Causes of Right Side Abdominal (Stomach) Pain

Pain on the right side of the abdomen can be either in the upper part (RUQ ~ right upper quadrant) or lower part (RLQ ~ right lower quadrant). Abdominal pain is a non-specific symptom that can be attributed to a host of conditions. Therefore the presence of other signs and symptoms in association with the pain is important to consider in the differential diagnosis. Modalities may include pain that commences, worsens or eases with change in position, eating, hunger, changes in bowel movements and movement.

The final diagnosis should be done my a medical professional after a thorough case taking and additional diagnostic investigations like an abdominal ultrasound, x-ray, CT scan or MRI. Blood tests and specialized investigative techniques like an endoscopy, colonoscopy or barium enema may also be needed. Broadly, right sided abdominal pain can be attributed to the right lung, diaphragm, kidney, liver, gallbladder, head of the pancreas, small intestine, cecum, ascending colon or transverse colon of the large intestine and peritoneum. The pelvic organs and structures should also be considered in lower right sided abdominal pain. Pain in the abdomen may not originate from this area and can be referred or radiate from the chest, pelvis and back.

UPPER Right Abdominal Pain

Pain in the upper right abdominal region may be superficial or deep. Superficial causes may be attributed to the abdominal wall (skin and muscles), peritoneum, liver and gallbladder. Deeper pain may be due to the liver, bile ducts, stomach, duodenum and kidneys.

LUNGS

Pain may be associated with the lung tissue itself (rare), lining of the lung (pleura) or space around the lung (pleural space). Lung and pleural diseases that may causes right sided abdominal pain include :

  • Pneumonia (bacterial or viral) of the lower lobe of the right lung.
  • Pleurisy or pleuritis (inflammation of the lung membrane) from infection, trauma and so on.

Signs and symptoms may include difficulty breathing, coughing, and pain upon breathing/moving.

LIVER

The liver is an important consideration in upper right abdominal pain as it occupies most of this region. As a large organ with diverse functions, and the central processing unit of nutrients, the liver is prone to a variety of disorders. Liver conditions that may cause right sided abdominal pain include :

  • Enlarged liver due to heart failure, hepatitis, fatty liver, lymphoma, leukemia, etc.
  • Liver cancer or metastases of other cancer into the liver.

Signs and symptoms may include changes in bowel movements and consistency of stool, nutrient deficiencies, jaundice, changes in appetite and weight loss.

GALLBLADDER/ BILIARY TRACT

The gallbladder stores bile that is produced in the liver. This fluid contains various compounds, particularly waste substances and fats, and can emulsify fats in the gut to allow for digestion and subsequent absorption. Bile is passed through the biliary tracts which communicates with the pancreatic duct before emptying into the duodenum, the first part of the small intestine. Conditions of the gallbladder and biliary tree that may causes right sided abdominal pain includes :

  • Gallstones or bile duct stones
  • Gallbladder inflammation (cystitis), mostly due to gallstones.
  • Inflammation or blockage of the biliary tree (cholangitis) (cystic, or common bile duct).
  • Gallbladder and biliary cancer are rare.

Signs and symptoms may include jaundice, fatty stools and episodes of pain that are intense (colicky) and generally arise after eating.

DUODENUM

The duodenum is the first part of the small intestine and an important site for digestion. It receives the partially digested food mixed with gastric acid and enzymes from the stomach and then bile and digestive enzymes from the pancreas. It is often affected with the same pathologies that afflict the stomach, often a combination of infection and the presence of gastric acid in the duodenum for prolonged periods. Some of the conditions of the duodenum that may cause right sided abdominal pain include :

  • Duodenal ulcer
  • Duodenitis – inflammation of the duodenum similar to gastritis (stomach).

Signs and symptoms include severe pain after eating, although the pain may sometimes ease slightly with food, change in bowel movements, excessive belching and bloating.

MUSCLES

The abdominal muscles comprise several groups of muscles that protect the abdominal contents, stabilize the trunk during movement and help with changes in position. Since the abdominal cavity lacks an extensive skeletal protection like the thoracic cavity, the abdominal muscles have to contend with significant impact in trauma. Some conditions affecting the abdominal muscles that may cause right sided abdominal pain includes :

  • Strained muscles – common cause.
  • Hernia
  • Blunt force trauma
  • Rectus sheath haematoma
  • Psoas abscess

Signs and symptoms generally include pain when moving and tenderness on palpation of the affected area.

KIDNEYS/URETER

The kidney is responsible for filtering the blood and forming urine. Electrolytes and water are reabsorbed as necessary and the urine is directed down the ureter to the bladder. The kidney is tucked behind and slightly below the liver on the right side of the abdomen to lie shielded by the back part of the ribcage. Some conditions affecting the kidney and ureter that may cause right side abdominal pain includes :

  • Pyelonephritis (infection of the right kidney).
  • Kidney/urinary stones
  • Renal carcinoma

Signs and symptoms include changes in the urine color and composition, alterations in urinary habits and additional signs like blood in the urine (hematuria).

DIAPHRAGM

The diaphragm is the large concave muscle that separates the thoracic and abdominal cavities. It is the major muscle of respiration and on the right side, it houses the liver immediately beneath it. When contracted, the diaphragm pushes down the abdominal contents to expand the chest cavity. Some of the conditions of the diaphragm that may cause right sided abdominal pain include :

  • Abscess under diaphragm

LOWER Right Abdominal Pain

Lower right abdominal pain may be due to some of the same causes discussed under upper right abdominal pain. With the lower abdominal regions, the continuation with the pelvic cavity means that pathologies of the pelvic organs or structures may also be a cause of pain.

APPENDIX

The appendix are a small outpouching from the cecum of the large intestine. It is believed to be a reservoir for the normal intestinal flora (good bowel bacteria). It can become inflamed, obstructed and or infected. This may be related to the surrounding parts of the intestine or other abdominal structures or occur independently. Some of the conditions of lower right sided abdominal pain include :

  • Appendicitis (inflammation of appendix)

SMALL INTESTINE

The small intestine comprises the duodenum, jejunum and ileum. It is the major site of digestion and absorption. Waste products and undigested material pass into the large intestine. The small intestine is also the longest part of the gastrointestinal tract and prone to various conditions that may be a continuation of pathology in the stomach or large intestine. Conditions affecting the small intestine that may cause right sided abdominal pain include :

  • Crohn’s disease affecting the last part of the small intestine, called terminal ileum.

COLON

The colon is the main part of the large intestine and has been discussed above. The most prominent part lying on the lower right side includes the cecum and ascending colon.

  • Volvulus twisting of the cecum (starting part of large intestine), rare.

FEMALE REPRODUCTIVE ORGANS

Gynecological causes of right sided abdominal pain are an important and common cause. It should always be taken into consideration especially if the pain appears to be associated with ovulation or menstrual cycle or there are any menstrual changes that accompany the onset of the pain. A slight discomfort with ovulation and menstruation and mild, short lived pain during pregnancy is normal.

  • Ovulation (mid-cycle pain, Mittleschmerz)
  • Twisted or ruptured ovarian cyst
  • Ectopic pregnancy
  • Miscarriage
  • Endometriosis
  • Polycystic ovarian syndrome – PCOS; usually affecting both right and left ovary

MALE REPRODUCTIVE ORGANS

Disorders of the male reproductive are unlikely to cause lower right sided abdominal pain with pain in the pelvis or genitalia. Some conditions to consider include :

  • Spermatic cord disorders
  • Testes disorders

ABDOMINAL BLOOD VESSELS

The blood vessels in the abdomen include the large aorta and inferior vena cava, with the various branches and tributaries. These blood vessels are prone to a host of diseases that may be isolated to the cardiovascular system or part of a systemic condition. Some of these conditions include :

  • Hereditary angioedema
  • Henoch-Schönlein-purpura
  • Atherosclerosis of arteries that supply the intestine

BLOOD

  • Porphyria
  • Sickle Cell Disease

SKIN

Conditions affecting the skin may be responsible for upper and lower right sided abdominal pain. Skin lesions or deformities may be present, including a rash, swelling and/or redness. Most skin diseases present with itchiness but pain may be seen in the following conditions.

  • Herpes zoster
  • Dermatitis (eczema) when the skin is broken or there is an infection.

ABDOMINAL MEMBRANE (PERITONEUM)

The peritoneum mainly envelopes the gastrointestinal tract in the abdomen and peritoneal fluid keeps the organs lubricated when making contact with each other. Inflammation, infection and swelling may be associated with peritonitis.

  1. Read more here for a detailed description of right upper (RUQ) abdominal pain.
  2. Read more here for a detailed description of right lower (RLQ) abdominal pain.
About Jan Modric (249 Articles)
Health writer
  • Jan Modric

    nikki2070,

    you can see your comment when we approve it. You’ve mentioned a lot of different symptoms, and I don’t know if they are all related or not. Seeing a new GP sounds like a good idea, but you should visit him as soon as possible, not in 2 weeks. The doctor can examine you and say if you have enlarged lymph nodes in the neck, enlarged liver and so on. Few ideas about possible causes:
    - Infectious mononucleosis (a viral infection caused by EBV virus) causes sore throat, fever, enlarged lymph nodes in the neck, armpits and groin, enlarged liver and skin rash, but not all symptoms are necessary present.
    - Rotavirus infection (contracted by a child) can cause sore throat followed by diarrhea
    - Hepatitis can cause sore throat, enlarged liver, tiredness and loose stools
    - A gallstone, when it sticks at the place where the gallbladder and pancreatic duct meet, may cause pain below the right rib cage, pancreatitis and diarrhea
    - Excessive gas in the bowel may be caused by constipation and can result in pain during deep breath
    - A throat infection could spread to lungs and cause a viral pneumonia…

    I could continue like this, but it is a doctor who can take a throat swab, order liver tests, ultrasound, CT or MRI of the abdomen. To avoid constipation, you should drink a sufficient amount of fluid. You can try to eat foods high in fibers, like bread with seeds and salads, and avoid constipating foods.

  • Jan Modric

    kushshah,

    4.5 mm is actually not so small stone, and I don’t want to make any unprofessional guesses about possible damage of the passage of such a stone. A stone could be broken by an extracorporeal shock wave lithotripsy or removed during percutaneous nephroscopy (kidney endoscopy through a small incision in the skin and muscles). It is a nephrologist/urologist who can say which technique would be optimal.

  • sreedhar

    i hav right side pain in my stomak.
    doctor done endoscopic and ultrasound
    in that
    1.small hiatus hernia,
    2.distended gall badder,wall thickness is normal and no calculi.
    3.tiny calcific focus noted in sigment fourth of liver.
    4.urinary bladder is distended.wall thickness normal,no calculi.

    still i hav pain please give me suggetions..

  • nello

    My right side where my stomach was hurting like a stabbing pain, from a scale from 1 to 10 10 being the worst it would have had to be 8 or 9. The pain decreased when I leaned to the left side but when I went right back to the right side it hurt again. There does not appear to be noticeably swollen and i checked my pulse and its 80 minutes per 15 seconds. My skin is normal except I am cold and shivering my body temperature is 35.0 Celsius.The main part of my body thats the most cold is my hands I checked for blood circulation and its normal too, But im normally have cold hands. My pervious medical history in the last 12 months Ive fainted 1 and came close to it 3 times
    What should I do my moms not taking me to the doctors tonight because she thinks itll just pass and wants me to go to sleep but im too scared to .Oh and Im 16 I dont know if that matters I just need medical advice right now on what to do.
    Thank you

  • lindsey

    I am a 28 year old Caucasian female. Over a year ago I started noticing some abdominal discomfort when waking up in the morning (so, lying down). At first the discomfort was hard to pinpoint-it seemed like it was in different places on different days. If I pushed in one place I’d feel discomfort (or sometimes mild pain) in another. And some days there would be no discomfort at all. About 9 months ago I noticed that I was feeling it more regularly, and that once in a while I’d experience a sharper pain when pressing my abdomen. This pain would be in different areas every time, but I noticed that the most common place I felt it was to the left of my right hip bone, closer to the top.

    At that point I went to a walk in clinic and was sent to get a pelvic ultrasound, which came up clear. The doctor said it was probably nothing – maybe mild IBS or some other mild digestive problem, but the only way to find out would be through a colonoscopy, which he basically said was uncomfortable and didn’t encourage me to undergo.

    In the summer I went to see my family doctor, who said just about the same thing, and took a blood test that came up with no results (not sure exactly what was tested). He said it could also be gas pain. Though I do have gas in the mornings, I don’t think this is the same kind of pain as trapped gas, and it’s not alleviated by passing gas.

    (Also, when I visited both doctors, they had me lie on the examining table and pressed into different areas, including the area near my right hip bone, and I didn’t feel that sharp pain either time.)

    However, it seems that over the past few months at least, pretty much every time I push in now, I feel that sharp pain. It’s about 2 inches left of and maybe an inch above my right hip bone. It occurs in the mornings and the few times I’ve tried lying down during the day to test it (I can’t really feel anything properly sitting up). Also, pretty consistently, if I press around my navel there’s some mild pain there too (usually just below the navel, but this pain seems to move a bit). It seems to me like the two areas might be connected.

    It doesn’t seem like eating or having bowel movements affects any of this.

    I’m wondering if it’s still possible that this now chronic pain is nothing, or just related to a mild digestion problem. And if it could be something else, what the next step should be – a colonoscopy after all?

    Thank you so much for your help.

  • mskoolcat

    I’m sorry about my last post, it was a mistake. I am a 23 year old female who is healthy. Yesterday I had a pain start in my the middle upper stomach. The pain is like i’m in labor. I can feel it getting started and it builds up and then lessens. It comes and goes through out the day and night. Moving around makes the pain come more often. I also have a tenderness on the right side of my belly button when i push on it and let go. When i do push on it, it is tender and the pain comes in my upper middle stomach. I also have some nausea, no appeitate and easely light headed. Any idea on what it might be.

  • Corza

    im a 15 year old girl having lower abdominal sharp pains on the right side of my stomach. I’ve been in and out of hospitals and also my local GP. I’ve had ultra sounds and bloods tests. im also at the adolecets at the “childens hospital” in melbourne. im in pain every day just doing life style activities.. I’ve had this pain continues for 11 months, the same stabbing pain over and over again …. is there anything you can suggest?????

  • nicola

    i have been getting very sharp pains on the lower right hand side of my tummy, can you tell me what this may be? i don’ feels sick or anything but it is very painful.

  • Dr. Chris

    Hi Sreedhar

    As you have mentioned there are various causes for your abdominal pain. Your doctor will need to investigate the possible cause of all of these findings, which are possibly related to a single cause like a systemic infection or autoimmune condition. An MRI as well as further blood work up may be necessary at this point. Speak to your doctor about it.

  • Dr. Chris

    Hi Nicola

    Pain on its own is difficult to diagnose and you can see that there are a host of causes as mentioned above. Without other symptoms present, it may be related to any of the organs or structures in this area or even from other sites with pain referring to the lower right hand side. Speak to your doctor because other clinical features that may not be evident to you may be detected by your doctor.

  • Dr. Chris

    Hi Corza

    You don’t mention the results of these tests or other symptoms you may be experiencing. If none of these investigations have revealed any abnormalities then it may be worth considering gynecological disorders. Polycystic ovary syndrome (PCOS) is a common condition affecting young females. You should have seen some menstrual irregularity though. You can read more about it under What is PCOS and PCOS Symptoms. Speak to your doctor about a referral to a gynecologist if no other cause can be identified. This is just one possible cause and there could be a host of other causes as well.

  • Dr. Chris

    Hi Lindsey

    It is possible that your symptoms have been passed off as minor because no clear pathology could be isolated on each round of tests. However this does not mean that a gastrointestinal condition is not present and it is worth going back to your doctor for follow up tests to verify that no abnormalities are now detected. What you have not discussed here is gynecological findings, your menstrual cycle and so on. It is possible that these pains are related to a gynecological disorder and it would be advisable that you see a gynecologist. IBS could be a consideration given your lack of other symptoms so that should not be ruled out immediately. Either way, further investigations are advisable, whether a colonoscopy,etc. Abdominal pain on its own can be difficult to diagnose given the lack of other signs and symptoms as well no abnormalities detectable upon conducting relevant tests. In these cases it often gets chalked down to IBS.

  • Dr. Chris

    HI Mskoolcat

    There is a host of possibilities and as young female you must first exclude pregnancy even though not all the symptoms may be present. A number of disorders of the colon may also be responsible and you should take note of any change in bowel movement and report it to your doctor. Other possibilities include gastritis, peptic ulcers, gallstones, inflamed gallbladder (cholecystitis), appendicitis and even acute pancreatitis if you were binge drinking recently. These are just some of the causes. It may be totally unrelated to the gastrointestinal or gynceological disorders. Pain on its own is difficult to diagnose without a further assessment by a doctor.

  • Dr. Chris

    Hi Nello

    Hopefully you have seen a doctor at this point. 80 BEATS for every 15 second interval (approximately 320 per minute) is NOT normal. There are host of causes for what you are experiencing including appendicitis or a perforated organ, severe dehydration, loss of large mounts of blood and the list goes on. You need immediate medical treatment and should call an ambulance if you mother refuses to seek medical attention.

  • ienass

    ienass 35/f
    iam hyperthirodism pasiant since 2 weeks am starting to feel nausia and some times vomiting with sudden dissness and cramp pain that comes and goes at my right side of my body below the stomich and inotice increase in my wight

  • mommy2be

    im 6 months pregnant and i got a uti first they gave me these pills and it work till the pills were gone they gave me another set and same thing happened now im on these new pills but through out this month long process i get these sharp pains in my side and than i get these shivering more shaking like im cold but my skins on fire and my whole body feels like its going to brake and it only last about 20 min but im scared is the uti causing that and is my baby ok i told the er but they keep saying its just a uti but i can feel theres something worse going on those shakes hurts so bad

  • mommy2be

    someone help me i just dont want my baby to get hurt and if it is just a uti how come the 3 sets of antibotics arent working. sometimes the pain is so bad i cant walk. it doesnt hurt to pee or anything so please respond asap thank you

  • owl_lover

    Hey Dr Chris,
    I’m an 18 year old female who has been experiencing pains on the right side of my abdomen. I first noticed these pains during and after sex a couple of months ago, but they were very mild and didn’t happen all of the time, so I thought nothing of it. Then about two weeks ago I started to have very sharp, intense pains in the same spot. The pain happened approximately every 10 minutes for about 48 hours. I ended up going to the hospital and they gave me a blood test and an ultrasound. The blood test came back normal and so did the ultrasound (my ovaries, gall bladder, liver & kidneys were checked). However, they were unable to view the appendix. They told me the pain was probably caused by gas and sent me home. As I said, the intense pain only lasted about 48 hours, but I began to feel a dull, kind of pinching-cramping pain after that. It’s been two weeks now and this pain hasn’t stopped. It seems quite different to the sharp, 48-hour pain. I also saw my GP a couple of days ago and he seems to think that it has something to do with my pelvic region rather than my appendix. Please help! Thank you.

  • College Student

    Hi doctor,

    Im a 18 year female who got a server pain in my right lower abdominal while cleaning the bathroom. This pain prevented me from being able to stand. Can you help me please?

  • Dr. Chris

    Hi Ienass

    You should speak to your doctor about these symptoms especially if you have recently started medication for your hypothyroidism. These types of symptoms are not uncommon and may also be associated with other symptoms like constipation. However, every case needs to be assessed on an individual basis so you need to go back to your doctor. An increase in weight is expected with hypothyroidism and you doctor will explain this further.

  • Olive

    i’m having pain in my abdomen(and lower area? possible blatter area?) area when i urinate and contract my muscles. i am worried. also there is constant motion in my intestines? its like i have never ending gas for no reason and sometimes i get cramps there to. i don’t know what it is though. i’m also to embarrassed to tell my parents and go to a doctor about it.

  • CharlC

    Hey there,
    I am going to have to start with my background medical history here. In Jan 2010 i had emergancy surgery to treat a ruptured ectopic pregnancy 5 hours i was in theater for apparently i was tricky. Then in oct 2010 i had a surgical abortion that had to be repeted in nov 2010 due to tissue being left inside. Since then i have had totally normal periods whilst being on the pill up untill now. I started bleeding 9 days before my period was due and i am still bleeding 15 days after starting to bleed. I have done pregnancy tests so that rules that out. Also i am getting lots of pain on my right side lower abdomon which is the side i had mt ovary and fallopian tube removed, also with all this i am feeling faint and dizzy pleas help!

  • Dr. Chris

    Hi Mommy2be

    There are two concerns here :

    1. You may be having an adverse drug reaction to the medication and this needs immediate medical attention. Do not stop the antibiotics but speak to your doctor immediately. It can affect your pregnancy.

    2. Your infection may be progressing, has possibly already reached the kidneys and you could soon have septicemia. This is EXTREMELY and could jeopardize the welfare of both you baby and you. Immediate medical attention is also necessary in this case.

    These are just two possibilities that need to be mentioned. Extra caution is always necessary with pregnancy and you should be seeing your gynecologist on an ongoing basis for any medical problem during this time. Please speak to both your family doctor and gynecologist immediately. Hopefully this is not too serious but it is important to be very cautious during this time.

  • dbiddy

    I am a 33 year old female who has experienced on going pain on my right side for over 10 years. Recently it has become persistant. The pain (which originally seemed to be religated to my right ovary) has now spread from directly under my right rib cage and radiates down my right thigh and around to my right side back and buttocks. Over the years I have had multiple ultrasounds to check for ovarian cysts (nothing impressive has been found), blood work (all normal), I had a scan on my abdomen 2 years ago (all clear). When I lay down I think I feel a slight bulge in my intestenal area, but my husband (who is a PA), doesn’t feel anything, and neither has any physician who has examined me. Sometimes I can feel if I have a stool in my bowels. If I press hard on my right side abdomen, the pain goes away. I have been pregnant twice and throughout both pregnancies the pain has gone away. I have also had two C sections, but the pain began years before these surgeries. Any idea as to what this could be? Thanks for your time.

  • Melinda227

    Hi, hoping someone could give me some insight on a problem my girlfriend is having.
    Her age 45, overweight, had a hysterectomy over a year ago (mentioning it just incase needed) She has been experiencing right lower back pain, stomach (under rib cage area) feeling hard and pressure. Tender, very painful and throbbing. It isn’t gas nor needing to use the bathroom. any help or ideas of what this could be would be greatly appreciated. Thank you. Melinda

  • Dr. Chris

    Hi Owl-Lover

    Pain is a non-specific feature of many diseases and considering that the abdominopelvic cavity contains so many organs and structures of the various systems, it is unable to really comment further. If you notice any other signs and symptoms then it may be helpful to isolate a possible cause. It could be related to the gastrointestinal or genitourinary systems or other abdominopelvic structures. Try to make not of when these pains start, what event may have preceded it or triggered its onset, what helps to relives it and whether it is related to your menstrual cycle. This would help your doctor in deciding upon further tests and investigations to find a cause.

  • Dr. Chris

    Hi College Student

    Pain on its own is non-specific and without other symptoms, it is difficult to isolate a cause. If you found that it occurred while doing strenuous activity then it could be related to muscle spasm, possibly of the abdominal wall. There are other possible causes (superficial or deep) but if this was a once off occurrence and there are no other symptoms, then it is most likely muscular in origin. Nevertheless, consult with your doctor to exclude any other serious condition.

  • Louise

    Hello, my friend told me that he has been having pain under his rib cage, feeling sick at times, shaky, having heartburn and feeling drowsy. He’s 22, slim but has a poor diet and works hard. I wondered if you would have any ideas. He’s had his liver tested about 2 years ago because someone in his family had hemochromatosis. Dr told him his levels were fine but there was a chance that they could go up and he’d need to have some treatment. Thank you

  • mommy2be

    i never got a response to what my shaking and pain could be

  • Dr. Chris

    Mommy2be,

    I did answer your question on 4/03/2011. All your symptoms including the shaking and pain could be related to an infection (possibly chills), or part of an adverse drug reaction. You need to see a doctor IMMEDIATELY.

    Note from editor : This is a free service aimed at guiding readers and does not constitute a medical consultation. The Health Hype team is therefore not liable for any complications that may arise by you delaying seeking proper medical attention. Our team may opt not to respond to comments/questions and any response may take 72 hours or more.

  • ienass

    dear doct
    thanks for answering me,but sir my concern is befor my treatment and even from the 1st day my body start to suffer from hyper thirodism iam ganing weight like apregnent women my belly regon is becoming bigar and biger every day and in my both sides igain about 48 bounds and increasing what should ido to remove this weight and to stop ganing more (my 3 meals is small and idont drink or smook and even idont drink coffe)…ineed ur edvice

  • Dr. Chris

    Hi Olive

    You need to discuss this with your parents because any serious underlying disease may be missed by not reporting it. The pain that you are experiencing could be muscular in origin but there is also the concern of conditions like cystitis (bladder infection) since you are experiencing pain when urinating. If left untreated, the infection can spread to the kidneys or even through the body. The gas symptoms however, will not be related to a bladder problem. I assume that you mean gas passed from the bottom end (flatus). Instead this could be a bowel related problem and when urinating, the pressure in the abdominopelvic cavity can cause pain as you describe. You have to see a doctor as soon as possible.

  • Dr. Chris

    Hi CharlC

    When using a pill, your monthly bleed is not the normal period experienced by a women who are not using these contraceptives. It is a result of a sudden drop in the estrogen levels and there is no ovulation. It may appear like you have had a perfect cycle in the past few months but this was entirely due to the oral contraceptive and in no way indicates your real menstrual cycle. This bleeding that has suddenly started and is persisting needs to be investigated immediately. Abnormal vaginal bleeding along with the pain that you are experiencing could be due to a host of disorders and given you history, you need immediate medical attention.

  • Dr. Chris

    Hi DBiddy

    Although you don’t mention any abnormalities with the menstrual cycle, it would be reasonable to assume that it may be gynecologically related. Of course, there are many other non-gynecological conditions that may also respond to changes in the females hormones which may be the reason the pain subsided during pregnancy. PCOS, fibroids and even endometrioisis may be a consideration. Uterine polyps may also be a possible cause. It is not impossible for there to be no noticeable features upon the imaging studies you have undergone but nevertheless you should be following up with your gynecologist on a regular basis.

    Two other conditions that need to be considered is certain kidney diseases and nerve root compression, most likely lumbar or sacral. Both could account for this type of pain. An MRI of the relevant area may be a better option in these cases.

    I would advise that you see a gastroenterologist. Growths within the bowel could causes these symptoms although it is less likely. It is unlikely that there would be any malignancy given the length of time but some conditions could be pre-cancerous.

  • Dr. Chris

    Hi Melinda227

    Women of her age and weight are often at risk of gallstones and a number of gallbladder conditions. She needs to speak to you her doctor about the relevant investigations to confirm or exclude this. The symptoms you describe are typical of gallstones/gallbladder diseases. Another possibility is pancreatitis and once again, this will be investigated by her doctor.

  • Dr. Chris

    Hi Ienass

    I apologize for having thought you have hypothyroidism when you stated hyperthyroidism. Weight gain around the abdomen, especially fluid accumulation, could be a complication of poorly managed/untreated hyperthyroidism and may be related to a number of abdominal organs, like the kidney, or the heart. This is a consequence of hyperthyroidism so hopefully you are seeing a doctor about this and undergoing treatment. Please follow your doctor’s instructions. We do not offer weight loss information on this website and the concern is that your weight gain on your abdomen may NOT be abdominal obesity but rather fluid accumulation (ascites). Your doctor needs to assess it. No dietary change is going to make a difference if it is ascites. Failure to have it attended to timeously, depending on the cause, may be fatal.

  • Dr. Chris

    Hi Louise

    He should go back and see his doctor. With hereditary hemochromatosis, organs like the liver can be strained and present with right sided abdominal pain typically described as pain under the right rib cage. The fatigue and so on are also typical of hereditary hemochromatosis. However this should not detract from the more common causes like gastrointestinal conditions. A medical assessment is required at this stage.