I have pain on my right side. Right side hurts. Diagnosis of the causes of dull pain in the right side
Many people at the doctor's office complain that the right side hurts below the ribs. What does such a state mean? What can cause pain? When does a patient need emergency care? These questions are of interest to many.
The right side of the abdomen contains many organs, including the liver, pancreas, and intestines. And if the right side hurts below the ribs, then this may indicate a malfunction of almost any part of the digestive and genitourinary systems.
Soreness in the right side of the abdomen and liver disease
The liver is an organ located in the upper right side. Its value can hardly be overestimated, because the liver is responsible for removing toxins and their neutralization, and also provides extremely important metabolic processes. And if the right side hurts below the ribs, then this may indicate a dangerous disease.
Most often, pain speaks of hepatitis, a viral disease that affects hepatocytes. Cirrhosis and fatty degeneration are also accompanied by soreness. In addition, with liver damage, there are some other symptoms that you need to pay attention to - these are nausea, vomiting, digestive disorders, fatigue, drowsiness, decreased performance. As the disease progresses, a characteristic yellowness of the skin and sclera of the eyes appears. In such cases, the help of a doctor is simply necessary.
Pain in the right side of the abdomen due to disorders in the gallbladder
The gallbladder is a hollow organ that stores bile. It is here that it becomes more concentrated, after which it enters the intestines through special ducts.
Stitching pains in the right side often occur in people during physical activity such as fast running. Such discomfort can be explained by the rapid release of bile into the intestinal lumen. A similar phenomenon is not considered a serious disease, but may indicate stagnation of bile. Therefore, it is better to consult a doctor just in case.
In addition, inflammation of the gallbladder is also accompanied by discomfort. Sharp pains appear during the formation of stones, their movement and blockage of the bile ducts. As a rule, such phenomena are accompanied by nausea, vomiting, digestive problems, increased discomfort after eating fatty foods.
Pain and pancreas
On the right side is also part of the pancreas. This organ is not only involved in the processes of digestion, but is also part of endocrine system. Sharp pains in the right side, radiating to the back, may indicate pancreatitis - a disease that, along with pain, nausea, frequent vomiting that does not bring relief, as well as increased sweating and fever.
Appendicitis is a common cause on the right side
Appendicitis - acute or chronic inflammation appendix of the intestine. With such a disease, pain, as a rule, occurs suddenly, they are sharp and strong. Inflammation of the appendix is also accompanied by fever, nausea and vomiting, diarrhea, lack of appetite.
After some time, the main symptoms may disappear, but this is not at all evidence of recovery. A short-term improvement in the condition is observed with perforation (rupture) of the appendix and the release of its contents into the abdominal cavity. With absence timely assistance possible complications, in particular, peritonitis.
Intestinal diseases as a cause of pain in the right side
Of course, the right side of the abdomen is filled with loops of the small and large intestines. And any damage to the intestinal tract, of course, will be accompanied by pain. A similar symptom occurs with inflammation of the mucous membrane, perforation, Crohn's disease and many other disorders.
What diseases of the genitourinary system are indicated by pain in the right side of the abdomen?
Pain in the right side of the lower abdomen often accompanies certain diseases of the genitourinary system. For example, with urolithiasis (especially if the right kidney and ureters are affected), acute pains are often observed on the right side. Acute attacks of pain also appear with the so-called wandering kidney syndrome.
On the other hand, pain caused by a malfunction of the pelvic organs can be given to the right side of the abdomen. For example, in women, this may be a symptom of apoplexy of the right ovary, rupture of the right fallopian tube. This is often observed in ectopic pregnancy(when a fertilized egg is attached to the wall of the fallopian tube), intensive growth of a cyst or tumor.
Pain on the right during pregnancy - is it dangerous?
Many women at the reception at the obstetrician-gynecologist complain that the right side hurts below the ribs. In recent months, such phenomena can be absolutely normal. A rapidly growing baby increases in size, which leads to compression of the internal organs. As a rule, soreness disappears if you change your position, for example, lie down, roll over to the other side, or take a walk.
But if the pain is sharp, strong and does not go away, then this is a cause for concern. During pregnancy, pain in the right side may indicate all of the above diseases - these are hepatitis, pancreatitis, problems with the kidneys and gallbladder. By the way, while carrying a child, a woman's body is much more susceptible to infections, because the immune system weakens. Therefore, intense or frequent pain is a reason to see a doctor.
Right side hurts - what to do?
Many people are interested in the question: "What to do if you have pain with As you can see, this symptom can signal significant and dangerous disorders in the body. Therefore, the only reasonable way out is to consult a doctor. You should not take painkillers and self-medicate before examining a doctor and staging definitive diagnosis.This can only aggravate the situation.
Some conditions require emergency care. The paramedical team should be called if:
- sharp, sharp pain appeared suddenly and does not go away for half an hour;
- the pain is so severe that it interferes with movement;
- there was severe nausea and vomiting;
- soreness causes semi-consciousness or a short-term loss of consciousness;
- the patient has clouding of consciousness, hallucinations;
- if the pain radiates to the lumbar region, and there are blood impurities in the urine;
- there is profuse bleeding from the vagina.
Pain in right side dangerous symptom which should never be ignored!
Let's turn to anatomy. There are two cavities in the human body (abdominal, thoracic). The diaphragm separates them.
The right side is part of the abdominal cavity, in which the organs of digestion, excretion, reproductive (genital) and endocrine systems are located.
Let us conditionally single out the lower and upper (subcostal and pelvic) zones in the right side of the body. Top right - hypochondrium zone. Here are the liver and gallbladder, the diaphragm and the right kidney with the adrenal gland, as well as the final segment of the small intestine (ileum). Above the right hypochondrium, the lungs begin, so sometimes pain may be associated with inflammation of the lower lobe of the right lung.
Bottom right is the pelvic area. Here is part of the intestine (caecum with appendix and ascending colon), and in women - the right ovary.
Localization of pain and pathology of internal organs
If a person has a pain in the right side, in most cases this is due to the pathology of the organs of the right hypochondrium or pelvis. Therefore, let us consider in more detail what nature of uncomfortable sensations corresponds to each of the listed organs.
Liver - heaviness and discomfort in the right hypochondrium
Heaviness and discomfort in the right hypochondrium are often associated with stagnation of bile, inflammation. They form pain in the right side under the ribs in front.
Liver pains are accompanied by a taste of bitterness in the mouth. Yellowness of the skin and various rashes are also possible. Their reason is insufficiently effective blood purification during its passage through the liver, in which the existing toxic components are removed from the blood through the skin.
Also, a hallmark of hepatic pains is their intensification during sudden movements and weakening at rest (especially when lying on the right side).
Inflammation of the liver can proceed painlessly (only a feeling of heaviness) or be accompanied by weak pulling sensations. With the deterioration of the condition, the formation of stones in the bladder and bile ducts, strong pain sensations are formed. Strong, sharp, stabbing sensations accompany the movement of stones along the ducts. If the duct is completely blocked and the outflow of bile is blocked, severe arching pain is formed.
The movement of stones forms bouts of contractions. The peak of soreness comes at a time when the duct is blocked by a stone. As soon as the stone moves and partially frees the duct, the attack decreases. Thus, cramping pains indicate cholelithiasis.
Pancreas - sometimes pain in right side at waist level
The pancreas is one of the most important human organs, performing both digestive and endocrine functions. It is located in the center and on the left, but in pathology it can form heavy sensations throughout the abdominal cavity. There may be pain in the right side at waist level. However, more often the pancreas forms discomfort with localization on the left side (to the left of the navel) or girdle pain in the upper abdomen.
Ovaries - pain in the right side of the lower abdomen
The ovary is a female reproductive organ where the female sex cells (eggs) mature. Two ovaries are located to the right and left of the uterus and are connected to it by the fallopian tubes. When infected, inflammation of one or both ovaries (appendages) is possible.
With inflammation of the ovary, edema is formed, fluid accumulates. At the same time, it forms pain in the right side of the lower abdomen (near the iliac bones) and above the pubic bone. Also, the inflamed ovary "gives" to the lower back on the right (from the side of the back below the waist).
In addition to inflammatory processes caused by infection, discomfort can occur due to internal pathology. For example, if it hurts in the right side of the lower abdomen, a cyst may have formed. During its formation, discomfort is felt constantly and intensifies during menstruation.
Also, increased pain during menstruation occurs with endometriosis. In this disease, the mucous epithelium grows outside the uterus. It compresses other tissues and forms aching pain with irrigation (return of discomfort) to the perineum.
Another reason that the right side of the lower abdomen of a woman aches and hurts is an ectopic pregnancy. If so, then urgent health care to prevent rupture of the fallopian tube. With the development of pregnancy outside the uterus, the pain will intensify and spread to neighboring areas (rectum, under the shoulder blade).
Note: as a rule, pain in the right side in men is not associated with the genitals. With inflammation of the testicle in men, the scrotum and perineum hurt, sometimes the lower back.
Soreness in the lower abdomen is not always associated with the genitals. It can be a consequence of intestinal disorders (dysbacteriosis, constipation). Pain in the right side at the bottom right can be formed in the caecum or colon (departments of the large intestine) or with acute appendicitis.
Appendicitis - sharp pain in the right lower abdomen
The appendix is a small branch of the intestine that is lined with lymphoid tissue. With the accumulation of toxins, it can become inflamed and hurt. It is located on the right lower abdomen, therefore it forms pain sensations on the right below and around the navel. The exact location of the appendix can be determined as follows: in the middle between the right iliac bone and the navel. It is here that the maximum pain is localized during acute appendicitis. As a rule, inflammation is acute and requires surgical treatment(removal).
In 17% of people, the caecum of the appendix is located differently. It can be turned up (then pain occurs in the liver area), lowered into the lower pelvic area (then the pain resembles inflammation of the ovaries, appendages or bladder) or wrapped towards the kidney (such pain radiates to the lower back, groin).
Appendicitis can be recognized by the localization and increase in soreness, as well as by the deterioration of the condition. Every hour the pain increases, nausea becomes stronger, the general condition worsens.
In addition, the diagnosis of appendicitis uses light pressure in the areas of pain localization. If, with light pressure on the abdomen, there is a strong stabbing or cutting sensation, urgently see a doctor. A ruptured appendix is life threatening.
Also use another option differential diagnosis(to distinguish appendicitis from intestinal colic). You should lightly tap your finger on the protrusion of the right iliac bone. If this is appendicitis, the pain will noticeably increase. If you tap on the left bone, there will be no increase in discomfort.
Intestine - cramping pain in the lower abdomen on the right
The human intestine is a factory for breaking down and digesting food. It is more than 10 m long and is a series of tubular cavities inside which food moves. The inner surface of the various sections of the intestine is lined with mucous epithelium. When it is irritated, lesions appear - erosion and ulcers. They cause pain.
Also, the cause of pain in the intestinal area is spasm of the intestinal walls, dysbacteriosis and flatulence. They are the result of unhealthy diet and stress. The pain is migrating. At first - the right side hurts below, after - the discomfort migrates to the pubic bone or to the left side.
The ileum is located on the right side of the lower abdomen. If its mucous surface becomes inflamed, then the right side of the abdomen hurts. The cause of inflammation is malnutrition.
If colitis is in the right side, there may be a spasm of the intestinal walls or its obstruction is formed. Often, with obstruction, pain is localized around the navel and in the lower abdomen on the right. It is characterized by cramping attacks - a sharp pain in the right side is replaced by weaker painful sensations.
Kidneys - pain on the right back, gives to the lower back
Excretory organs (kidneys) - in case of violations, they form soreness in the lower back or back. Kidney pain almost always bothers only on one side - on the right or left. For example, the right side hurts from the back, or it aches in the right side at the level of the lower back.
Kidney pain descends below the ribs. It often spreads to neighboring areas - the groin, inner thighs. Dull pain in the lower back in the right side accompanies chronic inflammation of the kidneys (pyelonephritis) and gromerulonephritis. Constant pain is a sign of kidney failure. Acute, stabbing pain occurs when the urinary ducts are blocked (mucus clots, stone, sand).
A distinctive feature of renal pain is that it is accompanied by urination disorders (a decrease or increase in the volume of urine, the appearance of blood clots in the urine, bags under the eyes).
Pain during pregnancy
Pain in the right side during pregnancy is not always a sign of pathology. In the middle of pregnancy, it is associated with stretching of the ligaments holding the uterus. In the later stages - with compression of internal organs. So, heaviness is felt and the right side hurts during pregnancy, if a woman has problems with her gallbladder. And below - it hurts in the center and on the right with insufficient emptying of the intestine.
What happens and what determines the nature of pain
The nature of painful sensations (discomfort, tingling, burning, aching or sharp pain, undulating or even) depends on the processes occurring inside. Pain is a signal of disturbance, it is formed with a lack of oxygen, the accumulation of toxins and the development of edema and inflammation.
Often pain is the result of stagnant processes that form in the internal organs.
Therefore, to eliminate pain, it is enough to speed up blood circulation, improve blood flow, remove toxins, and provide cells with nutrition and oxygen.
Feeling of heaviness
Feelings of heaviness are the first signal of the accumulation of toxins. Often, heaviness in the right side is associated with the liver and is a sign of a chronic violation of its work. If bile stasis or inflammation has formed, then the feeling of heaviness intensifies after abundant fried and fatty foods.
Heaviness in the lower abdomen may be a signal of stagnation of feces inside the intestines. This severity is accompanied by chronic constipation.
Nagging pain
With the development of pathology, heaviness turns into pulling pain. When pulls in the right side?
- Drawing pain in the right side is formed during inflammatory processes inside the liver.
- It also pulls the right side with viral infections - hepatitis.
- Can pull on the lower right during an ectopic pregnancy (attachment of an egg in fallopian tube to the right ovary).
- Pulling sensations during pregnancy are formed during the contraction of the smooth muscles of the uterus. In this case, the muscles become hard (to the touch). Prolonged pulling pains disrupt the blood supply to the fetus and can cause pathologies in its brain.
Aching pains
Aching pain is a long lasting pain. Aching pains often accompany a sluggish chronic process (inflammation). They also occur during cell intoxication (their poisoning with waste products of their own life).
When aching uncomfortable sensations form:
- Aching pain in the right side is formed with cholecystitis (inflammation of the gallbladder).
- The right side also aches below with inflammation of the walls of the large intestine (colitis).
- blunt aching pain in the right side of the abdomen in women are formed with chronic diseases ovaries (inflammation). In this case, painful sensations often spread to neighboring zones - to the fold between the leg and the body, to the lower back or sacrum.
- Aching pain in the right side behind is formed with inflammation of the kidneys.
Severe cutting and stabbing pains
Pain is accompanied by inflammation and pathology. They often occur when the channels or blood flow are thrombosed. Stitching cramping sensations are called colic.
There are intestinal, hepatic and renal colic:
- If the right side under the ribs colitis, then this is hepatic colic. It can spread to the right shoulder blade, shoulder. Be sure to form a taste of bitterness in the mouth.
- If it hurts in the lower abdomen, then this is intestinal colic. It is accompanied by flatulence, bloating and is often observed in infants during the first three months of life.
- In addition, there is the so-called rectal colic (cramping stabbing sensations inside the rectum).
- Renal colic has extensive areas of manifestation - the lower back, groin, genitals. It is accompanied by a violation of urine output (a decrease in its quantity, a change in color, the appearance of a strong odor).
- Appendicular colic - is formed with an acute manifestation of appendicitis.
The question of why the right side hurts does not have a definite answer. There are many reasons for this phenomenon - from disorders of the gallbladder, intestines and liver, to inflammation of the genital organs. A complete examination and diagnosis will help to make a diagnosis accurately.
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Which doctor should I contact if there is pain in the right side?
Pain in the right side - symptoms of the disease
What diseases cause pain in the right side:
Pain in the right side from above. In this area, a person has such organs as the liver, gallbladder, part of the intestine, the right side of the diaphragm. Disease or injury to these organs gives you pain in the upper abdomen. The intensity and severity of pain will depend on what is happening and where. Pain in the right hypochondrium can be with inflammation of the liver (hepatitis). The infectious agents that most often attack the liver are viruses. Hence the so-called viral hepatitis. There are three main types: viral hepatitis A, B, C. People usually get viral hepatitis A after they swallow food or water contaminated with sewage. Hepatitis B is especially common among homosexuals, drug addicts and those who have been in close contact with them. Hepatitis C is almost always transmitted through contaminated blood transfusions, medical needles, and products containing blood. It is especially common among drug addicts. Various chemical agents and drugs can also damage the liver due to their toxicity. This is the so-called toxic hepatitis. The most dangerous nucleus for the liver is alcohol. With regular alcohol abuse, alcoholic hepatitis develops. The liver can also suffer from heart failure, when the heart muscle does not pump the blood that comes to the heart well. Part of it stagnates in the lungs and causes respiratory failure, and part stagnates in the liver, stretching it and causing pain.
Which doctor should I contact if there is pain in the right side:
Diseases in which it hurts in the right side
The pain may be concentrated in the upper part of the right side. Here are the following organs: part of the diaphragm, pancreas, part of the intestine, gallbladder and liver. Any pathology of one of these organs or their injury will be expressed by pain in the right side. However, the nature of sensations and their strength may be different, depending on what exactly caused the pain. If pain is felt on the right under the rib, then the cause may be the liver, or rather, its defeat by viruses - viral hepatitis.
The right side hurts under the rib, what to do and how to treat?
More than 30% of people in the world have experienced discomfort and pain symptoms in the hypochondrium of the right side during their lifetime. The reason for this can be many factors.
First of all, in this area, the liver and kidney are covered with ribs, which can become inflamed, increase in size or move from their anatomical bed.
Pathologies of internal organs can provoke pain in the right side under the ribs, of varying intensity and nature. In addition, pain symptoms can be localized in various projections.
Causes of pain in the right side under the rib in front
Pain in the right side under the rib in front provokes pathological processes in various organs and systems located in close proximity to the anterior wall of the peritoneum.
Acute inflammatory reactions in the gallbladder
A sharp stabbing pain symptomatology in the area of \u200b\u200bthe abdominal muscle of the abdomen, passing along the right side of its white line and costal arch, is provoked by infectious bacterial microorganisms or the occlusion of the neck or duct of the gallbladder with crystalline formations as a result of the development of choledocholithiasis.
However, they can be very intense:
- give to the shoulder area;
- be accompanied by belching;
- bilious vomiting;
- nausea and bitterness in the mouth.
The development of calculous and chronic cholecystitis is complemented by symptoms - flatulence (bloating), apathy for food, resistance to fried and fatty foods, slight yellowing of the eye proteins.
It is from the right side under the ribs that the right lobe of the liver is located and pain in it can cause a number of pathologies:
1) Structural changes in the liver as a result of cell death and the formation of nodes in cirrhosis. Nodular neoplasms lead to compression of blood vessels and bile ducts, causing constant pain in the side.
As a result of overflow of the portal vein with blood, varicose veins, bleeding in the esophagus, ascites (fluid in the peritoneum) develop. In the future, the liver reduces its size and reduces efficiency.
The disease is preceded by any form of manifestation of hepatitis - alcoholic, toxic, or viral.
2) Painful symptoms similar to cirrhosis, can cause the formation of liver cell carcinoma in the liver. It can only be differentiated by tissue biopsy.
Their gradual increase in size causes compression of the hepatic capillaries and ducts, uneven enlargement of the liver. Suppuration provokes the development of a hepatic abscess and increased pain.
Problems of the digestive tract
1) Pathological processes of the colon caused by various diseases or injuries cause pain in the right side from the side. While the process of inflammation does not affect the peritoneal cavity, they are weakly expressed, radiating to the umbilical and inguinal zones on the right.
2) Prolonged inflammatory processes in the intestines and the development of granulomatous inflammations in all parts of the gastrointestinal tract are the causes of obstruction and necrosis of the intestinal tissues, manifested by spasmodic pain symptoms in the hypochondrium on the right.
3) Malignant neoplasms in the intestines are similar to the symptoms of intestinal obstruction or acute abdomen, and also cause pain in the projection of the right side under the ribs.
4) A different degree of inflammatory reactions in the appendix begins in the epigastric region, gradually passing into the region of the right hypochondrium, causing pain.
As a result of a violation of cardiac functions, causing circulatory disorders in a closed vascular pathway, the liver increases in size. This provokes edematous processes in the abdominal wall and the accumulation of fluid in the abdominal cavity.
The irreversible stage of heart failure leads to changes in the liver similar to cirrhosis.
The result of myocardial infarction, the abdominal variant, are pains of a burning nature and a feeling of pressure in the hypochondrium of the side on the right. Sometimes they radiate to the shoulder blade or chest area.
Pain in right side behind
Pain in the right side of the back under the ribs speaks of pathological changes in the kidney, diseases of the adrenal gland, disorders in the functions of the great vena cava, injuries of the ribs or intercostal neuralgia.
Diseases accompanying such symptoms are manifested due to:
1) acute infectious inflammation of the kidneys (pyelonephritis), diffuse purulent process in the organ, formation of a carbuncle or abscess (apostomatous pyelonephritis).
2) Injuries to the abdominal system of the kidney and ureter with stones or sand (with urolithiasis). It is manifested by paroxysmal pain in the lower zone of the ribs, in the lateral and lumbar region.
3) Due to papillary necrosis (ischemic infarction of the renal papillae). Such a pathology develops with diabetes or is a consequence of an infectious process. Pain symptoms are constant. A high probability of the formation of septic shock with the development of the disease.
4) Inflammation in the fatty tissue of the kidney, caused by the action of foci of infection present in the body (tonsillitis, caries). The sensation of pain intensifies with a sharp change in body position, movement, or with full breathing. Similar symptoms appear with intercostal neuralgia.
5) Due to lumbar osteochondrosis, manifested by muscle stiffness, limited mobility and varying intensity of pain manifestations in this projection.
6) Consequence of bruising of the ribs, fractures or damage to the body with herpes zoster.
7) The right side hurts under the rib and radiates to the back when malignant neoplasm blocks or disrupts the outflow of urine and with tumors of the adrenal gland.
Similar signs, but with the addition of pain radiating under the scapula, are observed with thrombosis of the inferior vena cava.
Pain in the right hypochondrium when moving
Pain on the right in the hypochondrium during movement is often manifested in people who are practically healthy. This may be due to the action of physical activity unusual for a person.
At this moment, there is an intense release of the hormone epinephrine and an acceleration of blood flow, causing the process of expansion of the organs and the vena cava, passing in the area of the right hypochondrium - this causes pain.
Also, pain symptoms can cause sudden changes in position when walking - tilts, turns - this is due to costal contact with the organs. Such painful symptoms pass quickly.
If they are of a stabbing nature and last more than half an hour, this may indicate a possible infringement of the relevant organs, which requires urgent medical intervention.
Which doctor should I contact?
Any pain, including hypochondrium, is a symptom of a malfunction in the body. Very important organs are localized in this area of the body, and pathological changes in them can be fatal.
Severe pain symptoms in this area may be due to:
- isolated rupture of the gallbladder and ducts;
- organ injuries;
- renal paraphimosis (cystic infringement);
- rupture or prolapse of the kidney (nephroptosis).
Such pathologies require urgent surgical treatment. Long-lasting pain in the hypochondrium side on the right, require timely examination and treatment.
Not recommended independent application painkillers. The symptomatology is eliminated temporarily, but the disease remains. In addition, taking medications "smoothes" the symptoms and complicates the diagnosis.
The first step is to visit a therapist - he will conduct an initial examination and diagnosis. If necessary, he will appoint a consultative examination by a neuropathologist or endocrinologist, cardiologist or surgeon.
What to do? Diagnosis and treatment of pain
Diagnosis begins with a patient questioning about the nature of pain manifestations, intensity and main localization. About their connection with the diet. The anamnesis of diseases, infections and injuries is revealed. Attention is drawn to the state of fatty tissue and the tone of the muscles of the peritoneum.
Examination by palpation and general analyzes- biochemical indicators, functional tests. Diagnosis should be comprehensive, including examination of the organ and its functionality.
If there is a suspicion of pathological processes lying in this projection, the organs are assigned instrumental diagnostics, including:
- excretory urography;
- radioisotope renography and scintigraphy;
- vertical aortography;
- fluoroscopy of the gastrointestinal tract;
- Ultrasound of the biliary tract, kidneys and liver;
- biopsy to detect tumor processes.
There is no single protocol for the treatment of pain in the right side under the rib. After identifying the cause and establishing an accurate diagnosis, a treatment plan is drawn up corresponding to a specific pathology.
It includes a set of activities:
- drug therapy aimed at treating the disease and relieving symptoms;
- surgical treatment (if necessary);
- vitamin therapy;
- diet modification.
Regardless of what kind of pain and where it is localized, diagnosis and treatment should be the prerogative of a specialist.
Symptoms and treatment
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Right side hurts - what to do. Pain in the right side, as a symptom of the disease in women and men
Each of us periodically experiences pain in the abdomen and this is quite natural, because absolutely healthy people can not be. It is important not to ignore them, but to be able to determine the cause of the occurrence. For example, what causes pain in the side on the right? Read about the possible sources of its origin.
What can hurt in the right side
In this side, there are some internal organs, with dysfunctions of which discomfort is directly related. What can hurt on the right:
- liver;
- kidneys;
- pancreas;
- intestines;
- ovaries;
- appendicitis.
The right lobe of the abdominal cavity is conditionally divided into subcostal (top) and pelvic (bottom) parts. The first contains the gallbladder, adrenal gland with kidney, liver, diaphragm, ileum. In the second is the ovary (in women) with the appendix (in all). Rarely, but sometimes the wandering pain of the organs located on the left gives to the right. It can be the stomach, pancreas. To establish the exact root cause of the occurrence of unpleasant sensations, you need to clearly determine their localization.
Pain on the right under the ribs in front
It can be constant or intermittent. Constant pain on the right under the ribs in front occurs due to such ailments:
Pain in the right side of the abdomen in front may not be related to pathologies. From time to time, everyone experiences such sensations with:
- Pregnancy. The growing fetus is in the uterus and creates pressure on the woman's organs, causing pain.
- Intense physical activity. If a person out of habit was engaged in hard work or performed sports exercises, a lot of adrenaline is released from him. Therefore, the blood flow increases, and the vena cava expands and compresses the liver.
- premenstrual syndrome. With increased production of estrogen that occurs before menstruation, a spasm of the biliary tract occurs, which is affected by this hormone.
Pain in the right side of the back
This phenomenon is characteristic of a number of renal pathologies. Pain in the right side from the back? It warns about:
- Acute pyelonephritis. Intense but dull pain. If you knock on the lower ribs, it becomes stronger.
- Chronic pyelonephritis. Weak aching pain, which becomes obsessive if it is damp and cool outside the window.
- Retroperitoneal hematoma. If a person falls on his back or is badly hurt, then a vessel ruptures behind the peritoneum and a hematoma (blood accumulation) is obtained, pressing on the organs.
- Acute pancreatitis. Girdle pain sensation, growing if a person lies down. Additional symptoms are nausea, diarrhea, and vomiting.
- Urolithiasis. Dull pain sensation. Increases if a person moves a lot or drinks an excessive amount of liquid.
- Pinched nerve. Diffuse pain above, under the scapula on the right, increasing.
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Pain in the right side behind the lumbar region
There are many reasons for the occurrence of such a symptom. Pain in the right side from the back in the lower back? You need to be examined for ailments:
- Musculoskeletal system: spondylolisthesis, osteochondrosis, osteomyelitis, osteoporosis.
- Muscles: inflammation, trauma, sprains.
- Neurological: plexitis or neuritis.
- Internal organs: kidneys (pyelonephritis, stones, hydronephrosis, colic), intestines, gallbladder, liver, ovaries in young ladies.
Pain in right side at waist level
There are many possible reasons for this phenomenon. It hurts in the right side at waist level in people with:
- Inversion of the intestines.
- Diseases of the liver.
- Pancreatic disorders.
- Appendicitis. Sharp cutting, worse on inspiration or movement.
- Inflammation of the uterine appendages.
- The presence of small stones in the gallbladder. Paroxysmal pain.
- Inguinal hernia.
- Kidney diseases: prolapse, hydronephrosis, glomerulonephritis, stones.
Pain in the liver
The list of reasons for this phenomenon is very extensive. Pain in the liver, in the mouth, in which bitterness appears, occurs when:
In order to perform the diagnosis correctly, it is necessary to identify not only the localization of unpleasant sensations, but also their nature and intensity. This is very important, because only by finding out why the right side hurts, the doctor will be able to prescribe an actual treatment regimen that will really help the patient and alleviate his condition. The pain is dull or sharp, encircling, stabbing, cramping. The reasons for the appearance of each individual.
Aching pain in right side
Allocate constant or periodic. The first is found in oncology, cysts, bone fractures. Intermittent aching pain in the right hypochondrium is typical for:
There are several groups of diseases for which such a symptom is characteristic. Gynecological pathologies in which the right side is pulled:
- Right-sided adnexitis, acute or chronic. The symptom is accompanied by chills, high fever.
- Apoplexy of the ovary. Attack pain in the abdomen on the right, cannot radiate to other areas.
- Ectopic pregnancy with tubal rupture.
- The leg of the formation on the ovary is twisted.
Pain on the right side of your abdomen? This can tell about the following urological diseases:
A pulling feeling is a symptom of a number of surgical diseases:
A tunic in the right side under the rib
Colic is a very annoying symptom. There are many reasons for their presence. Stitching pain in the right side is due to:
- Not enough passable bile ducts. Attacks overtake the patient unexpectedly, at night, and by morning they become a little quieter. Colic is unpleasant, but passes quickly.
- Ulcerative duodenitis (duodenal ulcer). Severe colic on the right and near the navel, which is accompanied by fever, bloating, nausea.
- Presence of kidney stones. They cause tingling, moving along the ducts and scratching them.
- Pyelonephritis. Constant colic is uncharacteristic of this disease, but occurs periodically with excessive physical activity.
Dull pain in right side
Notifies a symptom of a period of exacerbation of chronic diseases. Dull pain in the right hypochondrium is indicated by:
- chronic hepatitis. Disperses when pressed on the liver.
- Chronic cholecystitis. The inner wall of the gallbladder is "scratched" by stones. This brings pain, which is aggravated by the use of fatty foods.
- Chronic pancreatitis. The right side hurts after eating, nausea, heaviness appears.
- Chronic duodenitis. If the wall of the duodenum becomes inflamed, the person has a stomach ache and growls, heartburn and nausea are observed. There is vomiting, in which there are traces of bile.
Heaviness in the right hypochondrium
First of all, this symptom is characteristic of intestinal diseases. Heaviness in the right side of the lower abdomen is observed with infectious lesions of this organ, dysbacteriosis, colitis, ulcers and the presence of neoplasms. With intestinal dysfunction, additional symptoms also appear: stool disorders, weakness after eating, sometimes vomiting opens. Another cause of severity can be diseases of the adrenal gland or kidney.
Sharp pain in right side
Accompanies pathologies of some organs. A sharp pain in the right side often occurs with diseases of the liver, gallbladder, duodenal ulcer. Her suddenness is a sign that the work of the organs has given a serious failure. Most common causes cut:
- biliary tract clogged with a stone;
- ovarian cyst;
- inflamed appendicitis;
- ectopic pregnancy;
- ovarian apoplexy;
- infringement of the inguinal hernia.
Burning in right hypochondrium
This extremely unpleasant sensation indicates pathologies of internal organs. Burning in the right hypochondrium develops due to:
- Gallbladder dysfunction. Burning pain begins due to bile retention, inflammation of the organ.
- Diseases of the liver, pancreas, intestines. Burning periodically appears with hepatitis, cirrhosis, chronic pancreatitis, duodenal ulcer.
- Diaphragmatic hernia.
- Diseases of the urinary organs and kidneys. Burning occurs between attacks of colic.
- Osteochondrosis of the lumbar.
- neurological diseases.
Sharp pain in right side
The phenomenon in the lower abdomen is born due to:
- appendicitis;
- pancreatitis;
- intestinal diverticulum;
- liver diseases;
- blockage of the intestines (strongly gives in the groin);
- inguinal hernia;
- duodenitis.
Acute pain in the right hypochondrium reports:
- biliary dyskinesia;
- cholecystitis;
- hepatitis;
- shingles.
If it hurts more from the back, then you need to check for:
- renal dysfunction;
- the presence of stones in the ureter.
Discomfort in the right side
Such an unpleasant sensation sometimes occurs even in healthy people due to the use of food or alcohol that is heavy for the body. Discomfort in the right hypochondrium accompanies cholelithiasis, cholecystitis. It can be caused by hepatitis and liver abscesses. However, stress, physical or mental overstrain, which have nothing to do with organ pathologies, can cause this condition.
Throbbing pain in right side
Allocate a lot of reasons for the occurrence of this symptom. Pulsating pain in the right side informs about:
- Digestive disorders or intestinal pathologies. The stomach shoots because of dysbacteriosis, bloating, poisoning.
- PMS. Abdominal pulsation often begins before menstruation. If it is tolerable, then you should not worry.
- Diseases of the female genital organs. It is especially dangerous if the pain is accompanied by heavy bleeding.
Cutting pain in right side
A number of diseases cause such a symptom. Cutting pain in the right side occurs when:
- Inflammation of the duodenum. Has a periodic character.
- Blockage of the bile duct with a stone.
- Pinched inguinal hernia. Dangerous state that requires urgent surgical or laparoscopic removal.
- Rupture of an abscess on an inflamed fallopian tube.
- Acute appendicitis.
Presses in the right side under the ribs
From time to time, the symptom occurs after eating heavy food, alcohol. The liver tries to overcome the increased load, which makes the person feel uncomfortable. There are also dangerous reasons why it presses in the right side under the ribs:
- Gynecological diseases. A feeling of squeezing is possible with salpingitis, ovarian tumor, cyst rupture or torsion of its legs, oophoritis, vulvodenia, endometritis, diverticulitis, adnexitis.
- Urological diseases. The sensation of pressure is caused by cystitis, pyelonephritis, inflammation or infection of the urinary system.
- Tumors of the male reproductive organs.
- Inguinal hernia.
- Diseases of the intestines.
Bursting pain in the right hypochondrium
The symptom is very common and causes a lot of trouble. Bursting pain in the right hypochondrium opens with:
- colitis;
- biliary dyskinesia;
- liver diseases: hepatitis, echinococcosis, cirrhosis, pancreatitis;
- diseases of the small intestine;
- pyelonephritis;
- exacerbation of chronic cholecystitis;
- appendicitis;
- duodenitis.
Pain in the right side of the abdomen in women
I would like to dwell on gynecological diseases, which representatives of the opposite sex simply cannot have. Pain in the lower abdomen on the right in women is observed with:
- Endometritis. Pain during inflammation of the uterine mucosa can be both unbearably sharp and aching, giving to the sacrum. The disease is accompanied by burning, discharge.
- Myoma of the uterus. With the subserous form, the pain sensation is acute, and with the submucosal form, it is aching. The disease may be accompanied by difficulty urinating, chronic constipation.
- Oophorite. Inflammation of the ovaries, in which aching pain is observed on the right. Menstrual cycle it is violated.
- Salpingitis. Infectious inflammation of the fallopian tubes. Strong gripes. The general state of health deteriorates, there is discharge from an intimate place.
Pain in the right side in men
It is worth talking in more detail about the ailments of the genitourinary system, which cause an unpleasant symptom, characteristic of those who represent the stronger sex. Pain in the right side in men occurs due to:
- Balanoposthitis. Inflammation of the head of the penis, accompanied by pulling pain in the abdomen.
- Cavernita. Inflammation of the cavernous bodies of the penis. In the acute form, the side of the man on the right hurts and cuts, in the chronic it aches.
- Colliculitis. Inflammation of the seminal hillock. Accompanied by a pulling feeling on the right.
- The presence of stones in the prostate. With this pathology, the side on the right hurts. It can give to the lower back.
- Prostatitis. The abdomen at the level of the lower back hurts a lot.
- prostate adenomas. Pressing feeling.
Pain in right side during pregnancy
A slight discomfort in the abdomen for a woman in this position is normal. If a girl in demolition has a sore right side during pregnancy, then this is caused by the active growth of the fetus. It bursts the internal organs, from which it becomes painful. In the later stages, the child kicks very actively. You should be wary if discomfort comes unexpectedly and does not let go for more than half an hour, the attacks are too acute, accompanied by symptoms of intoxication. If the condition worsens sharply in the first weeks, this may, unfortunately, be a manifestation of an ectopic pregnancy.
Right side under ribs hurts when coughing
The phenomenon is extremely common. If a person coughs with a sore right side under the ribs, he should be checked for the presence of such diseases:
- Right sided pneumonia. Painful sensations prove that the disease is at an acute stage.
- Dry unilateral pleurisy.
- Pancreatic dysfunction.
- Right intercostal injury. Until she is completely cured, it will hurt to cough.
- Neoplasms of the lung on the right.
- Intercostal neuralgia.
Pain in right side under ribs after eating
The source of this phenomenon is problems with the organs of the digestive system. Opens pain in the right hypochondrium after eating from such diseases:
- chronic pancreatitis. Sensations during exacerbations intensify, accompanied by nausea, belching.
- duodenitis. Aching contractions, gives under the chest, shoulder blade. Comes an hour after eating.
- Chronic cholecystitis. Dull bursting feeling, can give to the shoulder, shoulder blade.
- Dyskinesia of the biliary tract. A dull aching feeling, which becomes acute in moments of exacerbation, comes in attacks.
- Cholangitis. It hurts a little, but unpleasant.
- Bulbita. Aching sensation, sometimes cramping.
- Gastritis. Pain of varying intensity. Come after eating in an hour or two.
When inhaling, the right side hurts under the rib
For a number of diseases, this symptom is characteristic. When inhaling, the right side hurts under the ribs from:
- Pericarditis. Sharp cramps, becomes even more intense if you take breaths.
- Acute cholecystitis. Gives to the back, lower abdomen.
- Myositis. With this ailment, pain first occurs only with a deep breath, and then (with a long absence of treatment) it becomes permanent.
- Renal colic.
- Thromboembolism of a large branch of the pulmonary artery. Cuttings that become stronger when air is taken in.
- subphrenic abscess.
Right side hurts when walking
With a similar phenomenon, each of us is familiar and faced at least once. If the right side hurts while running, this does not necessarily have to be associated with diseases. Due to the sharp release of adrenaline, the blood flow in the body becomes more intense. This leads to the expansion of the vena cava, which presses on the liver, causing discomfort. Other causes of side pain when walking:
Video: what can hurt in the right side
The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on individual features specific patient.
Pain in the right side is a signal of the body about the development of serious processes that require outside participation. In order to correctly diagnose the disease, the doctor takes into account a number of indirect symptoms and the nature of sensations, obtaining a complete clinical picture.
What can hurt
In this region of the upper quadrant of the abdomen are such vital organs: the gallbladder, liver, right kidney, pancreas. Partially, the duodenum, small intestine, and diaphragm enter here. In view of such a wide list, it is obvious that the list possible problems also impressive.
Pain under the right rib is provoked by the following conditions of the body:
- Cholecystitis associated with impaired patency of the biliary tract. Sudden discomfort disturbs, as a rule, at night. Among the factors provoking the disease include physiological disorders, stress, nervous strain.
A sharp pain spasm in the hypochondrium is caused by the movement of stones emerging from the gallbladder, which get stuck in the excretory duct, activating inflammation. - The defeat of the duodenum in the form of ulcerative duodenitis. Sensations in this case are stabbing, which is due to the development of the pathological process on the mucous membrane of the digestive organ. At night, cramps can be sharp and unbearable due to the lack of food in the stomach that needs to be digested.
- Renal colic. It is not possible to get rid of such pain even by changing the position of the body. Any movement only exacerbates the condition. The cause of discomfort is stones moving along the urinary system.
- Pancreatitis. The disease is characterized by a sensation of intense painful pulsation on the right under the ribs due to inflammation of the pancreas.
Due to the similarity of the symptoms of pathologies of various organs, one must be able to classify unpleasant sensations according to their projection, as well as by nature.
In the picture you can see the location of the internal organs of a person.
Pain in front
In such situations, doctors pay primary attention to the organs that are directly adjacent to the wall of the peritoneum.
gallbladder
The diagnosis with such a symptom is an acutely developing inflammatory process. Cutting spasms are localized in the area of the abdominal muscle and are due to the formation of crystalline formations in the ducts or neck or the activity of bacterial microflora.
Such pain under the ribs in front can be given to the shoulder, accompanied by vomiting of green bile masses, nausea, belching, bitterness in the mouth. With cholecystitis, bloating, legibility in food, yellowing of the whites of the eyes join.
Liver
It also hurts in the front in the hypochondrium as a result of structural deformations of a vital organ, when the death of cells is accompanied by the formation of nodes that compress the vessels and bile ducts. The discomfort is permanent. This condition is observed in cirrhosis, hepatocellular cancer.
The problem may lie in the pathology of the colon, inflammation, including the development of granulomatous processes, when tissue necrosis is observed. Pain associated with pain can also project into the right upper quadrant of the abdomen cancerous tumors.
Another option is the presence of gastritis, in which any deviation from the diet, even if eating homemade food, is fraught with deterioration.
The cardiovascular system
Unpleasant sensations at the top under the ribs are due to circulatory disorders in a closed area and subsequent edematous processes, VSD phenomena. In addition to heart failure, pressing spasm, but with a burning sensation, provokes myocardial infarction.
Complementing the listed causes of pain is another option - the development of a pathological process in the appendix.
Pain under the ribs at the back
A similar sign accompanies the pathology of the adrenal gland, the great vena cava, intercostal neuralgia and mechanical injuries of the bone apparatus. Doctors include in the list of possible diseases:
- Pyelonephritis associated with the development of an acute infectious inflammatory process, carbuncle or abscess in the kidney.
- Damage to stones that have moved from their place, sand to the cavity of the ureter. In such a situation, it can hurt not only behind, but also in the side.
- Renal papillary infarction or papillary necrosis. Severe discomfort persists constantly, the development of septic shock is not excluded.
- Inflammatory processes in adipose tissue. Unpleasant sensations intensify with deep breathing, active movements.
- Spinal osteochondrosis.
- Tumors of the adrenal gland, the formation of malignant tumors that disrupt the outflow of urine. The lower back can ache constantly, sometimes it is possible to reduce the intensity of pain by tilting the torso.
If there is discomfort not only in the hypochondrium on the right, but also under the scapula, thrombosis of the inferior vena cava must also be excluded.
When the right side hurts
The following options are available here:
- If spasms are accompanied by nausea, acute or chronic pancreatitis with inflammation of the head of the pancreas should be considered. Sometimes not only the right side hurts, but also the back. Additional symptoms are general weakness, indigestion.
- Inflammation of the liver. The sensations are blunted, and are accompanied by pallor, yellowing of the skin, dyspepsia, loss of appetite.
- Duodenitis. Unpleasant pulling sensations extend simultaneously to the back and shoulder blade.
For people susceptible to pain, spasms are not limited only to the side, so a feeling of discomfort at the top of the right shoulder is possible.
The nature of pain
In addition to the above classification of spasms in the hypochondrium, you need to remember some of the nuances associated with the type of discomfort that has arisen. This indicator is often decisive for making the correct diagnosis.
Pressure and heaviness in the side
A similar symptom often accompanies the late stages of pregnancy, when the growing baby is already too crowded in the stomach and any movement of the arm or leg, active coups cause the woman significant discomfort.
Pressing under the ribs from the side can also be due to the following conditions:
- Thoracic osteochondrosis, in which it is painful to move, breathe and move your arms.
- Pathology of the liver, gallbladder, urinary system. You can suspect the disease by joining the soreness of vomiting, nausea. Patients with such diseases tend to lie more, as any shifts, including walking and just a strong breath, provoke an increase in spasm.
stabbing pain
She is often complained about after a long run. To exclude the cause in the form of stretching of the liver capsule against the background of diaphragm dysfunction and low blood outflow, it is important for both women and men to plan the load only after a preliminary warm-up.
The following tips will help you avoid tingling:
- Breathing is always done through the nose. It is important that it be deep.
- Exhale - through the mouth and only slowly.
- While running, they breathe exclusively with their stomachs.
Stab in the side above the center of the peritoneum can also be with right-sided pneumonia. The defeat of the lung is accompanied by shortness of breath, dyspepsia, fever and blue discoloration of the tissues that form the nasolabial triangle.
Video: What can prick in the right side under the ribs
Blunt pain
Smoothed, but persistent discomfort is characteristic of a number of chronic pathologies:
- Cholecystitis. Increased spasm occurs after eating fatty foods. Additional signs are vomiting, bloating. As the disease progresses, ulcers form on the thickened walls of the gallbladder.
- Pancreatitis. As a result of the replacement of the correct anatomical structure connective tissue the production of enzymes and the hormone insulin is disrupted. Dull pain can be present both on the right and on the left under the ribs. It is supplemented by signs of dyspepsia: belching, bloating, diarrhea, nausea, heartburn, vomiting.
- Pyelonephritis. With inflammation in the pelvicalyceal system, spasm may spread to the opposite side, its intensification against the background of physical activity. Additional signs: unreasonable fever and chills, rapid urine outflow, increased blood pressure, migraines, chronic fatigue.
- Hepatitis. The causes of discomfort that does not go away with time are incorrectly performed treatment, the lack of a healing effect. The disease is accompanied by decreased appetite, regular nausea, flatulence, intolerance to fatty foods, alcohol. On palpation of the hypochondrium and pressure on the liver, a characteristic aching spasm occurs.
- Duodenitis. The pain on the right is supplemented by heartburn, poor appetite, regular diarrhea, vomiting with bile.
A sharp attack
If there is a feeling that the pain is not easily squeezing, but sharply penetrating, causing unbearable discomfort, the following conditions that require immediate treatment should be excluded.
Abdominal form of myocardial infarction with necrosis of a section of the heart muscle
The spasm is present simultaneously under the ribs and in the epigastric region and seems to burn from the inside. Taking heart medications does not give the desired effect, so you should go to the hospital immediately.
Characteristic features in addition to pain
- dry, irritating cough (in the absence of a history of smoking);
- dyspnea;
- weakness.
Video: Sharp pain in the right side after eating
Acute appendicitis
The appendix, which is responsible for the immune defense of the digestive system, is characterized by a changeable position, so the localization of pain is different, including with its spread to the right side. Requiring surgical intervention pathology is recognized by such signs:
- Diffuse spasm in the navel.
- Increased discomfort when walking or turning over to the left side, its weakening when moving to the opposite side.
Additionally, the following conditions must be observed: severe indigestion, fever, localization of pain in the right upper quadrant for more than 3 hours.
Shingles
Pathology initiated by one of the varieties of herpevirus affects the intercostal nerve endings. Along with pain in the right hypochondrium, there is severe itching, swelling, redness, replaced by fluid-filled vesicles. Sometimes, after recovery, postherpetic neuralgia is diagnosed, which is extremely difficult to treat.
Helminthiasis
Pain in the right hypochondrium occurs in the second stage of ascariasis. Additional symptoms of the disease: dyspepsia, excessive excitability, decreased intelligence, development of asthenia.
It's a dull pain
The list of possible causes includes liver pathology:
- Mild discomfort indicates the beginning of the inflammatory process, therefore, such a “bell” cannot be ignored. A spasm often extended over time and quite tolerable accompanies viral hepatitis, which can only be determined by laboratory tests for the corresponding markers.
Back pain that occurs on the right side in the lumbar region can be a sign of a large number of diseases: from diseases of the musculoskeletal system to inflammatory processes in the lungs. It is quite difficult to determine the origin of pain on your own, therefore, with recurring symptoms, you should consult a doctor. Timely consultation of a specialist and professional diagnostics will allow you to determine the cause of pain as accurately as possible, start appropriate treatment on time, and thus avoid various complications.
- lower respiratory tract;
- musculoskeletal system (spine, muscle tissues of the back);
- Gastrointestinal tract (pancreas, liver, gallbladder, intestines);
- urinary and reproductive systems (right kidney, right ovary).
- as accurately as possible to determine the place of occurrence of this symptom;
- characterize the pain (stabbing, cutting, aching, pulling, burning, sharp, backache, weak, undulating, feeling of heaviness);
- understand where it gives (in the leg, arm, shoulder, etc.);
- determine if additional symptoms are present (dizziness, nausea, vomiting, stool disturbance, fever, cough, general weakness).
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Causes of pain in the lumbar region
Similar symptoms are characteristic of a number of diseases:
To determine which organ requires additional attention, you need to analyze the nature of the pain and the features of its manifestation:
This will help you prepare for your doctor's visit. After all, it depends on the accuracy of the patient's answers at the initial appointment, which studies will be prescribed and how quickly the diagnosis will be made.
In addition, it is important to remember when pain first appeared, and what events preceded this. Perhaps the pain that has arisen is situational and manifested itself after serious physical exertion or an uncomfortable body position, and inflammatory processes in the body have nothing to do with it. This can happen during strenuous sports activities, a long bus ride, or a long plane flight.
But if the pain does not go away or even intensifies, this indicates that the body has been struck by a serious disease.
kidney disease
If it hurts on the right under the ribs, constant dull, aching twitches are felt from the back from the back, which are aggravated by slightly tapping the lower rib with the fingertips from the side of the diseased kidney, this is a clear sign of acute pyelonephritis. At the same time, pain sensations do not give anywhere, but are accompanied by high fever, often even chills, and frequent urge to urinate. Against the background of a general loss of strength, nausea occurs, sometimes vomiting, and swelling appears.
In chronic right-sided pyelonephritis, pain in the right side from the back in the lumbar region is also aching, but rather weak. It is greatly enhanced in case of hypothermia. Additional symptoms that accompany this disease are almost the same as the signs of its acute form: subfebrile temperature, frequent urination. But it happens that at the very beginning of the disease there are no accompanying signs, except for pain symptoms.
When, at the beginning of the disease, an intermittent dull pain is periodically felt in the right side at the level of the waist from the back , which often appears after exercise or coughing suggest nephroptosis (kidney displacement). The peculiarity of the disease is that pain symptoms appear when a person is in an upright position, and gradually disappear if he lies down. In the process of developing the disease, if it is not treated , pain in the side will only increase, colic may even occur.
If the right side hurts a lot from the back, the attacks are similar to contractions, during which the pain radiates to the lower abdomen to the pubis, then spreads along the lower back, this most often indicates renal colic. This disease can be accompanied by fever and vomiting, less often abdominal distention. With such symptoms, it would be best to call an ambulance and immediately drink an antispasmodic. If there are no additional signs of the disease, it is good to use a warm heating pad as a remedy for pain. It is better to take it half-sitting so that the urinary bladder is below the kidney.
Aching pain in the back on the right side, which does not depend on the position of the body, sometimes reaching colic, indicates hydronephrosis (expansion of the renal pelvis). With this disease, weakness and nausea can be felt, urine darkens and acquires a reddish tint, which indicates the presence of blood in it. To determine the presence of the disease is possible only with the help of ultrasound and x-rays.
When there is a sharp, penetrating pain in the back on the right, accompanied by symptoms similar to those of pyelonephritis and urolithiasis, as well as very high fever, chills, thirst and dry mouth, this is a kidney abscess (purulent inflammation). In this case, one thing is required - to call an ambulance and prepare for the operation.
Dull pain of varying intensity in the right side behind in the lumbar region, increasing when running, walking fast and traveling in transport, as well as from a large amount of fluid drunk, indicates the presence of urolithiasis. Difficulty urinating usually accompanies the disease. WithThe degree of pain depends on the size of the stone in the urinary tract.
If the right side hurts from the back, and these sensations are long and aching in nature, aggravated by physical exertion, the use of fatty and spicy foods, as well as after taking alcohol and weaken at rest, then liver disease is on the face. Additional symptoms: nausea, possibly heartburn, bitterness in the mouth, fatigue, yellow skin tone.
Diseases of the musculoskeletal system
Highly strong pain in the right side under the ribs occurs due to lumbar intervertebral hernia. Pain can go down below: in the popliteal region, lower leg, on the back of the thigh. Often, with a disease, people complain of numbness of certain areas of the lower extremities, tingling and burning in the toes, paresis. Pain increases when walking, and in the supine position becomes tolerable. Intervertebral hernia of the lumbar spine is treated by an orthopedic surgeon.
With varying intensity, the right side hurts from the back in the hypochondrium for two days after the fall. This indicates an injury to the spinal column. In this case, you must definitely see a surgeon. In some cases, as a result of an accident, internal organs of a person can be damaged. Depending on this, additional symptoms arise: pain, nausea, vomiting, headache. They must also be reported to the attending physician.
If a dull intermittent pain that occurs in the right side from the back, radiates to the shoulder, arm or leg, prevents movement (bending over, straightening the back) - this is osteochondrosis (dystrophic change in the cartilage of the joints). The disease is one of the most common: to a greater or lesser extent, it manifests itself in every fifth Russian. A sedentary lifestyle provokes its occurrence. Pain in the back in the back occurs during physical exertion, sudden movement, and also with a long stay in one position. At the same time, at rest, the pain subsides.
One-sided dull aching pain in the lower back, which annoys, regardless of the mobility of the body and its position, and sharply turns into an acute lumbago when pressing the fingertips on the disturbing area of the back, often indicates the occurrence of spondylosis (vertebral deformity due to bone growth). Sometimes with this disease, numbness of the legs is observed. It is possible to establish the presence of spondylosis with the help of a comprehensive examination (MRI and X-ray). The disease is treated with anti-inflammatory and analgesic drugs.
If you constantly feel a pulling aching pain in the lower back, which intensifies during the day and with sudden movements (turns, tilts) gives a backache, most likely it is an intervertebral hernia. Acute pain subsides in the supine position. To alleviate the condition, they take painkillers, visit the exercise therapy room, and take a course of therapeutic massage.
Severe pain, radiating to all parts of the spine, characterized by loss of sensation, numbness and tingling of the lumbar muscles, speaks of sciatica. With this disease, the roots of the spinal cord are affected. Sometimes the process is accompanied by a burning sensation in the affected area. To alleviate the condition, take painkillers and massage sessions.
lung disease
Characteristic stabbing or cutting pain, aggravated by deep breathing, and also by sudden movements, suggests pleurisy. With inflammation of the pleura, pain usually goes away if you lie on your sore side. Additional symptoms: cough, fever, shortness of breath. The disease can be established by ultrasound or radiography.
If the pain is felt under the shoulder blade or under the ribs, aggravated by deep breathing, coughing, then this may be the beginning of pneumonia. In the future, the temperature rises, a cough appears, sputum is released, there is a feeling of weakness.
If the pain is very strong, sharp, stabbing, radiates to the arm, shoulder, intensifies with breathing and coughing, this is pneumothorax (accumulation of gases in the pleura of the lungs). A person wants to sit or take a reclining position, shortness of breath and cold sweat, panic appear. Diagnosed by X-ray and pulmonary puncture.
Unbearable and constant severe pain occurs only in the last stages of cancer, if the tumor grows into the pleura.
The pain is very strong, sharp, cutting on the right under the scapula indicates a lung infarction. Additional symptoms: shortness of breath, tachycardia, expectoration of blood.
Diseases of the digestive system
Usually accompanied by additional symptoms : abdominal pain, nausea, vomiting.
Flatulence is the accumulation of gases in the intestines. The pain is dull, pulling, accompanied by bloating. Appears after taking certain products (legumes, soda, etc.), as a result of intestinal diseases or neurosis. Painful symptoms are removed with antispasmodics, sorbents and defoamers.
Appendicitis is an inflammation of the appendix. If the process is located behind the caecum, then pain does not occur in the abdomen, as happens in most cases, but in the lower back from the bottom right. The pain is acute, constant, radiates to the leg, groin, pelvic region. If you lie on your left side, it will intensify. Additional symptoms: nausea, weakness, sometimes the temperature is above 38 degrees. Urgent surgery required!
Intestinal colic is a spasm of the intestinal muscles. The pain in the lower back is burning, cramping: sometimes it gets worse, sometimes it decreases. After a while, it goes into the abdomen. Additional symptoms: weakness, frequent urination, nausea, diarrhea. Possible causes: poisoning, stress, intestinal diseases, gastritis. With intestinal colic, antispasmodics are taken and a heating pad is applied.
Acute cholecystitis is an inflammation of the gallbladder. Pain in the right side of the abdomen in the hypochondrium, radiates to the area below the right shoulder blade. It can pass on its own after a while (half an hour to an hour). Occurs more often at night or in the morning, after eating fatty foods or alcohol. Additional symptoms: bitter taste in the mouth, nausea, vomiting of bile, white coating in the language. Diagnosed by blood tests, urine, feces, ultrasound of the gallbladder. treated with surgery or medicines be sure to follow the diet.
Acute pancreatitis is inflammation of the pancreas. Pain in the side of the abdomen, radiates to the lower back on the right. In rare cases, there are no sensations from the abdomen and are felt only in the back in the central part on the right. The pain is dull, cramping: it intensifies, then weakens. Additional symptoms: nausea, vomiting without relief, the face becomes grayish, bloating. If the pain gets worse, call an ambulance! While waiting for the doctor, you can take an antispasmodic. In chronic pancreatitis, there is a dull pain in the right side from the back after overeating or drinking alcohol.
Other reasons
Sharp or pulling pain with tingling under the right rib may appear as a result of psychosomatic diseases. It usually occurs intermittently and does not last long. In this case, a neuropathologist or psychiatrist will help a person get rid of pain.
The culprits for discomfort in the lower right side of the back may be diseases of the urinary system. With them, discomfort does not go away and does not decrease, even if the person is in a motionless state. Representatives of the weaker sex should take into account that pains concentrated under the right rib are a sign of a number of gynecological diseases. For their diagnosis, you must contact the antenatal clinic.
Pain in the right side, felt in the back area, is a symptom, the appearance of which is possible with the following diseases. Pain in the right side of the abdomen can be triggered by diseases of the pancreas. Yes, aching pain on the right closer to the ovaries can occur before menstruation.
But not always pulling pain in the lower back indicates health problems. If it occurs after a night, and then disappears without a trace, then its cause is an uncomfortable bed. In this case, a person just needs to change the mattress
If it hurts on the right side of the abdomen
Abdominal pain can be caused by a wide variety of reasons. In order to be able to guess what caused the pain, it is necessary to understand such indicators as localization, nature, duration, provoking factors.
Pain in the right side under the ribs and in the lower abdomen can be caused by various diseases of the digestive, genitourinary and retroperitoneal tissues. The right side during pregnancy hurts when the growing uterus presses on the organs of the small pelvis and abdominal cavity.
To find out the cause of back pain on the right or left, one should not be guided by symptoms alone, it is very important to visit a doctor in a timely manner and conduct additional laboratory and instrumental examinations.
What can hurt in the right side above (under the ribs) and below (behind the pelvic bones)?
Pain in the right side is formed due to pathological processes that occur in the internal organs. Let's turn to anatomy. There are two cavities in the human body (abdominal, thoracic). The diaphragm separates them.
The right side is part of the abdominal cavity, in which the organs of digestion, excretion, reproductive (genital) and endocrine systems are located.
Let us conditionally single out the lower and upper (subcostal and pelvic) zones in the right side of the body. Top right - hypochondrium zone. Here are the liver and gallbladder, the diaphragm and the right kidney with the adrenal gland, as well as the final segment of the small intestine (ileum). Above the right hypochondrium, the lungs begin, so sometimes pain can be associated with inflammation of the lower lobe of the right lung.
Bottom right is the pelvic area. Here is part of the intestine (cecum with appendix and ascending colon), and in women - the right ovary.
On a note: the human stomach is displaced to the left side of the body (for left lobe liver), so it does not form pain in the right hypochondrium. Also rarely gives the pancreas to the right side. It is located in the center of the body and often hurts around the navel and to the left of it.
Localization of pain and pathology of internal organs
If a person has a pain in the right side, in most cases this is due to the pathology of the organs of the right hypochondrium or pelvis. Therefore, let us consider in more detail what nature of uncomfortable sensations corresponds to each of the listed organs.
Liver - heaviness and discomfort in the right hypochondrium
Heaviness and discomfort in the right hypochondrium are often associated with stagnation of bile, inflammation. They form pain in the right side under the ribs in front.
Liver pains are accompanied by a taste of bitterness in the mouth. Yellowness of the skin and various rashes are also possible. Their reason is insufficiently effective blood purification during its passage through the liver, in which the existing toxic components are removed from the blood through the skin.
Also, a hallmark of hepatic pains is their intensification during sudden movements and weakening at rest (especially when lying on the right side).
Inflammation of the liver can proceed painlessly (only a feeling of heaviness) or be accompanied by weak pulling sensations. With the deterioration of the condition, the formation of stones in the bladder and bile ducts, strong pain sensations are formed. Strong, sharp, stabbing sensations accompany the movement of stones along the ducts. If the duct is completely blocked and the outflow of bile is blocked, severe arching pain is formed.
The movement of stones forms bouts of contractions. The peak of soreness comes at a time when the duct is blocked by a stone. As soon as the stone moves and partially frees the duct, the attack decreases. Thus, cramping pains indicate gallstone disease.
Pancreas - sometimes pain in right side at waist level
The pancreas is one of the most important human organs, performing both digestive and endocrine functions. It is located in the center and on the left, but in pathology it can form heavy sensations throughout the abdominal cavity. There may be pain in the right side at waist level. However, more often the pancreas forms discomfort with localization on the left side (to the left of the navel) or girdle pain in the upper abdomen.
On a note: the hallmarks of inflammation of the pancreas are severe nausea and empty urge to vomit (when there is nothing to vomit, and bouts of vomiting appear again and again).
Ovaries - pain in the right side of the lower abdomen
The ovary is a female reproductive organ where the female sex cells (eggs) mature. Two ovaries are located to the right and left of the uterus and are connected to it by the fallopian tubes. When infected, inflammation of one or both ovaries (appendages) is possible.
With inflammation of the ovary, edema is formed, fluid accumulates. At the same time, it forms pain in the right side of the lower abdomen (near the iliac bones) and above the pubic bone. Also, the inflamed ovary "gives" to the lower back on the right (from the side of the back below the waist).
In addition to inflammatory processes caused by infection, discomfort can occur due to internal pathology. For example, if it hurts in the right side of the lower abdomen, a cyst may have formed. During its formation, discomfort is felt constantly and intensifies during menstruation.
Also, increased pain during menstruation occurs with endometriosis. In this disease, the mucous epithelium grows outside the uterus. It compresses other tissues and forms aching pain with irrigation (return of discomfort) to the perineum.
Another reason that the right side of the lower abdomen of a woman aches and hurts is an ectopic pregnancy. If this is the case, then urgent medical attention is needed to prevent a rupture of the fallopian tube. With the development of pregnancy outside the uterus, the pain will intensify and spread to neighboring areas (rectum, under the shoulder blade).
On a note: as a rule, pain in the right side in men is not associated with the genitals. With inflammation of the testicle in men, the scrotum and perineum hurt, sometimes the lower back.
Soreness in the lower abdomen is not always associated with the genitals. It can be a consequence of intestinal disorders (dysbacteriosis, constipation). Pain in the right side at the bottom right can be formed in the caecum or colon (departments of the large intestine) or with acute appendicitis.
Appendicitis - sharp pain in the right lower abdomen
The appendix is a small branch of the intestine that is lined with lymphoid tissue. With the accumulation of toxins, it can become inflamed and hurt. It is located on the right lower abdomen, therefore it forms pain sensations on the right below and around the navel. The exact location of the appendix can be determined as follows: in the middle between the right iliac bone and the navel. It is here that the maximum pain is localized during acute appendicitis. As a rule, inflammation is acute and requires surgical treatment (removal).
In 17% of people, the caecum of the appendix is located differently. It can be turned up (then pain occurs in the liver area), lowered into the lower pelvic area (then the pain resembles inflammation of the ovaries, appendages or bladder) or wrapped towards the kidney (such pain radiates to the lower back, groin).
Appendicitis can be recognized by the localization and increase in soreness, as well as by the deterioration of the condition. Every hour the pain increases, nausea becomes stronger, the general condition worsens.
In addition, the diagnosis of appendicitis uses light pressure in the areas of pain localization. If, with light pressure on the abdomen, there is a strong stabbing or cutting sensation, urgently see a doctor. A ruptured appendix is life threatening.
Another variant of differential diagnosis is also used (to distinguish appendicitis from intestinal colic). You should lightly tap your finger on the protrusion of the right iliac bone. If this is appendicitis, the pain will noticeably increase. If you tap on the left bone, there will be no increase in discomfort.
On a note: in pregnant women in the late stage of pregnancy, the internal organs are displaced. Therefore, appendicitis can hurt not only on the lower right, but also in other areas of the abdominal cavity. Also, the classic symptoms of appendicitis are absent in children and obese people. Therefore, if the right side hurts a lot under the ribs or in the pelvic area, call the doctor and go to the outpatient clinic.
Intestines - cramping pain in the lower abdomen on the right
The human intestine is a factory for breaking down and digesting food. It is more than 10 m long and is a series of tubular cavities inside which food moves. The inner surface of the various sections of the intestine is lined with mucous epithelium. When it is irritated, lesions appear - erosion and ulcers. They cause pain.
Also, the cause of pain in the intestinal area is spasm of the intestinal walls, dysbacteriosis and flatulence. They are the result of unhealthy diet and stress. The pain is migrating. At first - the right side hurts below, after - the discomfort migrates to the pubic bone or to the left side.
The ileum is located on the right side of the lower abdomen. If its mucous surface becomes inflamed, then the right side of the abdomen hurts. The cause of inflammation is malnutrition.
If colitis is in the right side, there may be a spasm of the intestinal walls or its obstruction is formed. Often, with obstruction, pain is localized around the navel and in the lower abdomen on the right. It is characterized by cramping attacks - a sharp pain in the right side is replaced by weaker painful sensations.
Kidneys - pain on the right back, gives to the lower back
Excretory organs (kidneys) - in case of violations, they form soreness in the lower back or back. Kidney pain almost always bothers only on one side - on the right or left. For example, the right side hurts from the back, or it hurts in the right side at the level of the lower back.
Kidney pain descends below the ribs. It often spreads to neighboring areas - the groin, inner thighs. Dull pain in the lower back in the right side accompanies chronic inflammation of the kidneys (pyelonephritis) and gromerulonephritis. Constant pain is a sign of kidney failure. Acute, stabbing pain occurs when the urinary ducts are blocked (mucus clots, stone, sand).
A distinctive feature of renal pain is that it is accompanied by urination disorders (a decrease or increase in the volume of urine, the appearance of blood clots in the urine, bags under the eyes).
Pain during pregnancy
Pain in the right side during pregnancy is not always a sign of pathology. In the middle of pregnancy, it is associated with stretching of the ligaments holding the uterus. In the later stages - with compression of internal organs. So, heaviness is felt and the right side hurts during pregnancy, if a woman has problems with her gallbladder. And below - it hurts in the center and on the right with insufficient emptying of the intestine.
What happens and what determines the nature of pain
The nature of painful sensations (discomfort, tingling, burning, aching or sharp pain, undulating or even) depends on the processes occurring inside. Pain is a signal of disturbance, it is formed with a lack of oxygen, the accumulation of toxins and the development of edema and inflammation.
Do you want something interesting?
Often pain is the result of stagnant processes that form in the internal organs.
Therefore, to eliminate pain, it is enough to speed up blood circulation, improve blood flow, remove toxins, and provide cells with nutrition and oxygen.
Feeling of heaviness
Feelings of heaviness are the first signal of the accumulation of toxins. Often, heaviness in the right side is associated with the liver and is a sign of a chronic violation of its work. If bile stasis or inflammation has formed, then the feeling of heaviness intensifies after abundant fried and fatty foods.
Heaviness in the lower abdomen may be a signal of stagnation of feces inside the intestines. This severity is accompanied by chronic constipation.
Nagging pain
With the development of pathology, heaviness turns into pulling pain. When pulls in the right side?
- Drawing pain in the right side is formed during inflammatory processes inside the liver.
- It also pulls the right side with viral infections - hepatitis.
- It can pull at the bottom right during an ectopic pregnancy (attachment of an egg in the fallopian tube to the right ovary).
- Pulling sensations during pregnancy are formed during the contraction of the smooth muscles of the uterus. In this case, the muscles become hard (to the touch). Prolonged pulling pains disrupt the blood supply to the fetus and can cause pathologies in its brain.
Aching pains
Aching pain is a long lasting pain. Aching pains often accompany a sluggish chronic process (inflammation). They also occur during cell intoxication (their poisoning with waste products of their own life).
When aching uncomfortable sensations form:
- Aching pain in the right side is formed with cholecystitis (inflammation of the gallbladder).
- The right side also aches below with inflammation of the walls of the large intestine (colitis).
- Dull aching pains in the right side of the abdomen in women are formed with chronic ovarian diseases (inflammations). In this case, painful sensations often spread to neighboring zones - to the fold between the leg and the body, to the lower back or sacrum.
- Aching pain in the right side behind is formed with inflammation of the kidneys.
Severe cutting and stabbing pains
Pain is accompanied by inflammation and pathology. They often occur when the channels or blood flow are thrombosed. Stitching cramping sensations are called colic.
There are intestinal, hepatic and renal colic:
- If the right side under the ribs colitis, then this is hepatic colic. It can spread to the right shoulder blade, shoulder. Be sure to form a taste of bitterness in the mouth.
- If it hurts in the lower abdomen, then this is intestinal colic. It is accompanied by flatulence, bloating and is often observed in infants during the first three months of life.
- In addition, there is the so-called rectal colic (cramping stabbing sensations inside the rectum).
- Renal colic has extensive areas of manifestation - the lower back, groin, genitals. It is accompanied by a violation of urine output (a decrease in its quantity, a change in color, the appearance of a strong odor).
- Appendicular colic - is formed with an acute manifestation of appendicitis.
The question of why the right side hurts does not have a definite answer. There are many reasons for this phenomenon - from disorders of the gallbladder, intestines and liver, to inflammation of the genital organs. A complete examination and diagnosis will help to make a diagnosis accurately.