The right lower abdomen pain is cold, may be acute appendicitis, ureteral stones, right-sided adnexitis. 1. Acute appendicitis: mostly due to appendiceal obstruction leading to the collection of secretions in the lumen, increased internal pressure, compression of the appendiceal wall, the lumen of the bacterial invasion of the damaged mucosa, resulting in the occurrence of acute appendicitis, the typical manifestation is the first epigastric or periumbilical pain, after a few hours of transfer to the right lower abdominal pain and fixation of the right lower abdominal pain, pain can be intense body cold. 2. Ureteral stones: Ureteral stones can be accompanied by right lower abdominal cramps, hematuria, nausea, vomiting and other symptoms. Sweating more during the pain may cause coldness of the body. 3. Right-sided adnexitis: seen in women, mainly due to the right side of the fallopian tube or ovary infection of the inflammatory disease, to the right lower abdominal pain, pain can be accompanied by cold body. If you have lower right abdominal pain with coldness, it is recommended that you go to the hospital immediately to prevent delaying your condition and causing serious injuries.