholecystitis refers to a disease characterized by inflammation of the gallbladder, which often causes dull pain in the right lower abdomen. The causes of this dull pain include gas accumulation in the gallbladder, spread of gallbladder inflammation, gallstones, gallbladder perforation, and digestive dysfunction. If you experience dull pain in the right lower abdomen, it is recommended to seek medical attention promptly and, under a doctor's guidance, use medications such as anti-inflammatory and bile-promoting tablets for treatment.

Generally, cholecystitis refers to a condition in which the gallbladder becomes inflamed, often causing dull pain in the lower right abdomen. The causes of this lower right abdominal discomfort in cholecystitis include gas accumulation in the gallbladder, spread of inflammation, gallstones, gallbladder perforation, and digestive dysfunction. Specific analyses are as follows:

1. Gallbladder Gas Accumulation

Gas accumulation in the gallbladder due to bacterial infection or bile duct obstruction may lead to cholecystitis, resulting in lower abdominal pain.

2. Spread of Gallbladder Inflammation

Cholecystitis can cause inflammation to spread to surrounding tissues, including the liver, pancreas, and peritoneum, potentially leading to the aforementioned symptoms.

3. Gallstones

Cholecystitis is commonly associated with gallstones. When stones block the gallbladder outlet or cystic duct, bile cannot be discharged, leading to gallbladder inflammation. In such cases, the dull pain in the lower right abdomen may result from inflammation in the gallbladder area.

4. Gallbladder Perforation

Severe cholecystitis may lead to gallbladder perforation, meaning the gallbladder ruptures. This allows bile to leak into the abdominal cavity, causing peritonitis. In such cases, the dull pain in the lower right abdomen may arise from inflammatory irritation of the peritoneum by leaked bile.

5. Digestive Dysfunction

After developing cholecystitis, patients may experience digestive disturbances due to inflammatory stimulation, which could also cause lower abdominal pain.

If you experience dull pain in the lower right abdomen, it is recommended to seek medical attention promptly. Under a doctor's guidance, medications such as anti-inflammatory and bile-promoting tablets, clindamycin hydrochloride tablets, or ursodeoxycholic acid tablets may be used for treatment. Additionally, maintain healthy lifestyle habits and avoid spicy or irritating foods to promote recovery.


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