Abdominal Pain Above The Right Hip

What Causes Lower Right Abdominal Pain?

Lower right abdominal pain can have various causes, ranging in severity from 'needs attention' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose lower right abdominal pain, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "lower right abdominal pain" as a symptom.  Here are eight of many possibilities (more below):
  • Appendicitis
  • Ulcerative Colitis
  • Mesenteric Ischemia
  • Ovarian Cancer
  • Possible Urgent Medical Need
  • Pyelonephritis
  • Intestinal Obstruction
  • Diverticular Disease

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
regular unexplained nausea
constant abnormal vaginal discharge
moderate hypogastric pain
severe periumbilical pain
moderate unexplained weight loss
high ESR
pain in one eye
colitis in family members
excessive flatulence
loss of appetite
severe meal-induced pain
mild abdominal discomfort
... and more than 70 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of lower right abdominal pain:
Cause Probability Status
Mesenteric Ischemia 96% Confirm
Diverticular Disease 29% Unlikely
Appendicitis 21% Unlikely
Ulcerative Colitis 0% Ruled out
Intestinal Obstruction 0% Ruled out
Ovarian Cancer 0% Ruled out
Possible Urgent Medical Need 0% Ruled out
Pyelonephritis 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate abdominal pain unaffected by eating, abdominal pain reduced by eating or abdominal pain increased by eating, The Analyst™ will ask further questions including this one:
LOWER-RIGHT abdomen: Do you experience discomfort or pain above your right hip?
Possible responses:
→ No / only after meals / don't know
→ Occasional mild discomfort
→ Frequent mild and/or occasional moderate pain
→ Frequent moderate and/or occasional severe pain
→ Frequent or constant severe pain
Based on your response to this question, which may indicate mild right iliac discomfort, moderate right iliac pain, significant right iliac pain or severe right iliac pain, The Analyst™ will consider possibilities such as:
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