<s>[INST] I am a 61 year old woman. I have had dull pain in my right middle back area, also cramping in my abdomen, but now I have some pulsing in my right abdomen area. I thought I might have a UTI, and went to the doctors, but did not have one. What can cause this? [/INST] Hi. Thanks for your query. The probable causes of pain in the back and the cramping in the abdomen with pulsing in right abdominal can be due to Inflammation of the organs in this area, namely liver, gall bladder, pancreas, right kidney and so on. I would suggest you the following:Get a CT scan of the abdomen along with blood, urine and stool tests. A good physical examination by a Surgeon along with investigations can pinpoint the diagnosis and give a plan for treatment. </s>