I have a pain on the right side of my abdomen
Right lower quadrant RLQ pain is tummy abdominal pain that is mainly in the lower half on the right-hand side. It is sometimes also called right iliac fossa RIF pain, although this really means pain in a smaller area in the lower right corner of your tummy abdomen. The right lower quadrant RLQ is a section of your tummy abdomen. Look down at your tummy, and mentally divide the area from the bottom of your ribs down to your pubic hair into four quarters.SEE VIDEO BY TOPIC: Abdominal Pain Caused By Diverticulitis?
Right Side Abdominal Pain: What It Could Mean
For the best experience on htmlWebpackPlugin. Diverticulosis happens when pouches diverticula form in the wall of the colon. If these pouches get inflamed or infected, it is called diverticulitis. Diverticulitis can be very painful. Doctors aren't sure what causes diverticula in the colon diverticulosis. But they think that a low-fiber diet may play a role. Without fiber to add bulk to the stool, the colon has to work harder than normal to push the stool forward.
The pressure from this may cause pouches to form in weak spots along the colon. Doctors aren't sure what causes diverticulitis. Bacteria grow in the pouches, and this can lead to inflammation or infection. Your doctor will ask about your symptoms and will examine you.
He or she may do tests to see if you have an infection or to make sure that you don't have other problems. Tests may include:. The treatment you need depends on how bad your symptoms are.
You may need to have only liquids at first, and then return to solid food when you start feeling better. Your doctor will give you medicines for pain and antibiotics. Take the antibiotics as directed. Do not stop taking them just because you feel better. You may need surgery only if diverticulitis doesn't get better with other treatment, or if you have problems such as long-lasting chronic pain, a bowel obstruction, a fistula , or a pocket of infection abscess.
You may be able to prevent diverticulitis if you drink plenty of water, get regular exercise, and eat a high-fiber diet. A high-fiber diet includes whole grains, fresh fruits, and vegetables.
Bacteria grow in the pouches diverticula , and this can lead to inflammation or infection. Pressure may lead to a small perforation or tear in the wall of the intestine. Peritonitis , an infection of the lining of the abdominal wall, may develop if infection spills into the abdominal peritoneal cavity. The reason diverticula form in the wall of the large intestine colon is not completely understood.
Doctors think diverticula form when high pressure inside the colon pushes against weak spots in the colon wall. Uncoordinated movements of the colon can also contribute to the development of diverticula. Normally, a diet with adequate fiber also called roughage produces stool that is bulky and can move easily through the colon. If a diet is low in fiber, the colon must exert more pressure than usual to move small, hard stool.
A low-fiber diet also can increase the time stool remains in the bowel. This adds to the high pressure. Pouches may form when the high pressure pushes against weak spots in the colon where blood vessels pass through the muscle layer of the bowel wall to supply blood to the inner wall. It is not known why some people who have these diverticula a condition called diverticulosis develop diverticulitis and others do not.
Symptoms of diverticulitis may last from a few hours to several days. These symptoms may include:. Complications also can cause symptoms.
If an abnormal opening fistula develops between the colon and the vagina or the colon and the urethra , you may pass air or stool from the vagina or the urethra. Other conditions, such as irritable bowel syndrome IBS or a urinary tract infection , may cause symptoms similar to diverticulitis.
Diverticulitis occurs when pouches diverticula that have developed in the wall of the large intestine colon become inflamed or infected. It is not clearly understood why 20 out of people who have these pouches—a condition called diverticulosis —develop diverticulitis and the others do not. In Western countries North America and Europe , diverticulitis usually affects the left side of the colon sigmoid colon.
Mild attacks of diverticulitis, with few symptoms or signs of infection or inflammation, sometimes heal without treatment. In most cases, a doctor recommends oral antibiotics to resolve an infection and a clear liquid diet to rest the bowel until inflammation goes away. When infection and symptoms are severe, diverticulitis is treated in the hospital.
Treatment includes antibiotics given in a vein intravenous, or IV and resting the bowel with IV fluids. If severe diverticulitis is not treated, complications such as an abscess or fistula may develop. Surgery often is needed to treat complications. It is common to have lower abdominal pain after recovering from an attack of diverticulitis. But this pain is not always a return of diverticulitis. Less than half of people ever have a second diverticulitis attack. Of those who do have another attack, about half have the second attack within 1 year of their first one.
Call or other emergency services immediately if the person has been bleeding from the anus and has signs of shock , which could mean that a diverticular pouch is bleeding diverticular bleeding. Signs of shock include passing out, or feeling very dizzy, weak, or less alert. Call your doctor immediately if you have pain in the abdomen that is in one spot as opposed to general pain in the abdomen , especially if you also have:. It is not uncommon to have bloating, gas pressure, or mild abdominal belly pain.
These can be caused by eating certain foods or by stress. Home treatment usually will take care of these symptoms. If home treatment does not help or if the symptoms become worse, see your doctor.
If further tests are needed, if your symptoms do not respond to treatment, or if you may need surgery, your doctor may refer you to a:. Your doctor will take a history and do a physical exam if diverticulitis is suspected. Depending on your symptoms, you may have one or more tests to rule out other medical problems that could be causing your symptoms. The extent of testing will depend on how bad your symptoms are and how long they have lasted.
You may have a brief acute bout of diverticulitis that goes away after treatment with antibiotics and a liquid diet. But in some cases the condition occurs off and on intermittently over the long term chronic. Treatment is the same in both cases, unless complications occur. Treatment for diverticulitis depends on how bad your symptoms are. If the pain is mild, you are able to drink liquids, and you have no signs of complications, treatment may include:.
If the pain is severe, you are not able to drink liquids, or you have complications of diverticulitis, a hospital stay is needed. Treatment will include:. Most cases of promptly treated diverticulitis will improve in 2 to 3 days. If your doctor prescribed antibiotics, take them as directed. Treatment after recovery from an attack of diverticulitis is aimed at preventing another attack.
Treatment may include:. In some cases, complications of diverticulitis, such as an abscess, perforation , or bowel obstruction, can occur.
Surgery to remove the affected part of the intestine usually is needed to treat these conditions. Nonurgent elective surgery also may be done for diverticulitis if you have had two or more severe attacks, are younger than age 40, or have an impaired immune system. Home treatment may help you control symptoms of diverticulitis or reduce the chance of having additional attacks of diverticulitis.
When you are feeling better, you can do some things to help prevent another attack. You may want to:. Do not use laxatives or enemas unless your doctor prescribes them. If you use laxatives too often, you can become dependent on them for bowel movements.
If you are having a sudden acute attack of diverticulitis, laxatives or enemas can make the pain worse. Medicines to stop infection and to control symptoms often are used to treat attacks of diverticulitis. Medicines are not used to prevent future attacks of diverticulitis.
Prevention depends on increasing the amount of fiber in your diet and practicing healthy bowel habits. Surgery for diverticulitis involves removing the diseased part of the colon. You may decide to have surgery for diverticulitis if you have:.
Surgery for diverticulitis, in which the infected part of the colon is removed, may be required if you have complications, including:. Overall, fewer than 6 out of people who have diverticulitis need surgery. Surgical treatment involves removing the diseased part of the large intestine partial colectomy and reconnecting the remaining parts.
Depending on the severity and nature of the symptoms, more than one surgery may be needed to correct the problem. When multiple surgeries are needed, the person usually has a colostomy during the time between surgeries. A colostomy is a surgical procedure in which the upper part of the intestine is sewn to an opening made in the skin of the abdomen. Stool passes out of the body at this opening and into a disposable bag.
Usually the colostomy is removed at a later time and the intestine is reconnected. Surgical treatment of diverticulitis, called bowel resection , involves the removal of the diseased part of the large intestine.
People who have mild, brief attacks and who are willing to try long-term dietary changes may be able to avoid surgery.
See the Prevention section of this topic for more information on diet. In some cases of diverticulitis, a pocket of infection abscess in the abdomen heals on its own.
Self-help guide: Abdominal pain
Abdominal pain could be indicative of many ailments, ranging from gas and constipation to gallstones or pancreatitis. Understanding the type of pain you're experiencing, where it's originating from, and the severity of your ailment, could help you get the correct treatment before symptoms worsen. It's important to become acquainted with the nine regions of the abdomen, so you can better understand how your digestive organs function and are susceptible to a variety of medical issues. Organs found in this quadrant include: the liver, the gallbladder, duodenum, the upper portion of the pancreas, and the hepatic flexure of the colon. Pain in the right upper quadrant may be indicative of hepatitis, cholecystitis, or the formation of a peptic ulcer.
Back to Health A to Z. Use these links to get an idea of how to ease the most common causes of stomach ache. See a GP if you're worried. Find out how to get medical help from home. Page last reviewed: 4 July Next review due: 4 July
Right Lower Quadrant Pain
For the best experience on htmlWebpackPlugin. Diverticulosis happens when pouches diverticula form in the wall of the colon. If these pouches get inflamed or infected, it is called diverticulitis. Diverticulitis can be very painful. Doctors aren't sure what causes diverticula in the colon diverticulosis. But they think that a low-fiber diet may play a role. Without fiber to add bulk to the stool, the colon has to work harder than normal to push the stool forward. The pressure from this may cause pouches to form in weak spots along the colon. Doctors aren't sure what causes diverticulitis. Bacteria grow in the pouches, and this can lead to inflammation or infection.
12 possible causes of your lower right abdomen pain
Several different conditions can cause pain in the lower right area of the abdomen. Some of these are severe and require immediate medical attention, so it is important to know the differences. The abdomen is the area between the chest and the pelvis. It contains vital organs involved in digestion, such as the intestines and the liver. The lower right portion of the abdomen contains a part of the colon, and the right ovary in women.
There are several reasons why you might experience pain in your lower right abdomen — also known as the right lower quadrant RLQ. But while self-diagnosis could be useful in some cases, nothing replaces the advice of a medical professional. Again, there are many cases where abdominal pain can be the cause of something less severe.
Home Digestive Health. Pause a minute to take stock of your symptoms: Right side abdominal pain can be vague, and the specifics will help you find the right diagnosis, says Mia Finkelston , MD, a family doctor in Leonardtown, MD. How long has the pain been there? When did it start?
Share this on:. Fortunately, mild discomfort like this is usually just gas or another minor ailment. But in some cases, abdominal pain can be a sign that your appendix — the tube of tissue at the end of your large intestine — may be in trouble. Learn more about these critical appendicitis symptoms so you can get the help you may need. In the simplest terms, acute appendicitis is inflammation of the appendix, a finger-shaped pouch on the right side of your lower abdomen that appears to have no purpose or function.