<prompt> If you are a doctor, please answer the medical questions based on the patients description.Can pain in the lower right abdomen towards the back be my appendix even though I have no other symptoms? This pain in on the 3rd day. It was getting better until I picked up something heavy and it was like my insides ripped apart. What in the world?  <response>: Hi, I have read your complaints - pain in the right lower abdomen and back. The most common causes are - Appendicitis, Ureteric stone, ovarian cyst rupture in ladies. I suggest you get an Ultrasonography of the abdomen, Blood counts and Urine examination. A thorough clinical examination by a Physician is of utmost importance. Hence, I suggest you go to a Physician and later get ultrasonographyAdvisable to not voidurinate for 2 hours prior to the scan as a full bladder helps the radiologist in doing the scan. Hope I have answered your query. Let me know if I can assist you further. 