दाहिनी निचले हिस्से का दर्द

Where is my right lower quadrant?

The right lower quadrant is a section of your abdomen (stomach).

Look down at your abdomen, and imagine that the area from the bottom of your ribs down to your pubic hair is divided into four quarters. The quarter on your right side below your belly button is your RLQ.

© ब्लॉसन.कॉम स्टाफ द्वारा (2014)। "ब्लॉसन मेडिकल 2014 की मेडिकल गैलरी"। विकिजर्नल ऑफ मेडिसिन 1 (2)। DOI:10.15347/wjm/2014.010. ISSN 2002-4436

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बड़ा करके देखें

What organs are in my right lower quadrant?

The right lower quadrant contains organs including:

• छोटी आंत (इलियम)।.

• Caecum (the connection between your small and large bowel).

• अपेंडिक्स।.

• Colon (first part of your large bowel).

• Right ureter (at the back of the other organs).

• Right ovary and fallopian tube.

And don't forget the skin, muscles, and nerves of that area.

Common causes of right lower quadrant pain

There are lots of causes of RLQ pain, some of the most common causes are:

• कब्ज।.

• गैस्ट्रोएंटेराइटिस और खाद्य विषाक्तता।.

• इरिटेबल बाउल सिंड्रोम (आईबीएस)।.

• Appendicitis.

• डाइवर्टीकुलाइटिस।.

• फेमोरल हर्निया

• एंडोमेट्रियोसिस।.

• Pelvic inflammatory disease (PID).

These common causes are discussed in detail below.

कब्ज

• कब्ज आपके पेट में कहीं भी असुविधा पैदा कर सकता है।.

• You will normally be aware that you are not opening your bowels as often as usual.

• Your poo will be hard and pellet-like.

गैस्ट्रोएंटेराइटिस और खाद्य विषाक्तता

• आंत्रशोथ और खाद्य विषाक्तता can cause diarrhoea and pain anywhere in the abdomen.

• Pain may ease for a while each time some diarrhoea is passed.

इरिटेबल बाउल सिंड्रोम (IBS)

• IBS is very common and causes crampy pains and bloating.

• यह आता और जाता है और दस्त और/या कब्ज से जुड़ा हो सकता है।.

अपेंडिसाइटिस

• अपेंडिसाइटिस usually causes pain that starts in the middle of the abdomen then moves to the RLQ over the next few hours.

• Pain tends to be sharper if you cough or move suddenly and may ease a bit if you pull your knees up to your chest.

• If the appendix bursts then pain can be severe and all over your stomach.

डाइवर्टीकुलाइटिस

• डाइवर्टीकुलाइटिस usually causes pain in the left lower quadrant (LLQ) but it can be on the right or sometimes can be felt higher up.

• It usually comes with a temperature and a change in bowel habit (opening your bowels more or less often than usual for you).

फंसा हुआ इनगुइनल या फीमोरल हर्निया

• A right inguinal or फेमोरल हर्निया can happen on either side of the abdomen.

• It causes pain in the groin and in the abdomen, usually on the side of the hernia but it may cause pain over the whole area.

• If it happens on the right-hand side, there will be a tender swelling in the right groin.

Causes of right lower quadrant pain in women

अंडोत्सर्जन दर्द (मिट्टेल्समर्ज)

• Mittelschmerz is pain when you release an egg (ovulation), which is usually about halfway between two periods.

• It can be very severe and make you stop what you are doing, but usually eases over several minutes.

• यह केवल एक तरफ महसूस होगा, लेकिन यह दाएं या बाएं हो सकता है।.

• आपको अगले चक्र में उसी बिंदु पर आपके पेट के उसी या दूसरी तरफ समान दर्द हो सकता है।.

श्रोणि सूजन रोग

• श्रोणि सूजन रोग causes pain that is usually on both sides of the abdomen but can be in the RLQ.

• Pain is usually worse during sex.

• आपको असामान्य रक्तस्राव हो सकता है, सामान्य रूप से अस्वस्थ और बुखार महसूस हो सकता है, और दुर्गंधयुक्त योनि स्राव.

एंडोमेट्रियोसिस

• एंडोमेट्रियोसिस कभी-कभी यह लगातार निचले पेट में दर्द का कारण बन सकता है, हालांकि आमतौर पर यह पीरियड्स से ठीक पहले, दौरान और थोड़ी देर बाद अधिक होता है।.

• Pain is usually across the lower part of the abdomen but it can be just on the right side.

मरोड़ा हुआ अंडाशय

• Twisted ovary (ovarian torsion) usually only develops on the right ovary and causes pain that can be constant or intermittent.

• Symptoms can be similar to appendicitis.

Pregnancy- associated

गर्भावस्था में दाहिनी निचले हिस्से में दर्द के कारण हो सकता है:

• गर्भपात: This usually causes cramping pain, like period pain, over both sides of the lower tummy and is often accompanied by bleeding, which can range from a small amount of dark blood to larger amounts of bright red blood with clots.

• कब्ज: This is very common in pregnancy and gives you crampy lower tummy (lower abdominal) pains accompanied by opening your bowels less often and passing hard, pellet-like stools.

• Pelvic ligament pain: This usually starts at around 14 weeks and is due to the growing womb pulling on the structures which hold it in place. It usually causes a stabbing pain down one or both sides of the tummy.

• मूत्र संक्रमण: This is common in pregnancy. The usual symptoms are of pain when you pass urine and passing urine more often. You may also get tummy pain and a high temperature (fever) and notice blood in your pee.

• अस्थानिक गर्भावस्था: You should always see a doctor urgently if you think you might be pregnant and are experiencing right lower quadrant (RLQ) pain. You could have an ectopic pregnancy.

• In later pregnancy pelvic girdle pain, placental abruption and labour can all cause pain in the lower right quadrant. Your midwife will be able to advise you further.

Causes of right lower quadrant pain in men

Any pain coming from the right side of the scrotum can cause pain in the RLQ, but usually the pain in the scrotum will be worse.

अंडकोष का मरोड़

• अंडकोष का मरोड़ (वृषण) causes severe pain in the scrotum and severe lower quadrant pain, usually on one side.

• अंडकोष बहुत कोमल है।.

• You should seek urgent medical advice.

Epididymo-orchitis

• Epididymo-orchitis अंडकोष और/या उसके चारों ओर की नलियों (एपिडिडिमिस) की सूजन है।.

• The affected side of the scrotum swells and goes very red and tender.

Other possible causes of right lower quadrant pain

• सूजन आंत्र रोग (आईबीडी): Types of IBD such as क्रोहन रोग और अल्सरेटिव कोलाइटिस cause the lining of the gut to become inflamed, and can cause pain in the RLQ.

• गुर्दे की पथरी: A stone that passes into the ureter draining urine from your right kidney may cause pain that starts in your right loin and spreads to your groin and RLQ, or into your testicle or penis if you are a man.

• शिंगल्स: A sharp or burning pain may be felt in the stomach before a rash develops.

• उदर महाधमनी धमनीविस्फार: This can cause pain before it bursts. The pain is usually felt in your back or the side of your stomach but it can occasionally be felt in the right (or left) lower quadrant.

• Muscular pulls and sprains: This can cause pain when you use the pulled or strained muscle.

• कोलन कैंसर: This can affect any part of the large bowel (colon), but it more commonly affects the last part (descending colon) which is on the left-hand side.

• संदर्भित दर्द: Pain from your spine or back may be felt around the front.

डॉक्टर को कब दिखाना चाहिए

If you have a pain which doesn't settle, you will probably need to see a health professional to help you figure out the cause.

How is right lower quadrant pain diagnosed?

Your doctor will usually be able to diagnose the cause of your RLQ pain by talking to you and examining you.

They will feel your abdomen in the area you have the pain, but may also need to examine other parts too, such as the rest of your abdomen. You may also be asked to provide a sample of urine, to rule out kidney problems.

आपको रक्त परीक्षण की भी आवश्यकता हो सकती है:

• अपने जिगर की कार्यक्षमता की जाँच करें और गुर्दे.

• अपने शरीर में किसी भी सूजन या संक्रमण को बाहर निकालें।.

• खोजें एनीमिया.

• अपने रक्त शर्करा स्तर की जाँच करें।.

आगे के परीक्षण

यदि आपके डॉक्टर को दर्द के कारण के बारे में अभी भी संदेह है, तो वे निम्नलिखित जैसे और परीक्षणों की सिफारिश कर सकते हैं:

• कोलोनोस्कोपी - यह तब होता है जब एक छोटा कैमरा (एक स्कोप) आपके बड़ी आंत की जांच के लिए उपयोग किया जाता है।.

• कम्प्यूटरीकृत टोमोग्राफी (सीटी) स्कैन - this is used to look for diverticula in the bowel, and also to look at your kidneys.

• अल्ट्रासाउंड स्कैन - this is particularly used to look at your ovaries and tubes if you are a woman.

• एक्स-रे - this is used to look at your gut and kidneys.

• सिग्मोइडोस्कोपी - यह तब होता है जब आपके बड़ी आंत के निचले हिस्से की जांच के लिए एक कैमरा का उपयोग किया जाता है।.

• चुंबकीय अनुनाद इमेजिंग (एमआरआई) स्कैन - this scan allows detailed assessment of abdominal contents.

If it is thought you have appendicitis, an ectopic pregnancy (women) or a torsion of your testicle (testis) - men, you may only have one or two of these tests before having emergency surgery to treat your problem.

Most people will not need all of these tests, and some people may not need any.

Right lower quadrant pain treatment

The treatment for RLQ pain depends on the cause. Treatments for a few of the causes are briefly discussed below.

• कब्ज can be treated with medicines, but often changes to your diet are needed to prevent it happening again.

• आंत्रशोथ usually doesn't need any treatment, other than drinking plenty of fluid to compensate for all that is being lost. Occasionally when germs (bacteria) which can be treated with antibiotics are causing the infection, an antibiotic may help.

• अपेंडिसाइटिस may be treated with an operation (an appendicectomy).

• अस्थानिक गर्भावस्था is usually treated by an operation but medical treatment is now more common. This avoids the need for surgery and means the tube is less likely to be permanently damaged.

• शिंगल्स. The pain and rash settle on their own in time, but some people may be advised to take an antiviral tablet to reduce the risk of long-term nerve pain from the shingles.

• Kidney infections are treated with antibiotics. Mild infections can be treated with antibiotics at home. If you are very unwell you may need admission to hospital for antibiotics and fluids through a drip (intravenously).

• गुर्दे की पथरी. Small kidney stones pass on their own eventually, in which case you will need to drink plenty of fluids and take strong painkillers. Larger kidney stones may need one of a number of procedures done to break them up or remove them altogether.

दृष्टिकोण क्या है?

The outlook depends entirely on the cause of the pain. Some conditions settle very quickly on their own (for example, gastroenteritis), or with the help of antibiotics (for example, a kidney infection).

Others can be cured with surgery, such as appendicitis or torsion of the testicle (testis). Some are long-term conditions, for which there is no cure although there are treatments, such those used for people who have Crohn's disease.

एक बार निदान स्पष्ट हो जाने पर आपका डॉक्टर आपको दृष्टिकोण (प्राग्नोसिस) का एक विचार देने में सक्षम होना चाहिए।.

अक्सर पूछे जाने वाले प्रश्न

Is right lower quadrant pain always serious?

No. Many cases are caused by temporary digestive issues, muscle strain, or mild infections. However, because serious conditions can present in a similar way, it’s important not to ignore persistent or worsening pain.

Can kidney infection cause right lower quadrant pain?

Kidney infections usually cause pain in the back or side, but the pain can spread to the lower abdomen, including the right lower quadrant. However, pain only in the lower right abdomen is less common and usually comes with back or side pain too.