Possible causes of right abdominal pain

Jul 26, 2024 Source: Cainiu Health
Disease description:

My colleague has recently been experiencing persistent pain in the right abdomen and has also lost appetite. What are the possible causes of right abdominal pain?

Doctor's answer (1)
Dr. Shen Yonghua

Right abdominal pain is a common symptom that may involve multiple organ systems. Possible causes include:

1. Urinary system diseases: such as ureteral stones, often presenting as sudden severe pain on the right side of the navel, sometimes accompanied by hematuria.

2. Liver diseases: including hepatitis, cirrhosis, or liver abscess, where the pain may be more insidious and accompanied by symptoms such as fatigue and jaundice.

3. Appendicitis: typical right lower quadrant abdominal pain, initially possibly around the navel, later shifting and localizing to the right lower abdomen.

4. Vascular diseases: such as abdominal aortic aneurysm or mesenteric vascular embolism, characterized by severe pain, possibly accompanied by cold sweats and nausea.

5. Gallbladder diseases: such as cholecystitis and cholelithiasis, commonly presenting as right upper quadrant abdominal pain that may radiate to the right shoulder or back.

6. Pancreatic diseases: acute or chronic pancreatitis, with pain typically located in the upper middle abdomen, but may radiate to the right side.

7. Female gynecological diseases: such as oophoritis or endometriosis, which may also cause right-sided abdominal pain and be accompanied by abnormal vaginal discharge.

When experiencing right abdominal pain, it is recommended to seek prompt medical evaluation and diagnosis to determine the exact cause of the pain.