Why does the right side of the lower abdomen hurt. The right side hurts under the rib in front: medicines and medical procedures. False contractions are the cause of pain in the right side.

Antipyretics for children are prescribed by a pediatrician. But there are emergency situations for fever when the child needs to be given medicine immediately. Then the parents take responsibility and use antipyretic drugs. What is allowed to give to infants? How can you bring down the temperature in older children? What medicines are the safest?

Appendicitis is an inflammation of the appendix of the caecum. It often occurs in both children and adults. Acute appendicitis tends to develop rapidly. The disease requires emergency surgery. Appendicitis is the most common - inflammation of the peritoneum. Peritonitis causes severe poisoning of the body with toxins and dehydration. He progresses very quickly. Therefore, any delay in medical care for appendicitis increases the risk of death.

Appendicitis pain first appears in the epigastric region of the abdomen or near the navel. The epigastric region is located between the costal arches above the navel. The pain may be local or spread over the abdomen. After a few hours, it moves to the iliac region, which is located in the lower abdomen on the right. In some cases, acute pain may immediately appear in the iliac region. The nature of appendicitis pain is moderate and tolerable. She does not let go of a person, does not give temporary relief. When walking, sneezing or changing the position of the body, the pain syndrome increases. As the disease progresses, the pain may become more intense. An alarming signal is their disappearance. This means that the pathological process is actively developing. The patient is tormented not only by pain in the right side, but also by vomiting. He is nauseated and feverish.

There is no unequivocal cause of pain in the right side, since the stomach is the seat of many organs. What to do if it hurts on the right side, and what reasons can be from pain in the side? Let's deal with each pathological condition, possible reasons side pain separately. Why does it hurt on the right side?

Pain in the right side - types

Pain on the right according to the time of occurrence:

  • Acute is the first time sharp pains in the right side below, which require emergency diagnosis to exclude urgent surgical conditions.
  • Chronic - pain in the right side and below, constantly disturbing or arising periodically, as a rule, is not of an emergency nature, may periodically disappear and resume. Usually such pains in the right side below are not caused by acute pathology, but there are exceptions.

Pain in the right side by nature: pain in the right side below is stabbing, aching, cutting, girdle, pulling and others.

Pain in the right side? The reasons may be different, it may be related to a specific event. For example, pain in the right side may increase or disappear after eating, occur in the lower abdomen during menstruation, and may be associated with a previous injury.

All of these symptoms are very important and greatly help in the diagnosis when the right side hurts below.

Pain in the right side - causes

The cause of pain on the right side in the side can be appendicitis, during this disease, a person has a pain in the right side below. What to do if you have pain in your right side from appendicitis? This is the pathology that is excluded in the first place, since it requires an emergency surgical intervention. Pain in the right side below can be of a different nature: dull, sharp, stabbing, sometimes it can be accompanied by vomiting or a violation of the stool. Only a surgeon can confirm this disease.

The cause of pain in the right side may be the intestines. Pain in the right side below may be associated with intestinal digestion disorders, flatulence, irritable bowel syndrome, infectious diseases. Why should we not forget about acute surgical pathology: intestinal obstruction, perforation, intussusception. The latter is especially true for children.

Diseases of the genital organs can be the cause of pain in the right side. In women, pain in the right side and lower abdomen occurs during menstruation, ovarian pathology, ectopic pregnancy, endometriosis, adnexitis. In men, the right side hurts - with diseases of the testicles.

What to do when it hurts on the right side in case of kidney pathology? Pain usually occurs in the lumbar region, but in some conditions, such as the movement of stones through the ureter, it can also hurt in the right side.

Diseases of the liver, gallbladder, pancreas - as the cause of pain in the right side. The liver and gallbladder are located in the right hypochondrium. But often when they are damaged, the resulting pains radiate (i.e. spread) down. Usually they are dull or stabbing in nature, accompanied by a feeling of heaviness in the hypochondrium and are associated with food intake. Especially they are provoked by spicy and fatty foods. Also next to the liver, to the left of it, is the head of the pancreas. With the pathology of this organ, pain is usually sharp, sharp, encircling, and radiates to the lower back. They are also provoked by eating and, especially, alcoholic beverages.

Any cause of pain in the right side needs to be clarified and clarified by the doctor. Even if acute surgical pathology is ruled out, it is possible that conservative treatment and observation are indicated to prevent the development of complications. Don't delay diagnosing.

What to do if it hurts on the right side

What to do if it hurts in the right side from above

In the right side of the abdomen are the gallbladder, liver, part of the intestine, the right part of the diaphragm. Injuries or diseases of these organs can cause pain in the right side. If the pain in the right hypochondrium is likely that the cause may be inflammation of the liver. In order to exclude the possibility of hepatitis, be sure to consult a doctor what to do, especially if such pains are systematic. Pain in the right side of the abdomen from above can be the cause of gallbladder disease. If such pains in the right side occur rarely, this may be due to the fact that you overate fatty or spicy foods. In this case, it is advisable to stick to a diet for several days and in the future to avoid fatty, peppery and fried foods.

The pancreas can also be the cause of similar pains in the right side. It is stretched from right to left. The head of the pancreas is in the right upper quadrant of the abdomen, the body runs along the midline of the abdomen, and the pancreas ends in the left upper quadrant. Most often, pain in the right side of the abdomen from above occurs with inflammation of the pancreas (pancreatitis), this disease occurs in people with a diseased gallbladder. If such pains recur, it is imperative to do an ultrasound scan and pass the necessary tests, since pancreatitis requires timely treatment.

An attack of pancreatitis is quite painful, often accompanied by vomiting and nausea. If such an attack is caused by the formation of stones in the gallbladder, the patient may need urgent surgery, with acute pain in the right side. Therefore, with acute pain in the right side of the abdomen, accompanied by nausea and vomiting, you should immediately call ambulance. Sometimes the kidneys are the cause of such pain, despite the fact that they are not located in abdominal cavity, but since there is one kidney on each side of our body, the pains can be in the left or right side. If there is an abscess in the kidney, or stones, then pain may be felt in the right upper quadrant of the abdomen.

Pain in the right side from below - causes, what to do?

On the right side in the lower quadrant of the abdomen is the appendix, the intestine, which is often exposed to various diseases, ureter, and in women, the fallopian tubes are still located in this area. Pain in the lower abdomen on the right should make you think first that appendicitis can be the cause of pain. Especially if the pain is also localized near the navel and does not become weaker within 12 hours. What to do if it hurts to the right of appendicitis? In this case, it is better to consult a doctor immediately. If, God forbid, the appendicitis fester and burst, the consequences can be fatal.

Often, intestinal infections become the cause of pain in the lower abdomen on the right. In this case, it is also necessary to consult a doctor and drug treatment. In women, such pain can be with an ectopic pregnancy. This happens when a fertilized egg does not descend into the uterus, but remains in the fallopian tube. Also, pain in the right side are with various sexually transmitted infections gonorrhea, chlamydia, trichomoniasis. If the abdomen hurts at the bottom right during menstruation, it can be assumed that the woman has endometriosis. If such pain is chronic, there is a high possibility of an ovarian cyst or tumor. As you can see, there are a lot of diseases that can lead to such symptoms and it is impossible to make a diagnosis on your own, therefore, with such pains, it is advisable to visit a gastroenterologist, and for women also a gynecologist.

Pain in the right side during pregnancy - causes

There are a variety of causes of pain in the right side during pregnancy. Pain in the right side in the side can appear at the beginning of pregnancy, in the second trimester, or throughout pregnancy. And the causes of pain in the right side in the side can also be different. Below we look at the most common causes of pain in the side during pregnancy.

Embryo implantation - the cause of pain in the right side

At the very beginning of pregnancy, a woman may feel slight pain on the right in the side, when the implantation of the embryo occurs in her body. Few feel it, only hypersensitive women.

Sprain - the cause of pain in the right side

Another cause of pain in the right side during pregnancy is a sprain. As a rule, sprain pains appear during movement, when a pregnant woman gets out of bed or changes position, they can sometimes be strong and sharp. But if the pain does not make itself felt every 2-3 minutes, then there is nothing to worry about.

False contractions - the cause of pain in the right side

During the last weeks of pregnancy, many women feel contractions in the uterus, and each time it seems to them that the contractions have begun, and that the birth is just around the corner. Although these may be ordinary false contractions that do not cause severe pain. It should be noted that almost every woman at least once in her life is faced with false contractions. The pain appears in the uterus and is given to the sides, in some the pain stretches to the lower back.

Causes of pain in the right side during pregnancy - spasms

Cramps can appear at the very end of pregnancy, especially when the period has almost expired. Such spasms are considered normal signs previous births. And if such pains do not cause you inconvenience and can be endured at home, stay better at home until the actual contractions begin. But if spasms in a pregnant woman appeared in the first trimester, then this is not a good sign, and an urgent need is needed here. health care. Other causes that can cause pain in the side but are classified as normal are pain due to gas in the intestines, bloating, a growing baby, heartburn and constipation.

What to do if it hurts on the right side during pregnancy?

Like most pains during pregnancy, pain in the right side should first be diagnosed by a doctor. If the pain in the side appeared due to physiological changes in female body there is practically nothing to treat. That is, during pregnancy, a woman may suffer from gases in the intestines, bloating, constipation. In this case, the pregnant woman just needs to monitor her diet so that the foods she eats do not cause fermentation or constipation.

With the growth of the fetus, the uterus can put pressure on neighboring organs, which most often causes pain in the right side, and practically nothing can be done about this. Pain in the right side can be relieved by changing position. Also, fatigue and pain are removed by yoga or gymnastics for pregnant women. In addition, try not to make sudden movements, which sometimes causes sharp pains in the side, rest in a timely manner, especially when it comes to late pregnancy. Also, do not forget to walk more in the fresh air, and eat fruits and vegetables.

First aid for pain in the right side of pregnant women

During pregnancy, everything can hurt a woman, from her toes to the top of her head, because physiological changes occur in a woman's body. But if the pain “in the right side” intensifies and causes inconvenience, while it is combined with an increase in temperature, then in this case you need to urgently call an ambulance. Nausea and vomiting along with fever and acute pain in the side can be a symptom of inflammation of the internal organ, poisoning or intestinal infection. In any case, it is impossible to postpone the appeal to a specialist, while a pregnant woman should not take painkillers. A light massage, warm tea with lemon will help relieve pain before the doctors arrive.

When a pregnant woman does not need the help of a doctor for pain in her right side

If you do not have severe pain and do not combine with other symptoms, then you can tell your doctor about your feelings at a routine checkup. But be sure to bring the doctor up to date. The doctor observing you should be aware of everything that happens to you. But remember that pain during pregnancy is a normal reaction of your body, which is trying to rebuild for a successful birth.

Treatment- fasting, strict diet and bed rest for several days. In the future, you should contact a nutritionist and gastroenterologist to optimize the diet. If you ignore duodenitis, then it can lead to the formation of ulcers. Those, in turn, are eliminated only by surgery.

Intestinal obstruction

Intestinal obstruction (constipation) is a deterioration in the process of pushing feces or complete blockage of the intestines with hard feces.


May be accompanied by the following symptoms:

  • lack of appetite;
  • nausea (due to fullness duodenum);
  • urge to vomit, because the body can no longer take food;
  • frequent intestinal contractions. Outwardly, this manifests itself as a frequent and prolonged "rumbling";
  • gas retention and defecation;
  • possibly asymmetric;
  • general state deteriorates rapidly, the skin acquires a pale shade, the so-called "cold" sweat occurs.

The temperature in intestinal obstruction is normal. In rare cases, there is diarrhea and liquid emptying with a slight admixture of blood.

It hurts most in the hypochondrium, the person feels the urge to defecate, but going to the toilet does not solve the problem. Further, after 2-3 hours, the pain spreads throughout the abdomen, mainly in its lower part. And so on until defecation occurs. If at the same time you strain a lot, then there is a possibility of getting cracks in the rectal area.

Diagnostics includes an x-ray examination of the abdominal cavity (determine the level of gas and liquid in the loops of the intestines), ultrasound.

Treatment- is it an enema or. It is worth considering that even after a successful bowel movement there is a high probability of relapse, so a laxative should be “keep ready”. Why does this occur? It is mainly associated with the accumulation of toxins in the large intestine or the deterioration of peristalsis (for example, due to the use of painkillers). With intestinal obstruction, you should contact your local doctor.

Diseases of the liver and gallbladder

  • cholecystitis (inflammation of the walls of the gallbladder);
  • cholelithiasis;
  • cirrhosis;
  • oncology (benign and malignant tumors);
  • fatty degeneration of the liver;
  • hepatitis.

With a disease of these organs, there is a violation in the bile circulation system, which leads to a malfunction of the whole organism, since the absorption of fats and a number of vitamins, such as A, D, E, K, worsens, salts of heavy metals are retained in the body, intestinal motility worsens.

There are pains localized in the region of the right hypochondrium, which can radiate to the back, right shoulder, with the most neglected radiate to the perineum, pelvis. Their strengthening occurs after fatty, fried, spicy, spicy foods, as well as heavy physical exertion and strong vibrations (horse riding, driving a car along rural roads, etc.).

Sudden, paroxysmal pains most often speak of cholelithiasis, dull, painful - about the development of one of the forms of hepatitis.

In this case, pain may be accompanied by:

  • skin itching;
  • yellowing of the skin and sclera;
  • nausea, vomiting;
  • bitter eructation;
  • intestinal disorder.

If these symptoms appear, you should consult a therapist who will conduct an initial inspection, write out directions for delivery general analyzes blood and urine, the results of which will give further instructions. This is usually a referral to a gastroenterologist or hepatologist. A narrow specialist will already prescribe extensive diagnostic measures, including biochemical analysis blood, endoscopic or x-ray examination using a contrast agent, and after a course of treatment, including both drug therapy and the normalization of lifestyle and nutrition.

Diseases of the reproductive (genital) system

In men, pain in the lower part of the right side most often indicates:

  • inflammation of the prostate gland (dull squeezing pain, focus - just below the navel, can radiate to the right or left side, perineum. Temperatures up to 38 degrees occur only with an infectious form of the disease);
  • priapism (pain occurs due to prolonged erection, squeezing, dull. It comes from the area of ​​the penis and perineum, radiating to the area of ​​the prostate gland).

Pain in the right side below in women can cause the following diseases:

  • inflammation of the appendages (pain is dull, squeezing, may be supplemented by fever and mucous discharge from the vagina);
  • thrush (pain only on initial stage diseases, cheesy vaginal discharge with bad smell, the temperature may rise slightly, burning pain occurs when urinating due to urine entering the inflamed areas of the vaginal mucosa);
  • rupture of the ovary (acute, squeezing pain in the appendix, may radiate to the right hypochondrium, the general condition of the patient deteriorates sharply, the temperature is up to 38 degrees, bloody discharge from the vagina appears, nausea).

These are the most common diseases reproductive system. Women for the initial examination should contact a gynecologist, men - a urologist. They prescribe further diagnostics and treatment.

In addition, both men and women are stupid, aching pain above the pubis or slightly shifted to the right can be caused by diseases Bladder and / or ureters, while the urine becomes cloudy, with an unpleasant odor, sometimes with an admixture of blood.

Diseases of the musculoskeletal system


Pain on the right, in the lower abdomen, can be caused and

These include:

  • arthrosis of the hip joint;
  • bursitis (inflammation of the periarticular bag);
  • joint inflammation in autoimmune disease;
  • dislocation and fracture (pain can occur even many years after the injury).

The pain is dull, intensifies if you stay in the cold for a long time or it turns out exercise stress for the whole hip joint. May spread throughout the leg.

Diagnostics involves an x-ray. Subsequently, symptomatic treatment, including drug therapy and exercise therapy, in some cases, it may be necessary to fix the joint in one position or completely replace it.

Other diseases

Adhesive disease in the abdominal cavity

Another pain in the right side from below may indicate adhesive syndrome. This is when the peritoneum sticks to the intestines, interferes with normal peristalsis and provokes its blockage. Most often it is a consequence of previous operations, fibrin prolapse, inflammation of the pelvic organs, hemorrhage in the abdominal cavity. In this case, the pain is localized throughout the abdomen, but it hurts the most in the right side, since it is there that the bends of the large intestine (for the most part) are located, which are pressed against the very peritoneum. Patients themselves claim that the pain is throbbing, squeezing, as if something is being squeezed inside.

Diagnostic methods:

  • radiography of the peritoneum, incl. passage of barium through the gastrointestinal tract (tracking with an x-ray how the contrast agent moves),
  • Ultrasound of the abdominal cavity;
  • (study of the intestinal mucosa by introducing a probe).

The problem is fixed surgery or removal of part of the intestine. ethnoscience does not offer any alternative means to eliminate adhesions.

When assistance is not provided in a timely manner. there is a possibility of death, incl. as a result of mechanical rupture of the intestine.

It is often a congenital disease, usually diagnosed in boys, and appears on the right side 3 times more often than on the left.


The reasons for the development of a hernia can be:

  • the birth of a baby ahead of schedule;
  • heredity;
  • groin injuries;
  • overweight or vice versa severe thinness;
  • constant strong physical activity;
  • sedentary lifestyle;
  • pregnancy.

Why does pain occur on the right side with an inguinal hernia? Because it stretches the peritoneum. More precisely - there is a gap between the muscle plates. The worst scenario is the infringement of the hernia, when the muscle plates return to their original position and squeeze soft tissues, intestines. This will definitely happen if the patient refuses the operation. With the hernia itself without infringement, there is no pain. If the contents of the peritoneum are squeezed out through the hernia, and it is subsequently compressed, the patient has a sharp throbbing pain with tension in the abdominal muscles.

It is diagnosed by the following methods:

  • general examination by a surgeon;
  • irrigoscopy;
  • radiography with the introduction of a contrast agent;
  • Ultrasound of the inguinal canals, scrotum (in men).

Doctors insist that eliminate inguinal hernia can only be operated and transplantation of the mesh layer between the "parted" muscles. It is worth noting that the risk of recurrence remains at a high level.

What can and cannot be done?

For pain on the right, in the lower abdomen, it is better to take the following measures:

  • drink anti-inflammatory;
  • refuse water and food;
  • try to move less
  • prepare a saline solution and drink if there was vomiting or diarrhea;
  • if necessary, artificially induce vomiting.

Under no circumstances should you:

  • take painkillers
  • drink enzymes;
  • apply heat.

Self-medication without establishing the exact cause is a high risk of only exacerbating the problem. So, it is better to wait for the arrival of the ambulance. The most important thing is the correct diagnosis. And this task should be entrusted to doctors!

Do you still think that curing the stomach and intestines is difficult?

Judging by the fact that you are now reading these lines - a victory in the fight against diseases gastrointestinal tract while not on your side...

Have you thought about surgery yet? It is understandable, because the stomach is a very important organ, and its proper functioning is the key to health and well-being. Frequent abdominal pain, heartburn, bloating, belching, nausea, stool disturbance... All these symptoms are familiar to you firsthand.

But perhaps it is more correct to treat not the consequence, but the cause? Here is the story of Galina Savina, about how she got rid of all these unpleasant symptoms...

Pain in the right side, pain in the right side in the lower abdomen, pain in the right side under the rib, pain in the right side of the back

Pain is one of the most unpleasant symptoms, which every time indicates trouble in the body. Pain in the right side is most often caused by diseases of the liver, biliary tract, head of the pancreas, right kidney and ureter, intestinal inflammation, diseases of the female genital organs and other pathologies

Pain is one of the most unpleasant symptoms, which always indicates trouble in the body. Perhaps the most diverse in nature among all types of such sensations are pains that occur in the abdomen and back, or, as patients more often say, pains in the right side or left side. Of course, this is not accidental, because a significant part of the organs is located in the abdominal cavity and retroperitoneal space. digestive system, urinary organs, internal genital organs, many nerve nodes and blood vessels.

Pain in right side

In most cases, localization pain coincides with the location of the problematic structure, which means that pain in the right side of the bowl is associated with the pathology of the organs located in this area. But sometimes the pain "deceives" and occurs far from the place of the "accident", spreads and gives to the most unexpected points of the body. So the cause of pain in the right side of the abdomen, in its upper part, can be acute appendicitis, although the process is located far from this place - on the right in the lower abdomen.

By nature, all pains, including pains in the right side, can be strong, sharp, sudden, pulling, dull, prolonged, can increase over time or subside. Cramping pains are more often associated with sharp contractions of the musculature of hollow organs, constant ones - with stretching of the outer shell of parenchymal structures, and growing pains are more typical for inflammatory processes. Acute dagger pain occurs, as a rule, with a rupture of some formation, perforation (perforation) of an organ, sudden intraperitoneal bleeding, or blockage of blood vessels. But whatever the nature of the pain, even minor, comparable to ordinary severity, wherever pain occurs, in the right side or in the teeth, it should always alert a person and make him take care of his health.

Pain in the right side is most often caused by diseases of the liver, biliary tract, duodenum, head of the pancreas, right kidney and ureter, inflammation of the ascending part of the large intestine, caecum and appendix, diseases of the female genital organs and other pathologies. Let us consider in more detail how the pain in the right side differs in these diseases.

Most often, pain in the right side of the lower abdomen is associated with diseases of the genital organs in women and appendicitis.

Ectopic pregnancy is a disease caused by the pathological development of the fetal egg outside the uterine cavity. In 99%, the embryo develops in the fallopian tube, leading to its stretching, thinning and rupture. During the period when the fetal egg has not yet destroyed its container, the woman is disturbed by pulling dull pains in the lower abdomen, and it is quite natural that if an ectopic pregnancy develops in the right fallopian tube, then pain occurs in the right side. During this period, there is often a delay in menstruation, the appearance of spotting spotting from the genital tract and other subjective signs of pregnancy. Acute dagger pain in the right side below, radiating to the rectum, is characteristic of a rupture of the fallopian tube. In this case, the situation becomes critical and can lead to the death of a woman as a result of bleeding. " Acute abdomen”, as doctors call this condition, always requires immediate emergency care and urgent surgery.

Inflammatory changes in the right fallopian tube are manifested by constant pulling and dull (chronic adnexitis) or acute and severe (acute right-sided adnexitis) pain in the right side, at the bottom of the anterior abdominal wall, closer to the groin. The pain spreads to the inner thigh, lower back and perineum. Often a woman notes the appearance of purulent or mucopurulent discharge from the genital tract and an increase in body temperature. During the formation of the abscess and its rupture, there is a feeling of a "dagger strike" and a sharp deterioration in the patient's condition due to the development of pelvic peritonitis.
A sharp sudden pain in the right side, below, in the area of ​​​​the uterine appendages, may be a symptom of torsion of a cyst or tumor of the right ovary or fallopian tube. These situations also require urgent surgical treatment. In the case of apoplexy (rupture) of the ovary, the appearance of pain often coincides with the middle of the woman's menstrual cycle, and in this case, the tactics depend on the nature of the course of the disease and the amount of blood loss.

Acute appendicitis at the beginning of its development is characterized by the occurrence of pain in the right side of fuzzy localization. Often the first pain appears in the right side in the upper abdomen, which then, as the disease progresses, descends into the right iliac region. In addition, the patient notes an increase in body temperature, often vomiting and a sharp tension in the abdominal muscles.

Pain in the right side under the ribs

Pain in the right hypochondrium may be due to diseases of the liver, biliary system, duodenum or right corner of the large intestine.

Most common causes pain in the right side under the ribs are biliary dyskinesia and acute calculous cholecystitis. The similar nature of pain in these diseases served as the basis for combining them under the name "hepatic colic". A sharp sharp sudden pain in the right side under the ribs occurs more often at night and is the result of overstretching of the biliary tract by bile, which accumulates as a result of a violation of its outflow into the intestine. Pain radiates to right shoulder blade, shoulder and neck, spills over the entire upper abdomen, accompanied by repeated vomiting and anxiety of the patient. With the passage of the stone and the normalization of the outflow of bile, acute painful sensations suddenly stop, only heaviness in the hypochondrium remains. In the case of acute cholecystitis with the addition of inflammation, in addition to pain in the right side under the ribs, there is fever body, chills, weakness and other signs of intoxication.

Dull constant pain in the right hypochondrium may be the result of stretching of the liver capsule, with an increase in the organ as a result of inflammation, that is, hepatitis. As a rule, the disease is accompanied by jaundice, that is, the appearance of a yellow tint of the mucous membranes and skin, which indicates damage to the liver cells and the ingress of bile metabolic products into the blood.

Pain in the right side under the ribs is sometimes a manifestation of herpes zoster - inflammation of the spinal ganglia and intercostal nerves caused by a herpes infection. In this case, unpleasant sensations are accompanied by characteristic rashes on the surface of the skin along the nerve fibers in the form of bubbles, general malaise and slight increase body temperature.

Pain in the right side of the back

Pain in the right side of the abdomen and, at the same time, the back is more often associated with such urological diseases as urolithiasis, glomerulonephritis, pyelonephritis, kidney tumors, thrombosis of the kidney vessels, kidney tuberculosis, nephroptosis (prolapse of the kidney), hydronephrosis, and others.

Acute sudden cramping pain in the side of the back, which develops as a result of blockage of the ureter by a stone, inflammatory masses, products of tuberculous tissue decay or a blood clot, is called "renal colic". Renal colic appears in urological patients after heavy drinking, physical overstrain, and sometimes even in a state of complete rest. Violation of the outflow of urine leads to an increase in fluid pressure inside the urinary tract, swelling of the kidney, overstretching of its richly innervated capsule, and, as a result, to the occurrence of pain.

Naturally, pains in the right side behind develop with right-sided kidney damage and often spread and pass to the upper right side of the abdomen. The sensations are so sharp and unbearable that patients rush about and look for the most comfortable position of the body to alleviate their condition. Over time, when a stone or clot moves along the ureter, the pain migrates to the lower back and abdomen and begins to radiate to the bladder and genitals. When a stone falls out, the thrill suddenly stops, changing to dull pain in the right side of the back, along the right section of the urinary tract injured by the stone. Renal colic is often accompanied by vomiting, increased urge to urinate, and fever.

Right-sided glomerulonephritis and pyelonephritis in acute course are characterized by the sudden onset and increase of acute constant pain from above in the right side of the back, and in chronic course - by the presence of dull constant pulling painful sensations. The examination reveals an increase in body temperature, the development of edema, changes in urine and impaired urinary excretion. Sometimes the presence of impurities in the urine can be observed by the patient himself. With pyelonephritis, it becomes cloudy due to the presence of pus, and with glomerulonephritis, it turns into the color of “meat slops” due to the admixture of red blood cells.

You can talk for a long time about what can cause pain in the right side of the abdomen, which causes pain in the right side from behind ... There are many diseases that can cause these unpleasant sensations. But only a doctor, having carefully analyzed all the manifestations of the disease, the causes that could contribute to the onset of pain in the right side, the dynamics of the development of symptoms of the disease and research data, can make an accurate diagnosis and prescribe competent adequate treatment.

The conclusion suggests itself: if you have pain in the right side of the abdomen or back, and indeed pain anywhere in your body, you need to contact a specialist as soon as possible, and not try to cope with the problem on your own. Unfortunately, sometimes, in order to preserve health and life, the doctor lacks a few minutes lost by the patient in empty thoughts and self-treatment.

Approximately one third of the world's population in one form or another manifests pain in the right side, which can be acute or periodic. Very often, patients ask themselves the question: what is in this part of the body and why it hurts, aches, twitches or presses in the right side.

Most often, pain on the right under the ribs is caused by pathological changes. internal organs. This is mainly related to diseases. gallbladder and biliary tract, the second place in frequency belongs to liver diseases and the development of liver edema in case of blood flow disorders. All these organs are located directly under the ribs and any pathological changes in them can cause pain.

Pain under the ribs on the right: how it occurs, symptoms

Several factors can provoke the occurrence of pain under the right rib. First of all, it is necessary to differentiate pain in the right hypochondrium from other acute conditions. And it should be remembered that pain in this area may indicate diseases that threaten a person's life.

Therefore, it is necessary to say separately about the cases in which Seek immediate medical attention:

Pain on the right side under the ribs may be caused by injury. In this case, the pain syndrome in this area may indicate bruises of the internal organs or the rib itself. If you found right on the surface chest an abrasion or bruising, then the pain is probably caused by an injury.

Causes of pain in the right side under the ribs

The main causes of pain in the right hypochondrium are the following pathology of internal organs:

Based on this, we can conclude that pain in the hypochondrium is observed in many chronic and acute diseases various systems and organs, as well as postoperative complications and injuries.

Each of these pathologies has its own specific characteristics determining the direction of further treatment.

In order to determine the list of diseases that caused the pain syndrome as accurately as possible, it is necessary to consider in detail the following factors:

Careful research pain syndrome together with the accompanying symptoms, taking into account the history of the onset of pain and previously established diseases, it will make it possible to make a preliminary diagnosis with maximum accuracy and determine which specialist should be contacted.

Acute pain in the right hypochondrium requiring urgent medical attention

Sharp pains under the right rib can occur under the circumstances indicated below.

Acute pain syndrome in the right hypochondrium in the middle in front

This kind of pain is hallmark with perforated ulcer of the stomach and duodenum. Doctors call such pain dagger, because according to the sensations of patients, it is similar to a sharp blow to the stomach with a sharp object. The pain is so severe that the patient is forced to take a position of the body in which the cramps will not be so pronounced (fetal position).

Initially, the pain is localized under the pit of the stomach (in the epigastrium), gradually shifting to the region of the right hypochondrium. This process is associated with the spread of the contents of the stomach through the abdominal cavity.

The strongest pain attack is replaced by a period of temporary calm, which often leads to incorrect tactics of waiting. Failure to receive treatment in time leads to the development of diffuse peritonitis, which can be fatal.

When making a diagnosis, it is necessary to take into account the medical history. perforated ulcer appears, as a rule, after a long ulcer history, and its occurrence is preceded by a period of exacerbation of the disease. The exception is acute ulcers that appear in septic conditions, polytrauma, less often in the postoperative period, etc.

Perforation of the ulcer requires immediate transportation to the hospital.

The strongest pain syndrome in the lower right hypochondrium in front

Sharp pain in this area is the main symptom of acute cholecystitis. The pain radiates to the supraclavicular region on the right, up under the right shoulder blade and into the back, sometimes even into the neck. As a rule, the pain syndrome in this case is so strong that the patient cannot find a place for himself and constantly rushes about in search of a position that reduces pain.

The clinic is being completed nausea, persistent vomiting and pronounced fever. Often there is jaundice of the whites of the eyes and skin.

Inflammation of the gallbladder (acute cholecystitis) should not be confused with an attack of hepatic colic, which occurs when moving gallstone along the duct. This condition is also characterized by the appearance of a sharp pain in the right hypochondrium with the same irradiation, however, fever and repeated vomiting are usually absent. After many hours of attack, hepatic colic disappears by itself. To reduce pain and alleviate the patient's condition, antispasmodics are used, and in acute cholecystitis they do not give any effect. If inflammation of the gallbladder is suspected, urgent hospitalization is indicated.

Sharp girdle pain under the ribs

This type of pain is the main symptom of acute pancreatitis. As a rule, the pain syndrome occurs suddenly, quickly spreads throughout the upper half of the abdomen and is given to the back under both shoulder blades. A characteristic feature is that the intensity of pain does not change with a change in body position, straining, sighing, coughing.

Pain in acute pancreatitis is accompanied by nausea and repeated vomiting that occurs spontaneously or when trying to eat or take a few sips of liquid. Pain after vomiting persists, and in some cases even become more intense.

The disease usually develops after copious libations in combination with the use of sweet and fatty foods (this pathology is also called a holiday disease).

Acute pancreatitis requires immediate hospitalization in the intensive care unit, as this condition threatens the life of the patient.

Sharp pain when breathing in front in the middle under the ribs

A sharp pain in the side under the right or left rib in front can occur with a subdiaphragmatic abscess. Pain is aggravated by sudden movements, deep breathing, sneezing and coughing. The pain radiates to the supraclavicular region and under the shoulder blade. The pain syndrome is accompanied by severe symptoms of general poisoning of the body and fever.

Basic cause of subdiaphragmatic abscess are surgical interventions. Also, pathology can occur as a result of injury to the internal organs that are in the abdominal cavity. Occasionally, an abscess is the result of local peritonitis (appendicitis, acute cholecystitis, etc.), as well as complications of inflammatory processes in the liver.

Side hurts with severe injuries of the spleen and liver

Pain in the hypochondrium is the main sign of severe injuries of the spleen and liver, requiring immediate surgical intervention. Such injuries (fractures and ruptures) are characterized by strong mechanical impacts (falling weights on the body, car and railway accidents, etc.)

Rupture of the spleen and liver is also promoted by some severe pathologies, as a result of which there is a violation of the structure of the organ (cirrhosis of the liver, enlargement of the spleen in blood diseases, etc.). In such cases, rupture can occur even with minor injuries.

In addition to pain on the right under the ribs (with severe liver injuries), there is weakness, dizziness, decreased blood pressure with rapid pulse, pallor of the skin and mucous membranes. If a liver rupture is suspected, it is necessary to contact the clinic as soon as possible to undergo an additional examination and take measures to eliminate the pathology.

Stitching pain in right side under ribs on coughing and inhaling

Such pain may be a sign pathological changes diaphragmatic part of the pleura inflammation of the right lung. The pain may move down, causing a defensive reaction of the abdominal muscles. Therefore, this pathology is often confused with acute appendicitis and appoint surgery threatening the life of the patient.

However, unlike attacks of appendicitis, the pain syndrome in right-sided pneumonia does not have a specific localization and the patient can accurately name the time of onset of pain.

Very often, the onset of pain in right-sided pneumonia is preceded by bouts of fever, which does not happen with abdominal diseases. In addition to a feverish state, inflammation of the lungs is accompanied by constipation, often there is a herpetic rash on the side of the lesion or flushing of the cheek. The patient develops shortness of breath, and the nasolabial triangle acquires a pale bluish color. Often, pneumonia is complicated by an acute respiratory viral infection.

If you suspect right-sided pneumonia urgent hospitalization, additional examination and inpatient treatment are required.

In addition to these main causes of pain in the right side, there are many more factors that cause this condition. In any case, if pain occurs, you should immediately contact a specialist to make an accurate diagnosis and take emergency measures.



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