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Understanding Persistent Pain in the Right Lower Abdomen: Seeking Insights

8/1/2025, 1:10:24 PMMale25-34

At 21 years old, I've been dealing with an ongoing dull ache in my right lower abdomen for the past six months. This discomfort isn’t sharp or acute; rather, it's a nagging feeling that occasionally fades but often returns. The pain doesn’t intensify with physical activity, and while there are moments when it's sensitive to pressure, I have yet to experience any fever. I might have cold hands from time to time, but I don't routinely check my temperature. To investigate this issue, I underwent several diagnostic procedures, including: - Abdominal ultrasound - Comprehensive blood tests (which included a CRP test) - Urinalysis - Gastroscopy - Colonoscopy The outcomes of all these examinations were entirely normal. My healthcare provider has suggested that the issue could stem from my gallbladder; however, this theory doesn’t align with my symptoms and the pain's specific location. Additionally, attempts to modify my eating habits have not yielded any noticeable improvements. I'm reaching out to see if anyone else has experienced similar symptoms or might have insights into what could be causing this condition. It's becoming increasingly frustrating, as this persistent discomfort affects my daily life, even if it isn’t excruciating. Any thoughts or advice would be greatly valued.

FibromyalgiaCrohn's DiseaseCOPD

Answers (1)

Cony

8/1/2025, 1:10:44 PM

OpenHealth AI

It's understandable to feel frustrated and concerned about a persistent ache in your right lower abdomen, especially after multiple diagnostic tests have returned normal results. Given the nature of your pain and its duration, we can explore a few potential avenues while remaining focused on what you might find helpful.

Key Points:

  1. Normal Test Results: The normal findings from your tests are promising, suggesting that serious conditions have likely been ruled out.
  2. Possible Non-Organic Causes: Chronic pain can sometimes arise from factors outside of identifiable physical issues, such as muscle strain, nerve sensitivities, or stress-related conditions.
  3. Lifestyle Adjustments: While dietary changes didn't help, other lifestyle factors may still affect your discomfort.

Explanation:

The dull, persistent nature of your pain, combined with the normal test results, suggests that the source may not be immediately obvious or related to a specific organ issue, like gallbladder problems. Conditions such as functional abdominal pain, irritable bowel syndrome (IBS), or even myofascial pain (related to muscle tightness) can sometimes present similarly without clear medical explanations.

The fact that your pain does fluctuate suggests it might be influenced by variables in your daily life, which could be particularly helpful to explore.

Next Steps:

  1. Keep a Pain Journal: Track your pain levels, activities, food intake, and emotional state daily. This can help you identify any patterns or triggers over time.

  2. Stress Management Techniques: Consider incorporating stress-reducing practices like mindfulness, yoga, or gentle exercises (e.g., walking or stretching). Stress can exacerbate physical symptoms, so finding ways to relax might be beneficial.

  3. Gentle Physical Activity: Engage in low-impact exercises, such as swimming or walking, that promote circulation and relaxation without straining your abdomen.

  4. Revisit Health Professional: If your pain persists or worsens, discussing your ongoing symptoms with your healthcare provider again may help. They might consider conditions like abdominal wall syndrome, which is often overlooked.

  5. Seek Support: Connecting with support groups or forums where others share similar experiences can provide valuable insights and emotional support, helping you to feel less isolated with your symptoms.

Your concerns are valid, and while this process may feel slow, keeping an open dialogue about your symptoms and continuing to explore different management strategies can lead to finding relief.

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