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):
  • Ectopic Pregnancy
  • Ovarian Cysts
  • Ovarian Cancer
  • Ulcerative Colitis
  • Appendicitis
  • Possible Urgent Medical Need
  • Mesenteric Ischemia
  • 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:
chronic nausea
frequent unexplained vomiting
meals worsen right iliac pain
chronic diarrhea
significant meal-increased pain
occasional bowel movement changes
mild left iliac discomfort
ovarian cysts
weak appetite
meal-induced pain for over a month
meal-induced pain for under a week
meal-related bloating
... and more than 80 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
Appendicitis 90% Confirm
Mesenteric Ischemia 25% Unlikely
Possible Urgent Medical Need 18% Unlikely
Ovarian Cancer 4% Ruled out
Ulcerative Colitis 1% Ruled out
Ovarian Cysts 0% Ruled out
Diverticular Disease 0% Ruled out
Ectopic Pregnancy 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:
Ovarian Cysts

The most common symptom of ovarian cyst is pain in the lower right or left side of the pelvis, right where the ovaries are.  The side will depend on which ovary contains the cyst.  Specific pain in the right iliac can be a caused by ovarian torsion, which usually occurs when the ovary is enlarged by a cyst.

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