It hurts in the right side, what could it be. Pain in the right side under the ribs: aching, sharp, dull and stitching

Pain in the right side can be caused by diseases not only of the abdominal organs, but also of the respiratory organs (bronchitis, pneumonia, pleurisy, pneumothorax, lung cancer), heart and circulatory system (rheumatic heart disease, arterial hypertension, thrombophlebitis, pericarditis, preinfarction state), peripheral nervous system(arachnoiditis, myelitis, ganglionitis, epilepsy) and other causes up to the fact that a person carries a bag on his right shoulder or sleeps on his right side on a hard mattress.

That is why, only a specialist can answer the question why the pain arose and make the correct diagnosis by comparing several factors. He must also prescribe therapy to eliminate pain, which, depending on the diagnosis, may include physiotherapy, drug treatment, droppers, injections.

Localization and nature of pain

To determine the damage, the side is visually divided into 3 parts horizontally:

  • Subcostal;
  • lateral;
  • iliac;

Pain may also be felt in the back or abdomen.

Having decided on the location of the pain syndrome, the specialist must find out from the patient its nature and strength. Below we will consider which diseases are characterized by what pain and in what place they are located.

Pain in the right hypochondrium is caused by organs such as the right lung, gallbladder, pancreas, liver, intestines and diaphragm. Among other things, discomfort is caused by a violation of the nervous system or can radiate in diseases of the heart, pelvic organs or spine. Pain in the right hypochondrium may occur due to excessive physical exertion on the body.

If discomfort increases during palpation, then this may indicate inflammation in a sluggish course. In this case, the pain is characterized as acute and very strong. Consider the main diseases that provoke pain in the right hypochondrium:

Gallbladder diseases

  • Cholecystitis occurs due to inflammation of the gallbladder, with a burning, sharp pain in the right side. Also, discomfort can be on the right side of the back and near the spine. Patients complain of cramping pain. They feel bloating, increased gas formation, constipation.
  • Cholelithiasis formed as a result of deposition of bile pigments from which stones are formed. At the same time, some patients feel severe pain in the right side and back, nausea, heaviness, while others do not experience any symptoms.
  • Biliary dyskinesia - a complex disorder of the biliary system resulting from the development of chronic diseases of the gastrointestinal tract (gastritis, pancreatitis, etc.), improper diet, the appearance of worms, and injuries. It manifests itself in two forms - hyperkinetic, i.e. contraction of the gallbladder is too active, which causes short-term sharp pains in the right hypochondrium, and hypokinetic, which consists in a weak contraction of the gallbladder, in which a person feels prolonged dull pain, often of a bursting or pressing nature. The basis of treatment is diet.

Diseases of the pancreas

Pain on the right occurs only with problems with the head of the pancreas, in other cases, characteristic sensations occur in the left hypochondrium.

  • Tumor benign or malignant appearance may appear as a result of stretching of the capsule. With an increase, it compresses neighboring organs, so patients feel pain in the right hypochondrium and in the back, there is also increased sweating, sleep disturbance, and general malaise. The causes of occurrence may be different. The disease develops with a genetic predisposition, after viral diseases. It is also the result of strong blows.
  • pancreatitis, being a strong inflammatory process, provokes sharp or throbbing pains in the right side, which often radiate to the back and left hypochondrium, i.e. are enveloping in nature. Also often there are diarrhea, belching, flatulence, accompanied by general malaise, weakness, impaired appetite and sleep. Patients have an increase in temperature up to 38 ° and blood pressure. Treatment consists of drug therapy.

Liver disease

  • If the right side under the rib hurts, then this phenomenon may be a consequence liver cirrhosis. Unpleasant sensations are given to the lower abdomen, may be from the back, aggravated by pressing. At the same time, there is a strong increase in the mammary glands, a decrease in the testicles, a decrease in body weight, dystrophy, and varicose bleeding.
  • Another reason why the right side hurts can be the presence hepatitis A. At the same time, patients experience yellowing of the skin, darkening of urine and lightening of feces, and fever.

In addition, most liver diseases cause heaviness in the right side, as the damaged organ fills with blood and swells, thereby stretching its capsule, which is supplied with a large number of pain receptors.

Bowel disease

  • Appendicitis occurs due to inflammation of the appendix and manifests itself in the form of sharp cramping pains, which can be localized not only on the right, but also felt from the back, near the spine. This causes dry mouth, general malaise. The disease requires immediate surgical intervention.
  • Diseases of the small intestine include a wide list of diseases and the causes that cause them, but almost all have very similar manifestations - patients complain of frequent diarrhea with undigested food residues, rumbling, swelling, as well as pulling, aching, arching pains, often localized to the right of the navel or in epigastric region.
  • duodenal ulcer arises due to malnutrition, weakened immunity, active reproduction of Helicobacter pylori bacteria in the stomach, frequent stress, taking hormonal drugs. With this disease, severe pain appears in the right hypochondrium or above the navel, mainly on an empty stomach, incl. in nighttime. Often pain is noted under the shoulder blades or in the region of the heart. Patients also complain of belching, heartburn, nausea, and bloating. Treatment consists of following a diet and taking medications; in advanced cases, surgery may be necessary.

Diaphragm diseases

  • Hernia provokes sharp pains in the right side. Due to the weakening of the ligamentous apparatus and the appearance of a protrusion under the skin, migration of internal organs occurs. Patients cannot fully move, exercise. In most cases, the disease requires mandatory surgical intervention.
  • diaphragmatitis is called severe inflammation of the diaphragm, which occurs as a result of the penetration of pathogenic organisms with blood or lymph flow, and the disease can also become a complication of inflammatory processes occurring in the lungs, liver, and abdominal cavity. It provokes sharp pain on the right, disrupts the active contraction of the diaphragm. Patients feel unwell, dry mouth, loss of appetite.
  • Tumor, especially malignant , is pretty rare disease for this body. Feeling of heaviness in the chest and lack of air, shortness of breath and other unpleasant symptoms, incl. pain in the right hypochondrium, appear when the tumor reaches large sizes. In the initial stages, it can be detected by chance during x-ray studies. Treatment is surgical only.

Diseases of the right lung

  • Crayfish is a malignant disorder of the epithelium of the lung tissue. Has a weak pain sensitivity of the peripheral parts of the right lung, which do not have any pain receptors. Symptoms include expectoration with blood, a slight increase in temperature up to 37.2 °, sudden weight loss, bad breath, cough, fatigue.
  • Pleurisy is an inflammatory process. It affects the serous membrane. It is characterized by strong cutting discomfort in the chest on the right. Patients cough intensifies, breathing becomes difficult.
  • Pneumonia is an acute lung injury. Refers to infectious and inflammatory diseases. With damage to the right lung, pain is usually localized in the right hypochondrium, but it can also be of a girdle character. In patients, the temperature rises to 39 °, they begin to suffer from chills, shortness of breath and weakness.

Pain in the right hypochondrium from the back can provoke improper gymnastic exercises, fitness, the consequences of surgical intervention are not excluded. Acute pain can signal organ damage arising not only as a result of injuries, blows, stab wounds, but also with internal increased pressure and other life-threatening pathologies. That is why when the first symptoms appear, it is necessary to consult a specialist.

Dull, aching, or dagger-like pain develops with intercostal neuralgia which compresses the intercostal nerves. In order not to feel pain, a person begins to warp to the healthy side, as a result, the intercostal spaces begin to stretch and the pressure that irritates the nerve endings decreases. Also, with this disease, the patient may experience increased sweating, painful muscle contractions, and a change in the shade of the skin.

Under the ribs on the back are the kidneys. Diseases associated with this organ often have aching and dull pain sensations:

  • Urolithiasis disease is a urological disease characterized by the formation of stones in the urinary system. When they move or change the position of the body, physical activity there may be a dull or pulling pain in the right side. But an acute cramping already speaks of a serious complication - the closure of the urinary duct with a stone.
  • Pyelonephritis is an infectious disease of the kidneys. It is formed due to bacteria entering the body through the urinary tract. It is manifested by nausea, high fever, painful sensations of a dull, pulling nature, aggravated by deep breathing, palpation and tapping.

The reasons that cause pain at the waist level can be very different - from an unbalanced diet, as a result of which increased gas formation is formed, causing discomfort on the side of the intestine, to serious problems with the spine or with the genitourinary system.

Here are just some of the diseases that can cause such pain:

  • Dorsopathy belongs to the group of degenerative-dystrophic diseases of the spinal column and surrounding tissues caused by malnutrition, increased stress or injury. Patients have a pulling or aching pain in the right side, less often they describe the nature of sensations as shooting. There may also be tingling of the skin, weakening and thinning of the muscles. The disease can affect any part of the spine, but more often the lumbar suffers. Massages, exercise therapy, physiotherapy will help get rid of the disease.
  • Protrusion is a complication of osteochondrosis, in which only the inner part of the fibrous ring surrounding the intervertebral disc is disturbed. Most often, this pathology occurs in the lumbar region, so pain is manifested from the back at the level of the waist and below. There may also be chronic pain and tingling in the legs, weakness of the femoral muscles, in rare cases, urinary disorders. Treatment includes drug therapy and physiotherapy methods.
  • Cystitis occurs when inflammation of the bladder, or rather its mucous membrane, as a result of the penetration of pathogenic organisms into it through the urethra. The disease is characterized by painful frequent urination, sometimes with blood. There are also burning, stabbing pains in the perineum and in the region of the bladder in the acute form, and constant, aching at the level of the waist in front and behind - in the chronic form. The basis of treatment are antibiotics, which allow to destroy the infection that caused the disease.

This symptom can occur with many diseases of the pelvic organs, abdominal cavity, urinary tract, therefore, in order to determine how life-threatening it is, one must focus on the nature of the pain, the speed of its occurrence, and additional symptoms. For example:

  • sharp, sharp, sudden onset pain they can talk about rupture or torsion of the organ, this problem is especially common with the ovary in women, blockage of the urinary or biliary tract with a stone, intestinal obstruction, and if a shock condition is still observed, the person loses consciousness, tachycardia appears, then intra-abdominal bleeding can be assumed. All of these conditions require urgent surgical care.
  • slight constant aching or dull pain usually indicates incipient inflammatory processes, circulatory disorders, exacerbation of chronic diseases, so you should not delay going to the doctor in order to find out the causes of these unpleasant sensations as soon as possible.
  • periodic pain, i.e. either sharply appearing or subsiding may indicate inflammation of the appendix, and if such a nature of pain is observed in a child and is accompanied by vomiting and increased gas formation, then volvulus can be suspected. In both cases, immediate surgery is required, otherwise death may occur.

Associating discomfort with actions

Pain may occur after or during certain activities:

Pain in the right hypochondrium usually appears after a couple of hours, especially often you can expect them to come if you have eaten fatty, fried, smoked, spicy and other junk food. Depending on the nature of the pain, the following diseases can be assumed:

  • dull and bursting pain, sometimes radiating under the shoulder blade and accompanied by nausea, bitterness in the mouth may indicate an exacerbation of chronic cholecystitis;
  • if dull, aching pain turn into sharp, stabbing, paroxysmal accompanied by diarrhea, a feeling of bloating, nausea, then we can assume biliary dyskinesia or inflammation of the bile ducts;
  • aching and cramping pains, which are joined by bitter belching, heartburn, nausea, weakness and trembling in the body, may indicate duodenitis or bulbitis.

In some cases, pain in the right hypochondrium after eating may occur due to inflammatory processes occurring in the stomach or pancreas, but more often, if there are malfunctions in these organs, the pain appears on the left, and not on the right. But in any case, wherever painful sensations appear after eating, they require urgent and high-quality diagnostics.

Sometimes, when walking or running fast, a stabbing pain in the right side appears in perfectly healthy people.. Scientists are still arguing why this happens. One explanation is that with a sharp increase in blood circulation, the blood “bypasses” the diaphragm, entering directly into the limbs, so its spasm occurs. To avoid such a reaction of the body, it is necessary to eat 2-3 hours before training and conduct a thorough warm-up before more serious exercises.

If pains in the right side occur even when walking slowly or even with the slightest movements, then this is a reason for an early visit to a medical institution, since they can be signals of serious inflammatory processes in the liver and gallbladder, as well as indicate the occurrence of appendicitis or hematoma.

No less often, pain during movement is associated with diseases of the musculoskeletal system.- osteochondrosis, sciatica, lumboischialgia, intercostal neuralgia, etc. are manifested by sharp, sharp, pulsating, less often aching and pulling pains, which can be localized not only to the right or left of the spinal column, in the lower back, under the shoulder blades, but also give to the limbs.

It is wrong to think that if it hurts in the right side when inhaling, then this can only be associated with diseases of the respiratory system(pleurisy, pneumonia, etc.), although, of course, if acute pain is accompanied by a severe cough and high fever, then the likelihood of making these diagnoses increases, which requires prompt medical treatment.

No less dangerous diseases, in which there are severe pains in the right hypochondrium during inhalation, forcing people to breathe superficially, are pericarditis, pulmonary embolism, and renal colic. In the absence of timely medical care, death can occur.

Pain from dull, aching to burning, sharp, sharp, subsides at rest, may appear with inflammation of the intercostal muscles and nerves, as well as with a fracture of the ribs. In the latter case, hemoptysis, severe swelling, cyanosis, bruising at the site of injury can also be observed.

Associated pain with various conditions

Under certain conditions and in the presence of a number of additional symptoms, the diagnostic picture can change dramatically.

  • . Pain appears in 70% of cases. It is localized in the lower abdomen, depending on the cause, it may be more felt on the right or left. An unpleasant sensation can be pulling, cutting, resembling contractions. There may also be an increase in temperature up to 37 °, increased sweating, constant thirst, weakness.
  • . They are frequent "allies" in case of poisoning. The pain is sharp and cutting in nature, and it is often impossible to clearly say where it hurts - in the right side or the left, because. pain sensations cover the entire abdominal cavity. In addition, patients experience vomiting, nausea, dry mouth, and thirst.
  • . This tandem in most cases indicates diseases of the gallbladder. This may interfere with the functioning of the liver. Dull, aching, arching pains occur due to the accumulation of bile, and patients are also accompanied by nausea, weakness, and constant thirst.

Gender-related pain

Except common diseases, a number of diseases can have a gender color and are associated with pathological conditions of the reproductive organs:

In the stronger sex, the prostate gland is most often affected. Aching, pulling pain, accompanied by painful emptying, may indicate prostatitis, acute pain and difficulty urinating - about adenoma, paroxysmal, acute pain and blood in the urine are often harbingers of a malignant tumor or indicate the presence of stones.

In the beautiful half of humanity, pain in the right side can be the result of:

  • tubal pregnancy disorders, in which the fetal egg begins to develop outside the uterus, while there is a sharp pain in the lower abdomen, stabbing - in the right or left side, in case of delay, the fallopian tube may rupture and the patient may die.
  • right ovarian apoplexy is another condition that requires prompt hospitalization, because, due to a violation of the integrity of the organ, bleeding into the abdominal cavity is observed. In this case, a person feels a sharp pain in front of the lower abdomen.
  • torsion of the right ovarian cyst. With this disease, intra-abdominal pressure and blood circulation increase. The disease is characterized by severe pain in the lower abdomen. Unpleasant sensations may increase with movement.
  • acute inflammation of the appendages- with this disease, the patient feels a pulling pain in the lower abdomen, which can radiate to the right side, to the lower back, sacrum, inner thighs, rectum, sometimes there are sharp pains from the back. In this case, fatigue, drowsiness, loss of appetite, irritability, inadequate psychological reactions appear.

Diagnosis and treatment

The choice of specialist to whom to seek medical help, and the diagnostic methods that he will apply, often depend on the nature of the pain. So acute ones require a thorough examination of the body with the help of ultrasound, and aching and chronic ones require the results of clinical tests. Also, the treatment depends on the diagnosis, i.e. the cause of the pain, and can be either a diet or urgent surgery.

A feeling of pain in the right side of the lower abdomen in a woman may indicate the development of a large number of disorders: gynecological, urinary and digestive system, indicate a violation of the activity of blood vessels. An accurate diagnosis requires a comprehensive examination and an internal examination by a doctor. It should be borne in mind that the feeling of pain in the lower abdomen can radiate to nearby organs: the uterus, clitoris, suprapubic and inguinal zone, urethra, buttocks, back, intestines. Doctors can take a long time to identify the exact source of the pain impulse. Chronic pain tends to worsen under the influence of a provoking factor and then subside for a long period of time.

Doctors identify the following main causes that can provoke a woman's pain in the lower abdomen on the right side:

  • Diseases affecting the right hip joint, as well as adjacent tissues.
  • Pathologies affecting the digestive organs: pancreas, small intestine, liver, large intestine, appendix.
  • Violation of the functioning of the kidneys and ureter.
  • Gynecological diseases affecting the uterus, ovaries, vulva, etc.
  • The defeat of bone elements localized in the sacral, lumbar and coccygeal region.

In most cases, pain is not the only symptom, so doctors make up the overall clinical picture, taking into account additional disorders in the form of fever, purulent discharge, sensitivity disorders, nausea, vomiting, stool disorders, etc. At the appointment with a specialist, it is necessary to report all concomitant disorders and the duration of their impact.

Gynecological diseases

The feeling of soreness in the right side may be associated with menstrual irregularities, hormonal failure, exposure to pathogenic microorganisms. Sometimes the feeling of pain is a normal reaction of the body to menstrual bleeding - this condition is called algomenorrhea and is accompanied by increased blood flow to the pelvic area.

Menstrual pain can also be associated with inflammatory processes and genital infections, the development of algomenorrhea (a condition in which menstruation is absent in a woman of childbearing age). Pain can radiate to the groin and thigh area, additionally there are complaints of clouding in the eyes and dizziness. The described symptoms may intensify during sexual intercourse.

The development of pain is also characteristic of a number of gynecological diseases:

  • Endometritis is a pathological condition accompanied by inflammation of the surface layer of the uterine wall. The development of such a disorder is affected by hypothermia, exposure to hormonal disruptions and genital infections. In the event that deeper layers are involved, this indicates the development of endomyometritis. Additionally, there are symptoms in the form of pathological discharge from the vaginal area, fever, intoxication.
  • Ovarian cysts - this condition is accompanied by a protrusion of the ovary and the formation of vesicles on the organ that are filled with fluid. The main reason for this disorder is hormonal dysfunction. There is an increase in the ovary and there is one-sided pain, extending down the abdomen. In some cases, such a violation resolves on its own, in other cases, surgical intervention is required.
  • Apoplexy - a condition accompanied by rupture of the ovary. There is pain and internal bleeding. A similar condition develops if the cyst has reached a large size. The patient complains of intense pain, which is similar to the manifestations of appendicitis. Pain may radiate to the area anus, right thigh. The development of apoplexy is an indication for immediate surgical intervention.

Pain on the right side is also observed during the development of salpingitis, a pathological condition in which the inflammatory process affects the right fallopian tube. Among the causes of this condition are mechanical effects, sexually transmitted infections. A feeling of soreness occurs against the background of an increase in body temperature. Pain may increase during urination, as well as after physical exertion and intimacy.

Impact of obstetric pathologies

In addition to the impact of gynecological diseases, gynecologists identify the following main causes that may contribute to the development of such a symptom in obstetric practice:

  • An ectopic pregnancy is accompanied by the attachment of an egg outside the uterine cavity. The embryo develops, grows, which can contribute to squeezing the wall of the fallopian tube, blood vessels. As a result, there is a danger that the walls of the fallopian tubes and blood vessels may burst. In this case, immediate medical intervention is required.
  • Spontaneous abortion - observed on early term pregnancy, accompanied by a feeling of soreness and the development of vaginal bleeding. Pain sensations are cramping in nature and give to the right side. Intensive blood loss and the addition of pathogenic microorganisms can cause the development of conditions that threaten the life and health of the mother.
  • During pregnancy, there may also be a short feeling of soreness in the lower abdomen on the right side. This is due to hormonal changes, blood flow to the uterus, sprains and fetal growth. Pain is mild and rarely occurs. More frequent and intense pain requires a full-time examination by a doctor.
  • Premature birth can begin late in pregnancy and are accompanied by complaints of pain in the lower abdomen, and toxicosis is additionally manifested. In order to prevent complications, the woman should be taken to the doctor immediately.

Gastrointestinal disorders

The most common cause that can provoke a feeling of pain on the right side is appendicitis, an inflammatory process that affects the appendix of the caecum. In other cases, pain may indicate the development of such disorders:

  • Damage to the rectum, which manifests itself in the form of pain, extending to the groin area.
  • Pancreatitis is an inflammatory disease that affects the pancreas. The nature of the pain is girdle, can spread down the abdomen.
  • Adhesions formed in the area of ​​the serous membrane of the internal organ. Such disorders occur after surgical interventions, as well as under the influence of diseases of a congenital or acquired nature. In the event that the nerve endings are damaged, the nature of the pain will be sharp, similar to an electric shock.
  • Duodenitis is an inflammatory disease that affects the duodenum and small intestine. Pain can radiate to the right side, additionally there are complaints of indigestion.
  • Diverticulosis, accompanied by protrusion of the intestinal wall. Manifestations are similar to signs of appendicitis, in addition, symptoms can be observed in the form of intoxication of the body, weakness, vomiting, fever, constipation, diarrhea.
  • Intestinal blockages. This condition is accompanied by a cessation of blood circulation or peristalsis, as well as the development of intense pain that radiates to the right side. Additionally, there are manifestations in the form of vomiting and expansion of intestinal loops.

AT severe cases pain can be caused by an inguinal hernia. There are complaints of increased pain as a result of physical activity. This pathology belongs to the category of surgical diseases. Such a violation occurs as a result of several factors: a rupture of the inner layer of the abdominal wall in combination with a prolapse of intestinal loops and omentum into the subcutaneous space. Externally, the skin retains its integrity, but there is a bag-like protrusion in the groin area. Of particular danger are strangulated hernias that cannot be reduced by palpation. During therapy, surgical intervention is required.

Influence of diseases of the urinary system

Pain on the right side can disturb a woman with violations of urine formation, as well as blood filtration. The pain is accompanied by the development of inflammatory processes, as well as the development of dystrophic, degenerative, oncological pathologies. In some cases, the pain can be so intense that it cannot be stopped with the help of drugs with analgesic effect.

In some cases, pain on the right side may occur during urination. Such a violation is typical for acute blockage of the bladder, provoked by blockage of the urethral canals by the formed stones. Painful urination can also occur with urethritis and blockage and inflammation of the ureters.

Hello dear blog readers. What to do if the right side of the abdomen hurts? First of all, this is an occasion to think about visiting the hospital. Don't blame it on stress, diet, overeating, or a sedentary lifestyle. Pain always warns of functional failures in the body. In the article we will figure out what diseases can lead to the development of pain syndrome.

Pain right under the ribs

To begin with, you will be interested to know what is in the right side of the abdomen. In the upper region are the liver, gallbladder, ileum and duodenum, pancreas, right kidney with the adrenal gland. The lower segment contains the caecum with an appendix, part of the colon and the right ovary in the beautiful half of humanity.

Pain in the right side of the abdomen

As you can see, there are many reasons for excitement. Therefore, we will go directly to diseases that can cause pain in the upper right side of the abdomen.

Cholecystitis

In the acute phase, intense pain, sometimes radiating to the shoulder, appears immediately after eating. Among the accompanying symptoms are hyperthermia, nausea, vomiting, yellowness of the skin and eye proteins,

Dark colored urine

If you feel under the ribs, you can feel the tension of the muscles. In addition, there is acute pain when inhaling. The disease in the chronic form is periodically manifested by pain syndrome of varying degrees of intensity: from dull aching sensations to acute spasms and paroxysms (maximum exacerbation) of pain.

It is imperative to conduct a diagnosis, since due to the deposition of stones in the gallbladder, there is a high probability of developing an infection of the bile ducts (cholangitis) or acute pancreatitis.

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Duodenitis

Symptoms vary and depend on the form of pathology. It can be manifested by severe nocturnal or hungry pains, nausea, vomiting, rumbling in the abdomen, lack of appetite, the appearance of loose stools.

With duodenostasis (impaired patency duodenum) a sick person can vomit bile, he quickly loses weight. The pain is paroxysmal, bursting and twisting.

Renal colic

Acute, sudden pain, resembling a spasm, occurs in the lumbar region, closer to the spine. In the representatives of the stronger sex, it can move to the scrotum and penis, in girls it can concentrate in the area of ​​the labia and perineum.

During an attack, pressure drops sharply, nausea and vomiting, tachycardia or bradycardia appear. A sick person feels a constant urge to urinate, but urine is excreted in insufficient quantities or does not enter at all. bladder.

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pancreatitis

The pain appears under the left or right ribs. It may also be encircling. It depends on the site of the inflammatory process. Concomitant symptoms: hiccups, nausea and vomiting, flatulence, heartburn, fever, yellowish coating on the tongue, abdominal muscle tension.

If you do not provide urgent assistance with acute pancreatitis, a painful shock may occur, leading to loss of consciousness or death of a person.

Chronic form accompanied by a paroxysmal pain syndrome that occurs 20 minutes after eating and lasts from 1 hour to several days. If you sit down or lean forward, there is a slight relief.


Acute pancreatitis

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Liver pathologies

Probably, the very first thing that any person thinks about when pain appears in the right side is “I have problems with the liver.” Indeed, some pathologies of the organ can cause dull, inexpressive, pulling sensations:

  • hepatitis(regardless of form) begins with flu-like symptoms: headache, body aches, fever, loss of energy. Hepatitis B and C develops more gradually, without jumps temperature, but sometimes accompanied by rashes on the skin. Further, the appetite completely disappears, pains appear in the right hypochondrium, nausea, vomiting. Urine becomes dark in color, and feces become discolored, jaundice appears. The acute period of the disease can take place in varying degrees of severity. The main danger is the fulminant form. It is characterized by liver necrosis, which leads to the death of a person. The chronic form is almost asymptomatic. A sick person feels weakness and fatigue;
  • If not treated appropriately, hepatitis can develop cirrhosis. Soreness appears only at the last stage;
  • unfortunately, dull right-sided pain and heaviness can warn of cancer. The appearance of a tumor is also accompanied by hyperthermia, jaundice, flatulence, rapid weight loss and lack of appetite.

If right-sided soreness appears when walking, it is worth suspecting fatty hepatosis. It can develop against the background of protein deficiency in the body, diabetes, hepatitis, mushroom poisoning or harmful chemical compounds.


Cirrhosis of the liver

Appendicitis

The first symptom of appendicitis is pain just above the navel. It can be subtle or intense, constant or intermittent. After a certain time, unpleasant sensations move to the zone of the right sigh and do not disappear anywhere else. They are of a moderate nature. When coughing or changing position of the body, the pain intensifies.

Please note that even with a slight pressure, a person experiences severe pain, and when the hand is released, the unpleasant symptom only intensifies. The abdomen is hard, hard and swollen.

Additionally, fever, nausea and vomiting appear, digestion and urination are disturbed. Urine acquires a dark shade if the bladder is captured in the pathological process.

If the pain subsided for a while with appendicitis, the reason for this may be a rupture of the walls of the appendix. Sudden sharp pain is most likely a sign of incipient peritonitis.

If you suspect you have appendicitis, call your doctor immediately and do not take pain medication.


Appendicitis

Pain in the lower abdomen

Returning to the previous illness, I’ll immediately tell you why the stomach can hurt after appendicitis:

  • cutting pain on the side indicates the likelihood of divergence of the seams due to physical stress;
  • pulling sensations in the lower abdomen indicate the possible formation of adhesions. If a person
  • additionally feels paroxysmal pain, which means that his intestines are transferred;
  • systematic painful sensations indicate chronic appendicitis;
  • pain, supplemented by impaired stool, enlargement and protrusion of the suture, is a symptom of a postoperative hernia;
  • increasing pain, accompanied by bloating, hyperthermia and vomiting, indicates the threat of peritonitis.

To prevent complications after an appendectomy, strictly follow all the doctor's instructions.

Pain in the right lower third of the abdomen can cause:

  • inguinal hernia. The main sign is the appearance of a plump tubercle in the groin area. It can increase in volume during physical overstrain, and decrease when a person lies down, is in a relaxed state. The disease causes constant or intermittent mild pain that extends to the abdomen, groin and lower back;
  • vesicoureteral reflux. The disease develops simultaneously with pyelonephritis. Painful sensations appear in the lower third of the right side of the abdomen and move to the lower back when urinating. This happens because the urine from the ureter is thrown back into the kidney.


An inguinal hernia can cause severe pain in the lower abdomen

Women's diseases

The cause of right-sided pain in the lower abdomen in women can be:

  • algomenorrhea(painful menstruation). Unpleasant sensations begin 12 hours before bleeding or on the first day of menstruation and persist up to 48 hours, gradually subsiding. The pain is stabbing, aching, or, most often, cramping. It can capture the bladder, rectum and give to the back. Additionally, the girl may experience nausea, indigestion, irritability, sleep disturbances;
  • acute endometritis. Accompanied by hyperthermia, pain in the lower abdomen, sometimes on the right, vaginal discharge, which have an unpleasant odor. Chronic pathology leads to malfunctions of the menstrual cycle, systematic aching pains, purulent or spotting. Intimacy gives exceptionally unpleasant sensations;
  • right ovarian cyst. Causes dull pressing pain, which increases many times during intimacy or during physical exertion. The clinical picture can be supplemented by frequent urination, fever, tachycardia, tension of the anterior wall of the peritoneum. If the cyst is large, it may rupture. The pain is similar to that of appendicitis.


endometritis

Pain in the lower third of the abdomen on the right side can also cause unilateral salpingitis and adnexitis.

Abdominal pain during pregnancy and after childbirth

During pregnancy, pain can disturb a woman due to a miscarriage. Spontaneous abortion is accompanied by bleeding.

Weak short-term pain in the lower abdomen, as a rule, should not cause concern. They talk about sprains and enlarged uterus. A similar feeling in the later stages may indicate premature birth.

Pain after caesarean section- this is normal. However, if they persist for a long time, it is worth suspecting adhesions, inflammation of the uterus or endometritis.


In case of pain in the lower abdomen, you should immediately consult a doctor

Men's diseases

Right-sided pain in a man can report the following diseases:

  • cavern. The acute stage is characterized by severe pain and tingling in the right side, cutting sensations in the intestines, hyperthermia, headache, swollen lymph nodes in the inguinal zone. The penis becomes larger in volume, edema appears, spontaneous erection, nodules form on the organ. Pathology in the chronic stage is accompanied by a moderate pain syndrome, erectile dysfunction, painful sensations during urination and sexual intercourse;
  • colliculitis. It develops due to the entry of harmful microorganisms into the urethra. Penetrating pain in the groin moves to the scrotum, lower right third of the abdomen, inner thighs. Bloody inclusions may be present in urine and ejaculate;
  • stones in prostate. There is a stabbing pain in the side, radiating to the lower abdomen, penis and legs, potency decreases, problems with urination appear, blood can be detected in urine.
    Painful feelings can also indicate prostatitis, benign hyperplasia, or prostate cancer.


Abdominal pain in men may be due to prostate stones

Pain in children

If your child complains of pain in the right side, ascariasis should be suspected. Worm infestation is also accompanied by an appetite disorder, nausea, bloating, and stool disorders.

Stitching pain may be a symptom of intestinal intussusception. In this case, vomiting with particles of mucus may appear, blood clots are present in the feces, and body temperature rises.

It is impossible to accurately answer why this or that disease develops. The body is too delicate a mechanism and failure can occur under the influence of a huge number of factors.

What to do when there is pain on the right side? The only answer is to go to a qualified physician. Only a specialist can make a correct diagnosis, prescribe effective treatment and get rid of the causes of pain.

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Physicians are usually very alarmed by such pains. Because in the right side in the abdominal cavity there are many vital organs. What to do in this case? Of course, urgently find out the cause of this pain.

Pain on the right in the abdomen indicates the pathology of the following organs:

  1. pancreas,
  2. liver,
  3. gallbladder,
  4. intestines,
  5. duodenum,
  6. loops of the large intestine,
  7. female Reproductive Organs,
  8. right side of the diaphragm.

If the activity of these organs is disturbed, it hurts on the right side of the abdomen. Especially dangerous are diseases of the liver and gallbladder and pancreas.

The liver as a cause of pain

Violation of the work of each of these organs carries its own danger to the body as a whole. The work of organs can be disrupted by a number of external and internal factors. If it hurts on the right side, you need to think about what lifestyle you have been leading recently or in the near future, what you have eaten, with whom you have contacted (communicated). Have you experienced frequent stress or constant overwork? This can also seriously harm your body and lead to pain in the right side of the abdomen, and not only.

For example, sometimes it happens that the heart muscle, under the influence of various factors, wastes its strength and, due to the resulting weakness, does not cope well with the function of pumping venous blood. In this regard, the blood remains in the lungs and stagnates. This results in shortness of breath. Accordingly, the blood is not processed by the liver and stagnates in it, which leads to swelling of the liver and causes pain in the right side that you feel.

Swelling of the liver and pain in the right side can also be caused by infections, chemical intoxication (excessive alcohol consumption, inhalation of fumes of detergents, cleaning chemicals), it would seem, what is harmful here? Our daily lifestyle constantly confronts us with chemicals(household detergents) and different kind alcoholic beverages (starting with light alcohol), and all this further leads to disruption of the liver and, as a result, to pain in the right side of the abdomen.

Hepatitis as a cause of discomfort on the right side

If it hurts on the right in the hypochondrium, then this may indicate damage or inflammation of the liver, various hepatitis. The liver can be attacked by viruses - this is viral hepatitis, of which there are three main types: A, B, C.

  1. Type A viral hepatitis can be contracted after ingestion of virus-contaminated water or sewage.
  2. Hepatitis B is especially common among homosexuals and drug addicts and people in close contact with them.
  3. Hepatitis C primarily enters the body through contaminated blood transfusions and medical instruments containing blood. It is also especially common among drug addicts.

The liver can be damaged by various drugs and chemicals. This is how toxic hepatitis develops. Definitely liver damage when consumed in large quantities of alcohol. Violation of the liver can also occur with heart failure. In this case, the heart muscle does not pump blood well, which leads to its stagnation in the lungs and liver. Thus, the liver is stretched and hurts in the right side.

Gallbladder as the cause of pain in the right side

Pain can provoke diseases of the gallbladder. It plays an important role in the body, it stores an excess of bile produced in the liver, which helps to digest food. When a large amount of fatty food enters the body, the gallbladder injects its contents into the intestines.

If there is an infection or stones in the gallbladder, then it definitely hurts on the right in the upper abdomen.

Why does the pancreas cause pain in the right side?

It is a glandular organ that is located deep in the abdominal cavity. It secretes digestive enzymes as well as juices and insulin. The pancreas is located in the side from right to left. Her "head" is in the upper right quadrant. Inflammation of the gland - pancreatitis - also leads to acute and unpleasant pain. At risk are people suffering from alcoholism and gallbladder disease. Attacks of pancreatitis are extremely painful and are accompanied by nausea, vomiting and profuse sweating. In case of problems with the gland, it hurts on the right in the side, and the pain can radiate to the back. It is aggravated in the supine position, and relief comes in a sitting position when leaning forward.

Appendicitis as a source of pain in the right side

With pain in the right side below, the first thing to check is the appendix - and do not exclude its inflammation until another diagnosis is established. Contrary to the belief that appendicitis begins with acute pain, at an early stage this disease causes constant, “aching” pain in the side. In addition, the initial pain may appear under the spoon or in the upper left abdomen. Then the pain intensifies and moves directly to the site of inflammation. Nausea, fever, vomiting are also symptoms of inflammation of the appendix.

If no measures are taken, an "acute abdomen" syndrome may occur - a concept that combines various and dangerous conditions in which it hurts on the right side in the lower abdomen. The characteristic features of this condition are the general bad feeling, acute pain, heat, vomit. In this situation, immediate hospitalization is required.

Additional characteristics of pain in the abdomen and in the right side

The right side of the abdomen is divided into 2 quadrants: upper and lower. By localizing pain in a particular quadrant, you can diagnose the symptoms of the disease.

If it hurts in the right upper abdomen

In the upper right side are located: the liver and gallbladder, the right side of the intestine and the right side of the diaphragm.

  1. Pain in the right side is likely due to inflammation of the liver, especially if the pain is systematic.
  2. Also, pain on the right side in the side can be associated with diseases of the gallbladder. Rare pain in this part means overeating and an abundance of fatty or spicy foods in the diet. In such cases, you need to follow a diet for several days. Gallstones in the gallbladder can cause severe pain. In this case, urgent surgery may be needed.
  3. On the right side is a part of the pancreas, diseases of which can also provoke pain. Its inflammation - pancreatitis - usually occurs in people with gallbladder disease. Pancreatitis requires timely treatment, as its advanced cases are intractable. It is necessary to conduct tests and do an ultrasound. An attack of pancreatitis cannot be confused with anything. It is especially painful, accompanied by nausea and vomiting.
  4. Pain on the right can also be caused by kidney disease. If an abscess develops in the kidney or there are stones. Acute pains in the right side of the abdomen, especially if they are accompanied by nausea and vomiting, require an immediate call to an ambulance.

If it hurts in the lower abdomen and on the right side

In the lower abdomen are the appendix, intestines, ureter, in women, the fallopian tubes.

Pain in the right side of the lower abdomen may still be caused and not proper nutrition, intestinal overload, swallowing large amounts of air while eating and drinking. All this can also cause pain in the lower abdomen, so before loading your intestines with poor-quality food and drink, you should first think about the possible consequences.

What to do if it hurts on the right side?

Of course, you really want to figure out what it is? ... We are very smart people and have already been taught not to believe doctors and trips to the clinic, or rather, there is simply no time for this in the current intense rhythm of life. So we are often looking for answers to the question “why it hurts in the side”, where it is necessary and how it will turn out. Relatives and friends can tell, and the Internet can tell. But…

Initially, having felt that it hurts on the right in the side and after some time, if the pain does not subside, you need to determine what character the PAIN that has appeared and violated your usual life has? There is pain in the upper abdomen or in the lower. The pain in the right side can be acute (with any movement there is a sudden feeling of pain, as if it were cutting with a knife) or dull (long-term, constant aching pain). It can hurt in the right side of the abdomen both in the upper right side and in the lower right side of the abdomen.

You need to determine all this not in order to self-medicate, but in order to competently and thoroughly answer the doctor's questions. It is impossible to make a diagnosis on your own when pain occurs.

When the described pain appears, it is necessary to contact a gastroenterologist, surgeon, infectious disease specialist. Women should make an appointment with a gynecologist. If you suspect the syndrome of "acute abdomen" it is necessary to call an ambulance. It should also be remembered that before a medical examination, with pain on the right side in the side, you should not take any painkillers - in order to avoid an incorrect diagnosis!

What to do when it hurts in the side due to appendicitis?

But back to appendicitis. This thought should not be abandoned immediately. Feeling that the right side in the lower abdomen hurts, it is best to check everything carefully and clearly. Even better, if you find a window in your busy work schedule to go to the clinic and visit a specialist who knowingly spent many years studying and studying all the symptoms of various diseases. And he is the professional in these matters! It is the doctor who, after listening to your complaints, after conducting all the necessary examinations, will make a correct and correct diagnosis.

The appendix is ​​a very serious diagnosis, which is ignored not only to the detriment of oneself, but to the detriment of one's existence, one's life. You can brush aside these words and try to diagnose yourself. This is quite possible, but do not tempt fate, because there are people who lost this fight with guesses and paid the most valuable for it.

  • So if you have:
  • dull aching pain in right side;
  • unrelenting pain for a long time (a time interval of about 12 or more hours) hurts the right side in the lower abdomen;
  • if you can specifically and accurately point with your finger to the place where the pain is concentrated or the pain is localized in the navel area

Immediately go to the ambulance (03, and now 103) to the doctors. And do not be afraid, because it is good for you and your body.

So, if the pain in the right side of the abdomen does not stop, but only intensifies over time, after a maximum of 30 minutes, you should definitely consult a doctor or call ambulance. You should not beat the pain with strong painkillers, which can interfere with the establishment of a real diagnosis and correct treatment. In addition, do not delay the moment of seeking help from experienced specialists for too long, because this symptom can affect such important organs as the liver and kidneys, as well as the gallbladder.

You should also call an ambulance if:

  • after 35 minutes, the right side of the abdomen hurts and does not subside;
  • there is a feeling of bitterness in the mouth and severe vomiting begins;
  • pain is accompanied by increased body temperature;
  • pain in the side increases in the process of walking;
  • pain in the lower abdomen is accompanied by mild fainting and weakness;
  • if the pain in the right side of the lower abdomen radiates to the lumbar region, and there are signs of the presence of blood in the urine;
  • the right side of the abdomen aches and hurts, which negatively affects the general health of a person.

What to do if it hurts in the side, before the ambulance arrives?

  • exclude the use of analgesics and antispasmodics until the diagnosis is established;
  • call an ambulance at home immediately;
  • try to remember the circumstances under which these pains in the side are most often observed;
  • contact your general practitioner and describe in detail your feelings and observations to him, so that it is possible to more accurately determine the causes of this ailment;
  • undergo a complete diagnosis of the abdominal cavity of the body.

Dear patients, if you have found the slightest aching pain in your abdomen, which is repeated regularly and does not subside, do not expect a sad result and do not self-medicate. In this situation, only an experienced doctor can help.

Pain is an unpleasant painful sensation in response to a pathological process in the body. Localization of pain can be very different. Pain in the right side is important possible symptom pathological processes in the abdominal cavity. It is here that many digestive organs, large nerve and vascular bundles, the system of urination and excretion, female genital organs and lymph nodes are located.

Possible causes of pain

The most common causes of pain in the side on the right:

Pain in the right side can be acute, which usually indicates the onset of the disease and its primary stages. Acute pain is concentrated in a certain area and has a short duration. Usually it is very intense, shooting, stabbing, radiating to other places and organs.

Chronic pain lasts much longer, and we can talk about it if it lasts longer than the time period during which it objectively should have stopped. It is less intense than acute, its character is more dull, aching. The pain may disappear for a while and resume again, have temporary and daily fluctuations.

Diagnosis and treatment

Any pain in the right side should be the reason for an urgent visit to the surgeon or gynecologist. Postponing even for a few hours an appeal to a medical center is not worth it for vital indications. Doctors will carry out the necessary diagnostic procedures, make a diagnosis and begin treatment.

The main diagnostic methods for pain in the right side are the initial examination of the patient, including the collection of anamnesis, palpation and body temperature control. Then appointed general analysis blood, which allows you to confirm or exclude an acute inflammatory process. Good diagnostic results are obtained by ultrasound of the abdomen and pelvis, biopsy, fibrogastroscopy, MRI and CT.

Treatment can be emergency surgical for urgent pathologies, or conservative, with the use of medications and physiotherapy.

Preventive measures include adherence to a balanced diet, refusal to drink alcohol, physical activity, health monitoring and regular visits to doctors for preventive examinations.

Useful video

A fragment from the program Live Healthy about pain in the hypochondrium.

A fragment from the program "Malakhov +: What does the pain in the right side say"