Persistent Pain in the Lower Right Stomach: Causes and Steps to Take

Experiencing persistent pain in the lower right side of your stomach, especially around the area often associated with the gallbladder and liver, can be concerning. If you have undergone CT and ultrasound scans without findings, it is important to explore further possibilities. Here, we discuss potential causes and steps to take for a more accurate diagnosis.

Understanding Your Symptoms

Your description aligns with possible issues related to the gallbladder or liver. Gallbladder problems might manifest as pain after consuming greasy food, often accompanied by diarrhea. Liver issues, while less common, can be severe and might also present with pain. Doctor Jay, a Registered Nurse (RN), suggests seeing a gastroenterologist and checking for a gallbladder test, which might not show up on routine scans if the gallbladder is not malfunctioning.

Exploring Potential Causes

A. Gallbladder Issues

The lower right side of the abdomen is often closely associated with the gallbladder. Even if initial scans (CT and ultrasound) do not show any issues, gallbladder problems can be complex. Conditions such as gallstones or cholecystitis (inflammation of the gallbladder) may not always be visible on scans but can still cause persistent pain.

B. Colon or Small Bowel Issues

The lower right abdomen can also be a sign of issues in the colon or the terminal ileum (the end of the small bowel before it joins the colon). If diagnostic imaging like a CT scan does not reveal any evident problems, it may still be worth consulting a gastroenterologist and considering a colonoscopy to rule out these conditions.

Steps to Take for Proper Diagnosis

A. Diet and Lifestyle Adjustments

Trial and error often play a significant role in identifying triggers for gastrointestinal pain. A vegetarian, non-dairy diet for a week, avoiding fried and sharp-spiced foods, and drinking low-fat kefir can help. This dietary change might alleviate pain, but it should not replace professional medical guidance.

B. Blood Test and Comprehensive Diagnostic Imaging

Lab work, such as blood tests, can help rule out or identify medical conditions. Comprehensive diagnostic imaging, including a CT-scan or MRI, can provide more detailed information than a standard ultrasound.

Continuing the Medical Workup

It is crucial to continue pursuing medical advice until both a diagnosis and a treatment plan are established. If you are unsatisfied with the results from your current doctor, consider seeking a second opinion. Major medical centers, often linked to universities or medical schools, can offer specialized care and advanced diagnostic techniques.

C. Regular Follow-Up and Open Communication

Regular follow-ups with your healthcare provider are essential. Be proactive in your communication, sharing any changes in symptoms and concerns you may have. This will help your doctor make informed decisions about your care.

In summary, while gallbladder and liver issues are common causes of pain in the lower right abdomen, there may be other factors at play. A thorough medical evaluation, including diet adjustments, blood tests, and advanced imaging, is necessary to pinpoint the exact cause and initiate appropriate treatment. Remember, without a professional medical diagnosis, suggestions provided here should not be considered as medical advice.

Keywords: persistent pain, lower right stomach, diagnosis