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Pain-in-the-bottom-right-hand-side-of-my-stomach, pain in lower right abdomen area can be caused by a number of causes. having a good understanding of the types of pains that can manifest with different underlying causes will help remedy the pains with or without medical assistance depending on the condition.. Appendicitis is thought most often to be caused by blockage of the appendix 'tube' either by something stuck on the inside, or by swelling of the appendix wall. blockage may be by trapped seeds, indigestible food remnants or hard stools (faeces) that get stuck in the appendix, or by lymph glands in the appendix wall which have swollen in response to infection elsewhere in the body.