
What Causes Right-sided Dull Pain Below Navel, Irregular Bowel Movement And Constipation?

i am having dull pain below navel to the right. it is like below navel about 2 inch right. it is not consistent and it comes and goes back. i do a bit of exercies every day. I think this is below gall bladder and above apendix. is this hernia or constipation. i do have a bit of constipation or is it irregular blow movement. if there is an medicine or diet please recommend. This pain is not consitenet and some times it is there for a day and i feel that when it is about to go then i feel that there is muscle released at that place. is it a muscle cramp.
RM/LQ Pain in Abdomen with Constipation/Under Assessment
Detailed Answer:
Brief Ans-RM/LQ Pain in Abdomen with Constipation/Under Assessment
Hi,Dear,Thanks for your query to HCM.
I studied your query details and reviewed with your health concerns of Constipation with Right Middle/ Lower Quadrant(RM/LQ)abdomen pain.
Based on the facts of your query,In My opinion,you don't seem to have muscle cramp or injury from exercises every day.
Dear,Please Update Me following information- as follows-
Since how long you have this pain?
Do you eat the street food frequently ?
What is your job's daily work schedule?
Did you had mucus in stools with Dysentry/diarrhea frequently?
Await above information soon,to be replied in next session.
Temporary Remedy Suggested-
Till the time your case is studied further,
Please Check your stool for microscopic examination.
Be on Bland diet with plenty of fluids,
Be on Butter Milk x 2 times per day.
Be on Spinach soup x 2 times per day.
If the pain is severe I suggest Tab Meftal spas which is a prescription only medication as and when needed. You can get this medicine prescribed by your doctor.
The above dietary change with Black Tea,would reset your bowel habits soon.
Await for above information for further study,and replies in next session.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Do you eat the street food frequently ?
What is your job's daily work schedule?
Did you had mucus in stools with Dysentry/diarrhea frequently?
1. I had this few months back and it just comes and goes back and it is dull pain and never sharp
2. I dont eat street food at all
3. I am government employee..clerk. i work on a computer for long hours. and here we have a s type chair and i put a writing pad inclined which actually touches that place where i get that pain. Sorry but i just realized this when u asked me this question. so the pad is inclined from my chair and the other end is on the table where i place the keyboard on top of this and then sit and work. so when the pad moves down it touches the same point where i have pain.
4.No mucus in stool with Dysentry/diarrhe.
But if my thinking is correct, with my sitting posture i should get the pain on both sides but not on one side?
only thing i have noticed is that when i go to toilet i have to push stool so that i get it and after that it goes. even when i have to burp i have to use little force to move it out . i go to toilet about 4 times a day. if i dont drink water then passage of stool does become very hard for me.
Chronic ?Amebic Typhlitis with Constipation/with Right Abd pain
Detailed Answer:
Brief Ans-Chronic ?Amoebic Typhlitis with Constipation/with Right Abd pain
My Impression-
Chronic /Subacute Amoebic Colitis with Constipation causing right middle/lower quadrant abdominal pain
Hi,Dear,Thanks for the query and its updates.
Based on the facts of your updates you seem to have Right abdominal pain in Right Middle/ Lower Quadrant with dull nagging pain.
My Impression-about the Cause of your right abdominal pain-
In My opinion -This right sided pain in abdomen is not from Hernia/ or from Constipation.
But You seem to have low subacute infection of the right ceacal area and right colonic area,causing Subacute Amebic Colitis?,with a recurrent nagging dull aching pain in the right side of your abdomen.
Reasoning for your abdominal pain-
The sitting posture does not have to do any thing with the lower abdominal pain.But could have expedited your attention to your right lower abdominal pain.
Your exercises also don't seem to affect the right abdominal pain as such,but it does affect the hydration status of your body.
Being sedentary clerical job hold , you are prone to develop stress and work dehydration,both these with exercises would lead to chronic dehydration causing -Chronic Constipation with this Subacute colitis of right colon and ceacal area,which you have for a long time.
-You seem to suffer from early IBS with Gases and constipation.
Investigation Suggested-
Stool By concentration method-for ova/cyst of Amoeba/Giardia with occult blood,
USG abdomen of Ceacal/and kub-Kidney,ureter, bladder, region,
CT with Contrast Barium study to rule out the possibility of Diverticulosis
Colonoscopy -to rule out Polyposis coli with Diverticulosis,
These are only the educative plans to rule out the possibilities with your doctor,for further treatment.
Plan of Remedy Suggested-
As My patient in my clinic - I would plan as follows-
a-Plenty of fluids
b-Reduction on Tea frequency if any.
c-Increase in high leafy vegetables for more fiber in your diet.
d-sweet thin skimmed butter milk x2 times per day.
e-Spinach soup with out spices x 2 times per day.
f-Metamucil bulk evacuant for x 1 weeks time
g-Banana Milk Shake x once a day.
h-Bland diet for x 3 weeks
i-Tab Septran-Ds 1 x bd x 10 days
j-Tab Metorgyly 400 mgm-x 3 times a day x 10 days
k-Tab Meftal spas 1 x 5 days time
IF the patient does not respond , then I would suggest colonoscopy after CT contrast study,to rule out Divericulosis /and polyposis if need be.
All this treatment to be taken with script from our GP doctor and under his guidance.
You may need to consult Physician / Gastroenterologist if need be,with help from your Gp doctor.
Hope this reply would resolve your treatment.
Keep Me updated if you need any help in time to come.
Welcome for any further query in this regard.
If you find this reply satisfying,Will appreciate You,to write excellent feedback review comments,just to help the needy clients like you,at HCM services.
Wishing your fast / early recovery.
Good Day!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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