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Persistent Pain in Abdomen and Flank

9/13/2025, 1:21:30 PMMale25-34

Hello everyone! I am a 23-year-old male, weighing 220 pounds and standing at 5 feet 9 inches. For the past three days, I have been experiencing discomfort localized on the right side of my abdomen and in my right flank. The pain resembles cramps, appearing mainly during the night or in the early hours of the morning, lasting approximately three hours. Once it subsides, I’m left with a mild discomfort that I can almost ignore throughout the day. I haven’t experienced any fever during this time, and my urination patterns remain normal. There have been no signs of diarrhea or vomiting; it's solely the pain that persists. Interestingly, when I talked to my mother about it, she mentioned she had a similar experience just a week ago. What might be the underlying cause of this discomfort? Thank you in advance for your insights!

ArthritisCrohn's DiseaseInternal Medicine

Answers (1)

Cony

9/13/2025, 1:22:22 PM

OpenHealth AI

It's understandable to be concerned about your abdominal and flank pain, especially since it's been persistent for a few days. While I cannot diagnose you, I can provide you with some possible considerations and steps to take.

Main Points:

  • The pain you're experiencing could be related to digestive issues, muscle strain, or other benign causes, especially since you have no fever, changes in urination, or gastrointestinal symptoms.
  • You should monitor your symptoms and consider lifestyle factors or triggers related to the pain.

Explanation:

From your description, localized pain on the right side of the abdomen and flank that occurs mainly at night could have several potential causes:

  1. Muscle Strain: If you've recently engaged in physical activity or slept in an awkward position, muscle strain could cause cramp-like pain.
  2. Digestive Issues: Conditions like gallbladder disease, kidney stones, or digestive tract issues (like irritable bowel syndrome) can lead to similar pain.
  3. Referred Pain: Sometimes, pain can be felt in the abdomen from other areas, such as the back or ribs, due to nerve pathways.
  4. Family History: Since your mother experienced similar discomfort recently, it may indicate a benign issue that could be contagious, like a viral infection affecting the digestive system.

Next Steps:

  1. Symptom Monitoring: Keep track of your pain patterns (when it occurs, how intense it is, and any activities that might trigger it). Note any changes in your gut health.

  2. Hydration and Diet: Stay well-hydrated and maintain a balanced diet. Avoid heavy, fatty meals that may provoke discomfort, especially before bedtime.

  3. Physical Activity: Engage in gentle stretches or light exercises to alleviate potential muscle strain if that's a factor.

  4. Rest and Positioning: Finding a comfortable sleeping position or using a heating pad may help ease the pain during the night.

  5. Re-assessment: If your pain worsens, lasts beyond a week, or you start experiencing additional symptoms like nausea, vomiting, fever, or changes in urination, it would be important to seek evaluation.

Please take care, and I hope these suggestions help relieve your discomfort! If you have further questions or updates about your condition, feel free to share.

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