[37M] Experiencing dull ache in lower right abdomen

Patient Description

A 37-year-old male reports a constant dull ache in the lower right abdomen for the past 2 days, which worsens with coughing, tensing of the abdomen, or physical activity. The patient maintains a normal appetite and bowel movements, with no changes in stool or urine, and no presence of blood. There are no accompanying symptoms such as fever, chills, nausea, or vomiting. The patient's medication regimen includes Zyrtec and a daily multivitamin, with no known drug allergies or adverse reactions. There is no history of pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Appendicitis: This is an inflammation of the appendix, a small pouch attached to the large intestine. It's located in the lower right abdomen, which matches the location of your pain. Symptoms typically include a dull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen, but not everyone has these typical symptoms. It's usually accompanied by loss of appetite, nausea, vomiting, and fever, but you haven't reported these symptoms.

    • Treatment usually involves surgery to remove the appendix. Antibiotics are also given before an appendectomy to fight possible peritonitis.
  • Muscular strain or injury: This could be due to physical activity or coughing, which you mentioned can aggravate your pain.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers can also help.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Symptoms include abdominal pain and cramps, diarrhea, and vomiting. However, you haven't reported diarrhea or vomiting.

    • Treatment usually involves rest and rehydration. Over-the-counter medication can help with symptoms.
  • Kidney stones: These are hard deposits made of minerals and salts that form inside your kidneys. Pain can be in the back or side below the ribs, the lower abdomen and groin, and can vary in intensity.

    • Treatment includes pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed to remove or break up larger stones.

What you can do

You should seek immediate medical attention. While your symptoms could be due to a less serious condition such as a muscular strain, they could also be due to appendicitis, which is a medical emergency.

What you should look out for

Seek immediate medical attention if you experience:

  • Increased intensity of your abdominal pain
  • Fever
  • Nausea and vomiting
  • Loss of appetite
  • Abdominal bloating

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of appendicitis?

Common symptoms of appendicitis include a dull pain near the navel or upper abdomen that becomes sharp as it moves to the lower right abdomen, loss of appetite, nausea, vomiting, and fever. However, not everyone experiences all these symptoms.


How can I differentiate between muscular strain and appendicitis?

Muscular strain typically causes pain that worsens with movement or physical activity and may improve with rest, ice, and over-the-counter pain relievers. Appendicitis pain often starts near the navel and moves to the lower right abdomen, and it may be accompanied by other symptoms like nausea and fever. If in doubt, seek medical attention.


What should I do if I suspect I have a kidney stone?

If you suspect you have a kidney stone, drink plenty of water to help pass the stone and take pain relievers as needed. If the pain is severe, persistent, or accompanied by fever or blood in the urine, seek medical attention.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe, persistent, or accompanied by symptoms such as fever, nausea, vomiting, loss of appetite, or abdominal bloating. Immediate attention is necessary if the pain increases in intensity or if you suspect a serious condition like appendicitis.


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