Lower-Right Abdomen Pain Made Worse By Eating

What Causes Lower-Right Abdomen Pain Worse After Meals?

Lower-right abdomen pain worse after meals can have various causes, ranging in severity from 'very serious' to 'life-threatening'.  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 abdomen pain worse after meals, 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 abdomen pain worse after meals" as a symptom.  Here are two possibilities:
  • Crohn's Disease
  • Appendicitis

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:
frequent unexplained vomiting
flatulence
moderate hypogastric pain
frequent stools
recent onset vomiting
appendix removed before age 20
diarrhea for 1-3 months
frequent episodes of diarrhea
meal-induced pain for over a month
significant hypogastric pain
frequent painful urge to defecate
having loose stools
... and more than 20 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 abdomen pain worse after meals:
Cause Probability Status
Crohn's Disease 91% Confirm
Appendicitis 61% Possible
* 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 increased by eating, The Analyst™ will ask further questions including this one:
LOWER-RIGHT abdomen: Do you experience discomfort or pain above the right hip that sometimes or always becomes worse after eating?
Possible responses:
→ No / I only have pain when I eat / don't know
→ Rarely / a few times a year
→ Yes, mild pain becomes moderate pain after eating
→ Yes, mild pain becomes severe pain
→ Yes, moderate pain becomes severe pain
Based on your response to this question, which may indicate meals worsen right iliac pain, The Analyst™ will consider possibilities such as:
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