Which department should I visit for pain in the lower right side of the navel?
Oct 31, 2025
Source: Cainiu Health
Dr. Wang Lei
Introduction
Pain in the lower right abdomen may require consultation with a general surgeon, urologist, gynecologist, gastroenterologist, or emergency department, depending on the nature of the pain and associated symptoms. If the pain is severe, persistent, and accompanied by fever or vomiting, immediate medical attention at a hospital is necessary. General Surgery: appropriate for pain suspected to be caused by conditions such as appendicitis, intestinal obstruction, or abdominal wall hernia.
Pain in the lower right abdomen may require a visit to departments such as general surgery, urology, gynecology, gastroenterology, or emergency medicine, depending on the nature of the pain and associated symptoms. If the pain is severe, persistent, accompanied by fever or vomiting, immediate medical attention is necessary.
1. **General Surgery**: Suitable for suspected conditions such as appendicitis, intestinal obstruction, or abdominal wall hernia. Diagnosis is confirmed through physical examination and imaging like ultrasound. Timely surgical interventions such as appendectomy or hernia repair can be performed to manage acute abdominal conditions and prevent disease progression.
2. **Urology**: Recommended when pain is accompanied by frequent urination, urgency, dysuria, or hematuria, which may indicate urinary system diseases such as ureteral stones or cystitis. Diagnosis is made via urinalysis and urinary tract ultrasound. Treatment options include medication for stone passage or surgical stone removal.
3. **Gynecology**: For female patients, if pain is associated with menstrual irregularities, vaginal bleeding, or abnormal discharge, gynecological conditions such as pelvic inflammatory disease or ovarian cyst torsion should be considered. Diagnosis is established through gynecological ultrasound and examination, followed by anti-inflammatory treatment or surgery as needed.
4. **Gastroenterology**: Appropriate for pain accompanied by diarrhea, bloating, nausea, vomiting, or changes in bowel habits, often related to intestinal disorders such as enteritis or irritable bowel syndrome. The underlying cause is identified through colonoscopy and stool routine tests, with treatment involving medications to regulate bowel function or treat infection.
5. **Emergency Department**: Required when pain is sudden and severe, especially if associated with high fever, altered consciousness, or signs of shock. Immediate evaluation and resuscitation are essential to rule out life-threatening emergencies such as ectopic pregnancy rupture or intestinal perforation, ensuring timely transition to specialized care.
Daily care includes avoiding strenuous exercise. Rest and warm compresses (after excluding acute abdomen) may help relieve pain. Maintain a light diet and avoid spicy, raw, or cold foods. Do not self-administer painkillers, as they may mask symptoms. Seek prompt medical attention if pain worsens.
