Pain in the right side of the abdomen of a woman

  • Possible causes of pain
  • Gynecological diseases
  • Diseases of the intestine
  • Related Videos

In the abdominal cavity are the main internal organs. If the activity of at least one of them worsens, changes occur in all systems of the body. So, if there is inflammation in the intestine, then its peristalsis slows down and the absorption of substances is disrupted, and this leads to a lack of vitamins and trace elements, which leads to a disruption in the work of the heart and brain.

If the liver stops working, then death occurs as a result of poisoning. Therefore, if you feel pain in your stomach, you need to visit a specialist and find out the reasons. When there are pains in the lower abdomen, the girl immediately suggests gynecological disorders or that it is a harbinger of menstrual bleeding.

But this is not always the case. Often, discomfort can be caused by a deterioration in digestive activity or the development of an inflammatory disease of other body systems. To find out why the right side hurts in the lower abdomen, the woman needs to understand the nature of the pain and its acuteness, whether it increases with physical activity, whether it changes with the position of the body or during urination, defecation.

In addition to the pain syndrome, there are additional symptoms, for example, hyperthermia, nausea, eructation, flatulence, constipation, diarrhea, spotting. A full description of the clinical picture will help the doctor understand the etiology of pain and prescribe the necessary treatment.

Possible causes of pain

The lower abdomen on the right is called the right iliac region. Anatomically, it lies between the lower rib and the pelvic bones. There is a blind and ileal gut, a vermiform appendage.

If the cecum is not full, then in front it is closed with loops of the small intestine, otherwise it occupies the whole area. Also near the woman are the fallopian tube, the ureter. Discomfort in this area is often felt in pathologies of the gastrointestinal tract, but since there are organs of the urethra and sexual system nearby, the reason is not so obvious.

The pain in the lower abdomen on the right in women is felt as a result:

  • appendicitis;
  • inflammation of cellulose and lymph nodes;
  • perforation of the ulcer;
  • Crohn's disease;
  • intestinal dysbiosis;
  • torsion of the sigmoid colon;
  • osteochondrosis;
  • gynecological disorders;
  • purulent inflammation of the ilio-lumbar muscle;
  • helminthic invasion;
  • urolithiasis;
  • tumors of the ovary, intestine;
  • femoral hernia.

Gynecological diseases

It hurts the bottom of the abdomen on the right side of the woman due to gynecological or general pathologies. Gynecological pains in the right side of the abdomen are caused by inflammation of the uterus or appendages, rupture of the ovary, ectopic pregnancy, torsion of the cyst leg, development of neoplasm.

Patients noted cramping, stitching or cutting pains to the right at the very bottom of the abdomen. Chronic inflammation of the right appendage causes dull drawing pains, pathological discharges are often present. A sharp throbbing pain is felt with purulent inflammation of the appendages.

Pain in the right side of women
Drawing pains in the lower abdomen in women can appear due to adnexitis or ovarian cysts

The pain in the lower abdomen may appear due to the growth of the tumor. Malignant neoplasm on the fallopian tube manifests itself as a cramping pain, and ovarian cancer causes short-term discomfort of the pulling or aching nature.

Gynecologic pains often appear in women after menopause, but it is not excluded and their appearance in a young girl. If he whines at the bottom of the abdomen regardless of the cycle time, then you need to consult a gynecologist.

Diseases of the intestine

In the right side of the abdomen is the blind, iliac and colon ascending colon. Violation of their function may be due to heredity, for example, thickening of the intestinal wall or its abnormal shift, but it is also likely that this is the result of malnutrition and sedentary lifestyle.

Taking medication, eating fatty or spicy foods, smoking and alcoholism, helminthic invasions, intestinal infections, chronic diseases of the urinary and reproductive system contribute to impaired intestinal activity and provoke inflammation.

In some cases, the inflammation develops slowly and does not cause severe discomfort, and sometimes the process proceeds so quickly that the rupture of the intestine and the release of purulent contents occur within two hours or days.

Ulcerative colitis

With ulcerative colitis, as a result of the inflammatory process, ulcers form in the intestine. Cramping pains are quite pronounced and appear more often closer to the left lower quadrant of the abdomen, but right-sided localization (depending on the location of the ulcer) is not excluded. Often the patient has diarrhea, which leads to dehydration.

Pathology affects lipid metabolism in the liver, violates the water balance and provokes anemia.


The cecum is located in the right quadrant of the abdomen, from it departs a vermicular process. If the lumen in the rectum is clogged with calculous stones or undigested food, then this provokes stretching and swelling of the shoot. Pathogenic bacteria begin to multiply rapidly, which causes an inflammation of the appendix. The nature of pain and localization at the initial stage can be different.

The appendix can be atypical

First, aching dull ache appears under the spear. 2-3 hours after the onset of the inflammatory process, sensations are concentrated in the right ileal region and are described as pulsating pain or pulling. Additional symptoms of appendicitis are nausea, hyperthermia, forced position of the body, which the patient takes to relieve the condition.

Suspicable inflammation of the appendix, the doctor is still at the inspection stage, during the palpation of the abdomen. In order not to delay the diagnosis of a patient with pre-medical examination, it is not recommended to take painkillers, eat or drink. Confirm the assumption of laparoscopy.

Appendicitis is chronic, in which inflammation is characterized as sluggish. The cause of this is considered to be a previous attack of acute appendicitis, which ended in recovery.

Symptoms of the pathology are blurred. Appears heaviness and dull aching pain in the right lower side, indigestion. If the symptoms are not very pronounced, then medications are used.


Violate the activity of the sigmoid colon and diverticula (protrusion of the intestine), which are formed due to changes in muscle tone of the walls and inflammation. The disease has no specific symptoms, so it can be confused with acute appendicitis, gynecological pathologies or kidney disease.

Pain is localized in a specific place, amplified by laughter, pressure, physical activity. In diverticula, stool stagnates and provokes inflammation, which causes colic, diarrhea, nausea or vomiting, and a decrease in appetite. The disease is complicated by phlegmon (purulent process in cellulose), abscesses and peritonitis.


Femoral hernia is formed because of going beyond the abdominal cavity of the intestinal loops or the large omentum. This is manifested by protrusion, which can be seen when the patient is standing.

Promotes the formation of the femoral hernia sharp weight loss, trauma and violation of the innervation of the abdominal wall, post-operative scars, pregnancy, dislocation of the hip. The rupture of the abdominal wall and the loss of the loop of the intestine occur when lifting the severity, prolonged labor, severe coughing, constipation, and difficulty urinating.

Inguinal hernia
More often a hernia is diagnosed in women because of the anatomical structure of the pelvis

At the first stages, the disease manifests itself in the lower abdomen, which is worse when walking or running, and when it progresses under the inguinal fold, protrusion appears. If the femoral vein is pinched, then there is swelling of the leg, a sensation of "goosebumps", numbness.

Inflammation of retroperitoneal tissue

A purulent disease of retroperitoneal tissue can develop as a result of trauma or inflammation. The infection spreads lymphogenously. The localization of the purulent process can be in retroperitoneal tissue, and in the near-colonic cell space.

What to do with abdominal pain and diarrhea?

Pain is important for the diagnosis, but they rarely have strict localization corresponding to the site of the ulcer, much more often they spread beyond it or are noted outside the lesion (giving off pain).

Irradiation is explained by the extensive nerve connections that cellulose has with other areas. It can hurt in the spine, at the top of the abdomen, around the thigh, shoulder blade, buttock, anus.

Irradiating pains appear during movement (when the patient sits down, gets up, turns over on one side). When you try to get up or go a person bends forward and in the direction where the purulent process is localized.


A purulent inflammatory disease or purulent psitis develops in the iliac fossa. An abscess occurs as a result of inflammation of the lymph nodes or fatty tissue. Pathology is a complication of another disease, for example, osteomyelitis.

The sign is pain from below in the iliac and inguinal region, a psoas symptom appears, in which the soreness in the right lower side and in the thigh are significantly increased when trying to straighten the leg. With this disease, too, there is fever, signs of poisoning, tachycardia, increased sweating, headache.

Curvature of the bowel

Torsion of the intestinal loop or curvature of the bowels manifests a sharp cramping pain in the abdomen, which after a few hours becomes permanent. Symptoms of gut flapping depend on where the loop hinges. Common signs are acute pain in the abdomen, gas accumulation and stool retention, abdominal asymmetry, vomiting of intestinal contents.

In most cases, mechanical obstruction of the intestine occurs as a result of the curvature of the sigmoid colon (due to the length of the mesentery), and the blind is less frequently twisted. Pathology develops because of the innate features of the mesentery of the intestine and its attachment.

Provoke torsion physical exertion, a sharp increase in peristalsis, overeating, constipation.

If the small intestine is obstructed, acute severe cramping pains are noted in the epigastric or near-bulbous region, less often in the lower abdomen. When turning the sigmoid colon, cramping pain is felt in the left side of the abdomen. When the sigmoid colon turns, peritonitis develops within two hours.


Pain in the right side may appear as a result of inflammation of the ileum. The difficulty in confirming the diagnosis is that the ileum is not accessible for examination by the endoscope, and the symptoms of the disease are not specific.

Inflammation can cause infections, poisoning with arsenic, poisonous mushrooms, fruit bones, inedible berries, abuse of acute, fatty, spicy food, allergy to medicines or products. Acute ileitis develops more often in children, they are caused by iersinia, salmonella, staphylococcus, E. coli, rotovirus or enterovirus.

The disease often develops in patients who do not follow a diet, leading an inactive lifestyle and having bad habits. Provoke the inflammation can take medication, surgery.

Acute ileitis causes intense pain in the abdomen of the right side, rumbling and swelling, diarrhea, nausea, vomiting, febrile temperature, headache, fatigue. With chronic course of the disease, mild discomfort occurs in the right side and around the navel, rumbling and bloating, in the stools undigested food particles are visible.

Crohn's disease

With Crohn's disease, inflammation can develop in any part of the digestive tract, more often it is found in the ileum. Accompanying the pathology of diarrhea, intestinal bleeding, fever, weight loss, skin and eye damage. If the inflammation affects the ascending, ileum or the cecum, the stomach on the right hurts.


Soreness of the abdomen on the right is due to a tumor of the intestine. The patient feels a drawing pain, which, as a rule, appears after pressing. Benign entities, that is, those that are incapable of metastasis, cause periodically aching pain or cramping (mainly in the lateral zones of the abdomen), slight bleeding from the posterior passage (if more than 2 cm) and stool failure.

With malignant tumors there are signs of intoxication: weight loss, increased sweating, loss of appetite, decreased efficiency. Pain is characterized as sharp or aching, occurs suddenly regardless of eating and physical activity.

Aneurysm of the abdominal aorta
Pulsating severe pain may occur due to aortic aneurysm

If acute pain or ripple occurs at the very bottom of the abdomen, the woman should seek medical help. Experts do not recommend taking drugs that relieve pain or spasms, as this lubricates the clinical picture and delays the formulation of the correct diagnosis.

Why the right hurts the lower abdomen will be able to understand only the specialist after studying the anamnesis and carrying out the necessary studies. Do self-medication in this case is not recommended.

It is necessary to understand the causes of mild pain in the lower abdomen, even that that occurs periodically, not to mention the constant. The inflammatory process, even if sluggish, leads to serious consequences that threaten the life of the patient, since the infection is not only able to penetrate the peritoneum as a result of rupture of the intestinal wall, but it also spreads lymphogenically.