How to find the reason for right lower abdominal pain?

Question

Hi doctor,

I am taking some antibiotics (Clindamycin) for dental related issues as well as Acetaminophen. I also tried Ibuprofen and Wellbutrin for unrelated reasons. My bottom right abdomen area is hurting on and off. The pain is also near the liver area and going down to the gut. The pain is not so intense, but it is present. I will not have a chance to see a doctor for a week or two and the fact of liver pain was scaring me. Do you have any ideas on what I can do in the mean time? It is about 7 to 10 days since I started taking antibiotics and pain medicine. I have had this kind of pain before 2 years when I abused over-the-counter medications. I had my liver enzymes tested and everything was normal that time.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concerns.

The cause of vague pain in the lower right abdomencould be due to cholecystitis, cholelithiasis, renal stone, muscular pain, or side effect of some drug. Of the drugs you are taking, Wellbutrin - Bupropion has a known side effect of abdomen pain. So, you should stop this medicine for some time. To rule out other mentioned possibilities, you have to do an ultrasound abdomen. It will clear all your doubts. If ultrasound abdomen comes normal, then the only possibility left is muscular spasm. For pain, you should take tablet Buscopan 10 mg (Butylscopolamine) as and when required. Also, it is a must to go for an ultrasound abdomen.