Abdominal pain is considered one of the most frequently occurring issues, irrespective of age. Even though pain may occur anywhere in the abdomen, pain in the lower right abdomen often raises significant concerns, as this region contains several vital organs from different systems. The digestive, urinary, and reproductive systems all intersect in this area, making diagnosis complex without proper evaluation.
Some people experience a dull pain in lower right abdomen that comes and goes, as opposed to aching all day long. This can sometimes be puzzling, as it can range from a nagging ache to a more noticeable condition.
This article explores the underlying causes of right lower abdominal pain to determine when to seek medical attention.

The lower right abdomen has structures that include:
Since multiple systems overlap in this region, pain may arise from different causes that share similar symptoms.
Painful sensations that are recurring are also known as “intermittent pain,” as opposed to constant discomfort, indicating that the pain fluctuates rather than being continuous. It is often described as dull, aching, cramp-like, or pressure-like. Right-sided pain that comes and goes may worsen temporarily and then ease on its own.
This kind of pain is often associated with muscle contractions, bowel activity, hormonal changes, or shifting pressure within organs.
While intermittent discomfort is sometimes linked to non-serious causes, it still needs to be monitored, especially if the pattern changes or new symptoms appear.

Appendicitis begins with general pain in the belly button region before the pain changes to the right side of the abdomen.
In the early phases of the infection, the pain may be intermittent and dull before becoming severe. Fever, vomiting, nausea, and lack of appetite are the warning signs of the infection.
In IBS, abdominal pain that is crampy and comes and goes is often associated with stress and certain foods. It is commonly associated with bloating, diarrhoea, or constipation that is relieved by passing a bowel motion.
Stool can cause the colon wall to become hardened due to pressure. Symptoms result in pain in the anal area that varies in intensity but alleviates after defecation.
The trapped air may cause fluctuating pains that appear suddenly and clear up on their own.
The associated symptoms may include bloating.

These kidney stones bring on intermittent pain when moving through the urinary tract. Sometimes the pain can radiate towards the lower abdomen, groin, and back.
UTIs can also lead to discomfort in the lower abdomen, frequent urination, burning sensations, and a dull ache that may affect one side more than the other.
Some women experience ovulation-related pain mid-cycle. There might be sharp and dull pain in the lower part of the right side of the abdomen, depending on the ovary that produces the egg.
Ovarian cysts
Small ovarian cysts may give rise to no symptoms, whereas larger cysts may lead to intermittent pain or discomfort due to movement.
Pelvic Inflammatory Disease (PID)
PID may also present as lower pelvic pain that is dull and aching in nature, as well as fever, irregular discharge, or pain during sexual intercourse. This also needs urgent medical attention.
These conditions point out the reasons why the intermittent dull aching in the lower right abdomen of females always needs a closer evaluation.

Overuse or strain of abdominal or hip muscles can cause localised pain that worsens with movement, exercise, or posture changes and improves with rest.
Prompt medical attention is necessary if there is pain in any of the following conditions:
Doctors may prescribe the following:
These tests help confirm the cause and rule out emergencies.

Home care (if mild pain in the absence of red flags):
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Lower right abdominal pains may be quite mild and only temporary in nature; however, they may be serious and require immediate attention. If a person has a dull pain on the lower right side of their abdomen that recurs on a random basis, it is commonly associated with digestive, urinary, and female problems, but it is primarily the patterns and associated symptoms that would point towards a diagnosis of the condition. While some simple remedies would be sufficient for some individuals, others would require immediate medical attention.

Intermittent pain can be caused by gas, constipation, IBS, ovulation, and kidney stones.
Worry if pain worsens, becomes constant, or is accompanied by fever, vomiting, or bleeding.
Pain that intensifies, localises, or comes with systemic symptoms often requires urgent evaluation.
The appendix, colon, ovary, ureter, and abdominal muscles are possible causes of pain on the right side of the abdomen.