Pay attention when you have pain in the lower right abdomen in women

The article was professionally consulted by Doctor Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital.

Right lower abdominal pain can be a sign of many pelvic and abdominal conditions. Manifestations of abdominal pain are also diverse, so it is important to pay attention to provide accurate information to doctors to achieve high efficiency in disease detection and treatment.

The abdomen is divided into 9 parts:
Epigastrium: Consists of the left lobe of the liver, an anterior part of the stomach, the cardia, the pylorus, the gastro-hepatic omentum, the duodenum, the pancreas, the proximal artery, the vena cava belly. Right lower quadrant: Consists of right lobe of liver, gallbladder, right angle of colon, right adrenal gland, right upper pole of kidney. Left hypochondrium: Consists of spleen, stomach, left colon angle, tail of pancreas, left adrenal gland and left upper pole of kidney. Periumbilical region: Includes the great omentum, transverse colon, small intestine, mesentery, mesenteric lymph nodes, bilateral ureters, arteries, and vena cava. Right hip region (right fatty network): Includes ascending colon, small intestine, right kidney. Left hip area (left fatty network): Includes descending colon, small intestine, left kidney. Hypogastric: Consists of the great omentum, small intestine, bladder, terminal ureters, fallopian tubes, broad ligament, round ligament, uterine artery. Right iliac fossa: Consists of the cecum, small intestine, appendix, and right ovary. Left iliac fossa: Consists of small intestine, left ovary, and sigmoid colon. Right pelvic (lower abdomen) pain is pain in the right iliac fossa. This pain can signal reproductive problems, digestive disorders, or even life-threatening illnesses.

2.1 Appendicitis Pain in and around the navel. The patient has a low fever, nausea (yes or no), pain increases when pressing with the hand. Looking at the patient's abdomen, there is a swollen area on the pancreas.
2.2 Irritable Bowel Syndrome (IBS) Irritable bowel syndrome (IBS) is a chronic digestive disorder that causes episodes of abdominal pain in various locations, causing cramping, bloating, diarrhea, or constipation fertilizer. They appear when diet changes, stress...
2.3 Liver disease The liver is located on the left side of the abdomen, so it can also be the cause of pain. If the patient has right abdominal pain with poor sleep, no appetite, frequent bloating, indigestion and pain in the right flank, it is recommended to see a doctor to check liver function.

2.4 Ureteral stones Ureteral stones can be the cause of lower right abdominal pain. Stones in the right ureter will cause severe pain, often appear after hard work, the pain spreads from the right flank to below. The patient may have bloody urine.

2.5 Gastrointestinal diseases Colitis, intestinal obstruction is also one of the causes of right lower abdominal pain. In addition to abdominal pain, the patient presents with abdominal stiffness, a desire to defecate and loose stools, especially when eating cold foods.
2.6 Gynecological diseases in women Lower right abdominal pain in women can also be caused by the following gynecological conditions:
Dysmenorrhea: Pain in the right lower abdomen before or during menstruation, this is a very normal phenomenon. . Ectopic pregnancy: Severe pain in the lower abdomen, which can be on the right or left side. Ovarian cyst: Pain in the lower right abdomen (right ovarian cyst) or left side (left ovarian cyst). Patients with menstrual disorders should present with abdominal pain accompanied by pain in the cyst. The doctor needs to perform abdominal manipulation and vaginal examination to know. Inflammation of the fallopian tubes: Pain in the lower right abdomen (pelvic), increased pain during intercourse. Endometriosis: Causes severe pain during a woman's menstrual period because cells in the uterus stray out, attach to the area outside the uterus and continue to grow, causing Abdominal pain and heavy menstrual bleeding. Uterine fibroids: The most common symptoms of uterine fibroids are menstrual irregularities, heavy menstrual bleeding and dull pain in the lower abdomen. These are benign fibroids that appear in different locations in the uterus. If left untreated, it can turn into malignant fibroids. Ovarian cancer: This is a very dangerous disease, cancerous cells form and spread quickly, causing women to have extremely painful lower abdominal pain. Women then face the risk of having to have their ovaries removed. Pelvic inflammatory disease: Inflammation of the female genital organs will cause pain in the lower right abdomen affecting different parts of the female reproductive organs such as ovaries, fallopian tubes, uterus ...

2.7 Interstitial Cystitis (IC) Interstitial cystitis is a chronic inflammation of the bladder. People with severe IC will experience frequent urination per hour, pressure on the pubic area, painful urination, and pain during sex. It usually occurs in women between the ages of 30 and 40.
2.8 Sexually Transmitted Diseases Some sexually transmitted diseases (STDs) such as Chlamydia infection and gonorrhea are diseases that can cause pelvic pain. In addition, the disease also causes painful urination, bleeding between periods, and abnormal vaginal discharge. If the above symptoms appear, you should seek medical attention to treat the disease, to avoid spreading the disease to your sexual partner.
2.9 Pain from organ prolapse Visceral prolapse also causes pelvic pain. The organ most prone to prolapse is the bladder or uterus. The most common symptoms are increased pressure on the vaginal walls, a feeling of fullness in the lower abdomen, discomfort in the groin or lower back, and painful sex.
2.10 Pelvic Congestion Syndrome Varicose veins usually occur in the legs, and can sometimes cause varicose veins in the pelvis. Blood collects in the pelvic veins, causing them to become swollen and painful, causing pelvic congestion syndrome. Pain that increases when sitting down or standing up.
2.11 Scar pain Scars after undergoing surgery in the abdomen, pelvis or lower such as an appendectomy, or surgery due to an infection in this area can be painful. If you have not recently had abdominal surgery, it is important to tell your doctor about the exact cause of the disease and effective treatment.
2.12 Pain during sex Pain during sex is a difficult pain to say, when experiencing that symptom, you need to go to an obstetrician and gynecologist immediately to find the right cause.
Lower right abdominal pain in women has many causes and many of them are related to diseases that affect a woman's fertility. Therefore, the signs of lower right abdominal pain should not be underestimated, it is necessary to see a doctor soon when the cause of the pain is not clear.