<human>: I have pain in my lower right abdomen. It hurts when I walk or cough or flex muscles near the area. It came from out of nowhere on Thursday and I have also been very gassy. I took some Gas-X today and that stopped the gas but the pain is still there. It s not even pain it feels like I pulled a muscle
<bot>: HI. Since the pain on the right side lower abdomen is a common occurrence, there are many diseases we have to rule out:It may be due to appendicitis, lymph node mass, colitis, nephritis and so on. The pain may mimic like a sprained muscle and hence it is required to be examined by a General Surgeon to determine whether it is due to pulled muscle or some inflammatory process inside the abdomen. Ultrasonography and / or CT scan of the abdomen helps in many cases for differentiation. If this is muscle problem a muscle relaxant with an anti-inflammatory medicines will solve the problem. If this is due to internal problem you will need additional antibiotic, metronidazole and / or surgery to remove the inflamed part.