Female with right upper abdominal pain radiating to the back

In general, right upper abdominal pain in women that radiates to the back may be caused by various factors such as ovulation pain, menstrual cycle-related changes, cholecystitis, gastric ulcers, or gallstones. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. The specific analysis is as follows:

1. Ovulation Pain

Women may experience mild to moderate abdominal pain during ovulation, which sometimes extends to the back. In most cases, ovulation pain does not require special treatment and can be relieved with heat application, gentle massage, and over-the-counter pain relievers such as ibuprofen or aspirin.

2. Menstrual Cycle-Related Pain

Hormonal fluctuations during the menstrual cycle, especially changes in progesterone levels, may cause uterine contractions and abdominal muscle tension, which can affect the muscles and nerves in the back, leading to pain. Maintaining healthy lifestyle habits—such as moderate exercise, a balanced diet, and sufficient rest—can help alleviate symptoms.

3. Cholecystitis

Cholecystitis is inflammation of the gallbladder caused by blockage of the cystic duct and bacterial infection. The inflammation irritates the gallbladder wall and surrounding tissues, causing right upper quadrant abdominal pain that may radiate to the back. It is often accompanied by symptoms such as nausea and vomiting. Medications such as metronidazole tablets, levofloxacin tablets, or tinidazole tablets may be used under a doctor's supervision.

4. Gastric Ulcer

Gastric ulcers are typically related to the digestive action of gastric acid and pepsin. When an ulcer is located on the posterior wall of the stomach, the pain may radiate to the back. Symptoms may include abdominal pain and bloating. Treatment should be conducted under the guidance of a healthcare professional using medications such as amoxicillin capsules, cefixime capsules, or ibuprofen sustained-release capsules.

5. Gallstones

Gallstones are primarily caused by dietary and constitutional factors. They irritate the gallbladder wall, leading to inflammation and pain that may radiate to the back. Pain becomes particularly severe when stones become lodged in the neck of the gallbladder or the common bile duct. Other symptoms may include jaundice and fever. Medications such as lovastatin tablets, trimebutine maleate tablets, or hydroxycoumarin tablets may be taken as directed by a physician to relieve symptoms.

In addition, maintaining regular作息 (daily routines), adjusting dietary patterns, and adopting a light, balanced diet are recommended.