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Pain in Lower Right Abdomen

Hi
My father is 69 years old and for the last few weeks has been having a dull pain in the lower right abdomen (near pelvic bone)
The pain is deep inside and not on surface.
His appetite and bowel movements are normal.

The doctors have given him a clean bill of health after running
tests like
Ultrasound
Kub x-Ray to (for kidney stones)
All other tests -blood urine stool are normal.

One of the doctors said cause may be muscle or ligament and has prescribed pain killers.

Does the above diagnostic sound right?
If its muscle /ligament what can we do to help him to heal quickly
Please advise.
Thanks
3 Responses
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Avatar universal
that could be an abdomen infection,go to the doctor and let them check him for infections.
Helpful - 0
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
A deep seated pain can also be due to colitis, IBS, etc. Since there are no stool problems, chances are less but should be investigated. Also at times recurrent chronic appendicitis is missed on ultrasound. It can also be due to inguinal hernia.
If all these are also ruled out, then yes, it can be a muscle pain. Physiotherapy will help along with muscle relaxants.
Take care!
Helpful - 0
Avatar universal
the muscle can be strained... here.. you can read about it and at the bottom it tells you what to do..bascially he needs to rest it until its healed

What is an abdominal muscle strain?
An abdominal muscle strain, also called a pulled abdominal muscle, is an injury to one of the muscles of the abdominal wall. A muscle strain occurs when the muscle is stretched too far. When this occurs the muscle fibers are torn. Most commonly, a strain causes microscopic tears within the muscle, but occassionally, in severe injuries, the muscle can rupture from its attachment.
The abdominal wall is made up of several muscles. These include:

Rectus Abdominis: the muscle over the front of the belly-this muscle give people a "six-pack" appearance when the rectus is well developed.
Internal and External Oblique: the obliqes wrap around the sides of the body.
What are the symptoms of an abdominal muscle strain?
Abdominal muscle strains usually cause immediate pain in the area of the injured muscle. It can be hard to flex the muscle because of this pain. The other common symptom is muscle spasm of the injured muscle. Less commonly, swelling and brusing can result from the muscle injury.
Abdominal muscle strains are graded according to the severity of the injury:

Grade I (Mild): Mild discomfort, often no disability. Usually does not limit activity.
Grade II (Moderate): Moderate discomfort, can limit ability to perform activities such as crunches or twisting movements.
Grade III (Severe): Severe injury that can cause pain with normal activities. Often patients complain of muscle spasm and bruising.
What is the treatment for a pulled abdominal muscle?
Treatment of abdominal muscle injuries is difficult--there is no way to splint the abdomen and it is nearly impossible to fully rest these muscles. That said, the most important step after sustaining an abdominal muscle strain is to allow the muscle to cool down and allow the inflammation to subside. Avoiding exercise to allow the injured muscle to heal is important. Activities that cause pain or spasm of the abdominal muscles should be avoided.
Gentle stretching is helpful, but it should not be painful. Stretching excessively can be harmful, and slow the healing process. Apply ice to the injured area in the acute phase (first 48 hours after injury), and then after activities. Before activities, gentle heating can help to loosen the muscle.
Helpful - 0
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