What causes lower right abdominal pain in women?

May 27, 2024 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Right lower abdominal pain in women may be caused by ovulation, cold abdomen, appendicitis, pelvic inflammatory disease, acute gastroenteritis, or other reasons. To prevent the aforementioned health issues, it is important to maintain good daily habits, including regular作息 (sleep patterns), a balanced diet, proper personal hygiene, and avoiding excessive fatigue. These measures can effectively reduce the occurrence of such conditions.

Under normal circumstances, lower right abdominal pain in women may be caused by ovulation, cold abdomen, appendicitis, pelvic inflammatory disease, acute gastroenteritis, and other reasons. It is recommended to seek medical attention promptly and receive symptomatic treatment under the guidance of a qualified physician. Specific analysis is as follows:

1. Ovulation

During ovulation, the follicle on the surface of the ovary ruptures and releases an egg. This process may stimulate nerves around the ovary, causing mild pain or discomfort in the lower right abdomen. Some women may also experience slight lower abdominal pain or light spotting. If the pain persists or worsens, applying a hot water bottle or warm towel to the painful area in daily life can help relieve discomfort.

2. Cold Abdomen

When the abdomen becomes chilled, irregular contractions or spasms of intestinal muscles may concentrate particularly in the lower right abdominal region, leading to pain. Symptoms may include abdominal pain (possibly cramp-like), bloating, diarrhea, or constipation. Keeping the abdomen warm with a hot water bottle, electric blanket, thick clothing, or applying a warm towel or hot water bottle to the affected area can provide relief.

3. Appendicitis

Appendicitis is an inflammation caused by blockage of the appendix lumen and bacterial infection. Since the appendix is located in the lower right abdomen, when it becomes inflamed, it causes pain in this area that gradually worsens. Symptoms may include progressively intensifying lower right abdominal pain, nausea, vomiting, fever, tenderness upon palpation, and rebound tenderness. Treatment typically requires surgical removal of the appendix, along with prescribed medications such as cefuroxime axetil tablets, metronidazole tablets, and clarithromycin tablets.

4. Pelvic Inflammatory Disease (PID)

Pelvic inflammatory disease is an infection-induced inflammation within the pelvic cavity, often caused by sexually transmitted infections. The inflammation may affect pelvic organs such as the fallopian tubes and ovaries, resulting in lower right abdominal pain. Common symptoms include lower abdominal pain, painful intercourse, increased vaginal discharge (which may have an unpleasant odor), fever, and urinary symptoms such as frequency, urgency, or dysuria. Treatment should follow medical advice and may include azithromycin tablets, ciprofloxacin hydrochloride tablets, and norfloxacin capsules.

5. Acute Gastroenteritis

Acute gastroenteritis is an acute inflammation of the gastrointestinal mucosa caused by various factors such as improper diet or infection. It may involve the intestines—particularly the colon in the lower right abdomen—causing pain. Symptoms include abdominal pain (often crampy), nausea, vomiting, diarrhea, and fever. Under medical supervision, it's important to replenish fluids and electrolytes to prevent dehydration, and take medications such as norfloxacin capsules, loperamide hydrochloride capsules, and berberine hydrochloride tablets as prescribed.

To prevent the health issues mentioned above, it's important to maintain good daily habits, including regular作息, balanced diet, personal hygiene, and avoiding excessive fatigue. These measures can effectively reduce the occurrence of these conditions and promote women's health.

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