What causes abdominal pain in the lower right abdomen after cesarean section?

Generally, abdominal pain in the right lower quadrant after cesarean section may be caused by uterine contractions, postoperative adhesions, right adnexitis, right ureteral stones, appendicitis, or other reasons. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Detailed analysis is as follows:

1. Uterine Contractions

After childbirth, the uterus contracts to return to its pre-pregnancy size. These contractions may pull on surrounding tissues, causing referred pain in the right lower abdomen. It is important to rest adequately postpartum and avoid fatigue. Applying a hot water bottle to the lower abdomen can help relieve discomfort. Adjusting breastfeeding positions appropriately may also reduce pain.

2. Postoperative Adhesions

Surgical trauma from cesarean section can cause the intestines to adhere to the abdominal wall or uterus. Pain may occur when intestinal movement pulls on these adhesions. Light physical activity such as getting out of bed appropriately can promote intestinal motility. A light, easily digestible diet is recommended, and overeating should be avoided to prevent increased intestinal burden.

3. Right Adnexitis

Postpartum immune function may be reduced, allowing pathogens to invade the right fallopian tube or ovary and cause inflammation. Inflammatory stimulation leads to local congestion and pain. Under medical guidance, medications such as Cefaclor Capsules, Metronidazole Tablets, and Gynecological Qianjin Tablets may be taken. Maintain good external genital hygiene during treatment and avoid sexual intercourse.

4. Right Ureteral Stones

Stones blocking the right ureter can obstruct urine flow, causing spasmodic pain that may radiate to the lower abdomen. Increased fluid intake is recommended to facilitate stone passage. Under medical supervision, medications such as Lithiasis Granules, Potassium Sodium Citrate Granules, and Diclofenac Sodium Sustained-Release Tablets may be used. In some cases, ureteroscopic lithotripsy and stone extraction may be necessary.

5. Appendicitis

Inflammation caused by bacterial infection or obstruction of the appendix lumen typically presents as migratory pain in the right lower abdomen. Immediate medical attention is required. Treatment under medical guidance may include Cefoperazone Sodium and Sulbactam Sodium for Injection, Metronidazole for Injection, and laparoscopic appendectomy. Wound care should be carefully managed after surgery.

In daily life, maintain warmth postpartum and avoid exposure to cold. Practice good dietary hygiene and minimize intake of spicy or irritating foods. Attend regular postnatal check-ups, and seek prompt medical care if pain worsens or is accompanied by fever.