[Do Not Ignore] Abdominal Pain in 7 Areas: Right, Center, Lower Abdomen, Left, etc. What Diseases Should You Be Cautious About? Should You See a Doctor?

[Do Not Ignore] Abdominal Pain in 7 Areas: Right, Center, Lower Abdomen, Left, etc. What Diseases Should You Be Cautious About? Should You See a Doctor?

Abdominal pain is one of the most common symptoms that patients present to a doctor. The causes of abdominal pain can be numerous, and the importance lies in whether the pain is acute or chronic. If the pain is acute, it could be due to some life-threatening diseases that require urgent medical attention. These diseases are often related to surgical and gynecological conditions.

Causes of abdominal pain

Causes of abdominal pain based on location of the pain

If the pain is located on the right abdomen:

• Right upper abdomen: it could be due to diseases such as acute cholecystitis, gallstones, hepatitis, appendicitis, pneumonia, small bowel obstruction, acute hepatitis, or pancreatitis.

• Right lower abdomen: it could be due to diseases such as appendicitis, diverticulitis, pelvic inflammatory disease, ectopic pregnancy, inguinal hernia, ovarian torsion, or ovarian cyst rupture.

If the pain is located on the left abdomen:

• Left upper abdomen: it could be due to diseases such as peptic ulcer disease, gastritis, splenic rupture, pneumonia, myocardial infarction, or pancreatitis.

• Left lower abdomen: it could be due to diseases such as diverticulitis, pelvic inflammatory disease, ovarian torsion, ovarian cyst rupture, or inguinal hernia.

If the pain is located in the epigastric region:

It could be due to diseases such as peptic ulcer disease, gastritis, gastroesophageal reflux disease (GERD), acute pancreatitis, or myocardial infarction.

If the pain is located around the umbilicus:

It could be due to diseases such as appendicitis, gastroenteritis, mesenteric adenitis, or small bowel obstruction.

If the pain is located in the lower abdomen:

The causes found include: bladder inflammation, inflamed wall of the large intestine, inflamed appendix, testicular gland disease, inflamed fallopian tubes, displaced intestine, pelvic inflammatory disease (PID), ectopic pregnancy, inflamed small intestine, and intestinal obstruction.

Abdominal pain may also be caused by conditions outside the abdominal cavity such as spinal disease, pneumonia, snakebite, high blood calcium, diabetes with complications such as diabetic ketoacidosis (DKA), kidney failure with high levels of waste products in the blood (uremia), Addison’s disease, typhoid fever, porphyria, poisoning from mushrooms, and malfunction of the adrenal gland. Additionally, psychiatric disorders can also cause abdominal pain.

Pain in different points of the abdomen, all 7 points... refers to...

1. Pain in the right rib Ccge

It is the location of the liver and gallbladder. If a hard lump is found upon pressing along with yellowing of the skin and eyes, it may indicate a problem with the liver or gallbladder. Severe pain requires immediate medical attention.

2. Under the xiphisternum or middle of the body

Located at the lowest point of the rib cage (middle of the body), it refers to the stomach, liver, gallbladder, and hyoid bone.

• If the pain occurs regularly when hungry or full, it may be related to a peptic ulcer.
• Severe pain accompanied by nausea and vomiting indicates an inflamed liver.
• If a relatively large and hard lump is found, it may indicate an enlarged liver (consult a doctor).
• If a small, flat triangular lump is felt, it is often the hyoid bone (also consult a doctor).

3. Pain in the right rib cage

It is the location of the muscles. If there is pain, immediate medical attention is required.

4. Pain in the lower right abdomen

It is a common problem among women, and the location is the ureter, kidney, and large intestine.

• Severe pain indicates an inflamed large intestine.
• Pain that extends to the leg indicates a twisted ureter, which starts with a small ureteral stone.
• Pain accompanied by fever, chills, cloudy urine, and back pain indicates an inflamed kidney, so do not delay seeking medical attention.
• If a hard lump is felt, it may be a tumor, so an immediate medical diagnosis is necessary.

5. Pain around the rib cage

It is the location of the small intestine, often found in people who walk frequently. However, if there is severe pain upon pressing, it may be the ileum, and immediate medical attention is required. However, if the pain is accompanied by bloating, it may not be a severe problem but may indicate that the small intestine is not functioning properly (possibly due to overeating).

6. Pain in the lower left abdomen

It is the location of the ureter, kidney, and large intestine (similar to point 4).

7. Pain in the lower abdomen

It is the location of the bladder and uterus.

• Pain during urination or defecation is easily identifiable and may indicate a bladder infection or, in severe cases, bladder stones.
• If the pain is accompanied by cramps during menstruation, it is not a severe problem and may indicate the onset of menstruation. However, if the pain is persistent in women who are married and do not have children, they should consult a doctor immediately as it may be a symptom of a gynecological problem.

7.1 Right lower abdomen

This is the location of the small intestine, ureter, and ovarian tube.

• If there is constant cramping pain that radiates to the leg, it may indicate a problem with the kidney. It is necessary to see a doctor promptly.
• If there is constant, severe pain and tenderness, do not tolerate it as it may be a sign of inflamed small intestine.
• If there is fever, chills, and discharge, only women are affected because it may be an inflamed ovary. See a doctor immediately.
• If a lump is felt during palpation, it may be an abnormality in the small intestine or fallopian tube.

7.2 Left lower abdomen

This is the location of the ovary and ureter.

• If there is cramping pain that radiates to the leg, it is usually a ureteral stone.
• If there is fever, chills, and discharge, it may be an inflamed ovary.
• If there is pain accompanied by abnormal bowel movements, it may be due to inflamed colon.
• If a lump is felt during palpation and constipation is a regular occurrence, it may be a tumor in the intestine.

Treatment

Doctors will rely on the patient's medical history and physical examination to determine if further tests are necessary or if a preliminary diagnosis can be made if the symptoms are unclear or chronic. Treatment and monitoring should be provided. If the patient responds well to treatment, a preliminary diagnosis may be made. However, if there is no response or symptoms change, further tests will be necessary. The tests that will be performed depend on the cause that the doctor suspects, such as blood tests, urinalysis, stool examination, radiological studies, endoscopic examination, or biopsy.

If there is a potential risk, please seek examination and consultation at the Digestive System Center, Vibhavadi Hospital.