The document discusses right upper quadrant abdominal pain, including the anatomy of the abdominal quadrants and major organs located in each quadrant. It then describes various diseases that can cause right upper quadrant pain, such as hepatitis, cholecystitis, GERD, kidney issues, pancreatitis, liver abscess, shingles, gastritis, and peptic ulcers. The document also outlines how these conditions are diagnosed through tests and their typical treatments.

1. Unravel the mystery of Right Upper
Quadrant (RUQ) Abdominal Pain
The abdominal region of your body encases organs which are vital for the proper
functioning of our body. These organs often work in a mutually symbiotic
relationship inside your body. To understand the anatomy and function of these
organs they are divided into 4 equal abdominal quadrants. This division helps
clinicians to localize, identify, and diagnose if the patient is suffering from
abdominal pain.
The four-division are chartered out by a vertical line called (media plane) linea
alba that splits the abdomen in vertical half and the transumbilical plane divides it
into horizontal half. These two planes intersect each other at an umbilicus
separating the four quadrants and giving them a distinct appearance.

2. 4 Abdominal Quadrants
Source: pinimg.com
The four quadrants are easy to remember because they are mostly named as
Left Upper Quadrant (LUQ)
Left lower Quadrant(LLQ)
Right Upper Quadrant (RUQ)

3. Right Lower Quadrant (RLQ)
Here are some major organs you will find in each of the quadrants
Left Upper Quadrant (LUQ)
Source: slideserve.com
● Stomach
● Spleen
● Left lobe of the liver
● The main part of the pancreas
● Proximal ileum
● Jejunum
● The superior part of the colon
● Left kidney

4. Left lower Quadrant(LLQ)
Source: grepmed.com
● Left ovary
● A part of the large bowel system
● Left ureter
● Uterus
● uterine tube
● ductus deferens
● urinary bladder
● part of colon

5. Right Upper Quadrant (RUQ)
Source: grepmed.com
● The right lobe of the liver
● Gallbladder
● Pylorus of stomach
● Part of duodenum
● Right Kidney
● Part of colon

6. Right Lower Quadrant (RLQ)
Source: grepmed.com
● Appendix
● Right ureter
● Ascending part of the colon
These organs appear as a meshwork and often proves difficult to pinpoint the
pain associated in the abdomen.

7. Various diseases associated with Right Upper
Quadrant (RUQ)
Source: wp.com
Here are few diseases to check out if you have experienced right upper quadrant
pain and symptoms associated with it.
Hepatitis
Hepatitis is a disease caused by the virus. The most common viruses are
HEP A: It is a mild ​Hepatitis caused​ ​by contaminated water and food.
HEP B: It is a severe form of Hepatitis which may lead to cirrhosis or liver failure

8. HEP C. It is a chronic viral disease caused by infected blood. This may also lead
to inflammation and ​damage to the liver
Hepatitis causes inflammation of the liver which in turns hampers its functionality
The symptoms associated are fatigue, dark urine, jaundice, and flu.
Cholecystitis
An infection ensued by gallstones in a ​gall bladder is called Cholecystitis. The
gallstones are a mixture of bile and digestive juices. This mixture gets deposited
in the gallbladder or inside a cystic duct (neck of a gallbladder) resulting in
excruciating pain between shoulder and back. There are no noticeable symptoms
however mild symptoms such as nausea and vomiting could be noticed. The
incidences of Cholecystitis is higher in females as compared to males.
GERD- Gastroesophageal Reflux Disorder
IT is a chronic digestive disease that causes esophageal burning and heartburn.
The stomach propels the acid towards the chest through the Oesophagus and out
of the mouth.
Causes of GERD​– It is caused when the lower esophageal sphincter (LES), a ring
of muscle doesn’t tighten or close properly to stop the acid regurgitation toward
the chest. When it is working properly the LES relaxes as you swallow the food
then it tightens and closes itself.
Pregnant women are more likely to suffer from GERD.
Kidney issues
Any ​kidney problems such as renal infection, kidney stones or UTI can radiate its
pain into the RUQ of the abdomen. The symptoms typically include micturition,
foul odor of your urine, vomiting, and fever.

9. Pancreatitis
Pancreatitis is inflammation of the pancreas. It is situated in the upper area
behind the stomach.
The main role of the pancreas is to secrete insulin and regulate blood sugar
levels. Pancreatitis is often accompanied by the onset of fever, abdominal pain
after consuming food, rapid pulse rate, etc.
Liver Abscess
An abscess or pus is formed inside a liver. The pus is festered with bacteria
which may result in septicemia. The primary manifestation of symptoms is
dark-colored urine, grey stool, Pain in the right abdomen, weight loss, jaundice,
night sweat, and chills.
Shingles
Shingles appear as rashes and blisters on the upper part of the abdomen. They
are caused by a viral infection. They appear in a ring formation around the upper
abdomen. The symptoms are tingling, burning, fever itching, and headache.
Gastritis
An inflammation of the mucosal lining of the stomach often associated with a
complaint of periodic abdominal pain over a fairly large area, which is triggered
after consuming food. Alcohol abuse, frequent consumption of pain relievers,
and variable bacterial infection accounts for the majority of cases worldwide. The
symptoms are associated with nausea, vomiting and bloating

10. Peptic ulcers
Peptic ulcers​, a harbinger of abdominal pain is often accompanied by perforation
or penetration. It affects the inner lining environs of the stomach and may result
in a burning sensation in the upper part of the abdomen.
Pregnancy
Abdominal pain often reflects a higher incidence in females as compared to
males. The cardinal reason for abdominal pain in women is pregnancy. In
pregnant women​, as the baby grows, the abdominal cavity stretches itself to
accommodate the grown-up fetus thus inviting pain in lower right abdomen in
female
Cancer
Cancer, a silent killer starts showing symptoms way ahead of its malignancy. But
it can only be detected in later stages. However, if you have a metastatic or tumor
there could be persistent pain in your abdomen. The symptoms in later stages
could aggravate if overlooked.

11. How to diagnose right quadrant (upper and
lower)abdominal pain
Source: pinimg.com
A doctor may ask you to perform an array of the test to ascertain the causes of
pain.
● CBC, electrolytes, and Liver function tests can determine the causes of
underlying diseases.
● Urinalysis may be used to assess your kidney function or renal stones
● A stool culture could be asked to look for ​pathogenic infections.
● Although comprehensive tests like endoscopy, ultrasound, X-Ray, and
CT scan could pinpoint the tricky complications involved with pain.

12. Also Read: ​Some Of The Main Causes Of Stomach Pain
Treatment for pain in the right quadrant (upper and
lower)abdominal pain
Source: rd.com
A cause is identified now a treatment seems to be a cakewalk for you and your
doctor.
● Antibiotics and antiviral therapy prove to be a choice of treatment for
bacterial and viral infections respectively.
● Kidney infections, Shingles and Cholecystitis can be treated with an
accurate dosage of antibiotics and antiviral
● An antacid or proton pump inhibitor is the holy grail for stomach ulcers,
GERD or Gastritis.
● Kidney stones or gall bladder stones can be removed surgically

13. ● Cancer could be treated by radiotherapy or chemotherapy
● A tumor could be removed by ​surgical procedures
Outlook
The causes of the abdominal pain and its treatment can absolve in its entirety if
treated on time. However, if left untreated it may herald major complications. The
mild ailments like gut problems could be easily treated with painkillers or
antibiotics. The major complication of liver or kidney or cancer associated with
any organ needs to be addressed with proper treatment and under the guidance
of your clinical practitioner.
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