Any pain that occurs in the hypochondrium on the right side is a reason to pay close attention to this and observe the frequency of its occurrence and intensity. Ignoring abdominal pain under the right rib and stopping it for a short time with the help of analgesics leads to the further development of possible serious pathological conditions and a loss of time to start therapy.
The first place of the possible causes of pain in the right side under the ribs in front is occupied by gallstone disease and problems of the biliary tract, the second - by pathological processes in the liver and edema with a lack of blood supply to this organ.
In medicine, these include trauma, rupture of the kidney, gallbladder, liver, colon. The pains are often unbearable.
Additional symptoms in these cases:
an initial increase in heart rate and further bradycardia; profuse sweat; cold skin of the limbs; a sharp drop in blood pressure up to the onset of painful shock; violation of the functioning of organs.
If a person lies down, then with cirrhosis or damage to liver tissue, the pain becomes stronger.
Acute purulent inflammation of the gallbladder, appendicitis, acute pancreatitis, intestinal penetration often give rise to intense, intolerable pain that radiates to the epigastric zone or to the area of the right scapula.
At the same time, there is:
profuse sweating; reflex tension of the muscles of the peritoneum in the form of a protective reaction; chills with high fever; frequent vomiting without relieving the patient's condition; shock from severe pain irritation.
The pains are spasmodic and intense.
Additional symptoms:
long-term fainting; shortness of breath, a sharp drop in blood pressure, dizziness, pallor of the skin and mucous membranes, weakness, rapid pulse; accumulation of exudate in the abdominal cavity, the acquisition of a yellow tint to the skin, sclera and mucous membranes.
Vascular thrombosis of the liver is characterized by intolerable pain with a return to the area of the scapula.
With this form of infarction, burning, compressing pains are noted in the epigastric zone and the right side under the ribs, radiating to the scapula or to the retrosternal region. They are often confused with stomach pain. They are wavy with a decrease and a sharp increase.
severe pallor; arrhythmia, tachycardia, or bradycardia; drop in pressure to loss of consciousness; possible shock; enlargement of the liver, edema in the abdomen, on the ankles, the presence of exudate in the peritoneal cavity.
The nature of the pain: sharp unbearable, aggravated by stretching the intestine. Lead to painful shock if irritation of the peritoneum begins. Spread over the entire right side up to the umbilical region and groin.
Pain in the first stage is concentrated under the right rib in front, gradually descending to the iliac region.
Additional symptoms:
temperature rise; possible nausea and vomiting.
If the inflammation is acute, intense stitching, cutting pains under the ribs on the right side in front are most likely. They can be caused by a moving stone that has difficulty passing through the lumen of the duct, or by pathogenic bacteria.
Features: painful sensations are cramping in nature with irradiation to the muscles of the right shoulder. Accompanied by vomiting with bile, bitterness in the mouth, airy belching. The temperature may rise to subfebrile.
In the case of calculous (stone) cholecystitis, jaundice often occurs, giving a yellowish-green color to the skin.
Chronic cholecystitis of any genesis is characterized by dull, aching pains. They can radiate to the shoulder blade.
Additional symptoms: unpleasant bitterness in the mouth in the morning, mild nausea and bloating in the stomach and intestines. In this case, the skin and whites of the eyes usually have a slight yellowish tint, and the patient does not perceive fatty or fried foods. Stitching pains occur after eating.
The nature of the pain: lingering bursting or dull, accompanied by heaviness due to edema and blood filling the liver.
Features of the clinical picture: pain is accompanied by intoxication of the body and dyspeptic manifestations in the form of vomiting. The skin, mucous membranes and eye sclera become yellowish with a lemon tinge. The urine darkens, the stool is discolored and looks like yellow or light clay. After eating, aching pains occur from the liver.
Features: with cirrhosis, abdominal pain in the right hypochondrium is persistent. There is a clear swelling of the liver, spleen, intense itching of cholezous genesis occurs, icteric skin color, palms turn red.
It is an overgrowth of cysts that causes the echinococcus worm. Suppuration of the cyst threatens the development of a destructive liver abscess. In this case, there is an increase in pain, severe chills, a significant increase in heart rate, a strong increase in the liver.
Intense, sharp pain, leading to shock. Pallor, sweating, frequent urination.
There is a sudden cutting pain, which the person tries to relieve by pulling his legs to the stomach.
Additional symptoms for peptic ulcer disease:
nausea, vomiting; burning in the epigastrium, belching with acidic contents.
Pain is often spasmodic, accompanied by constipation, diarrhea, bloating, flatulence. After eating - cramping. With Crohn's disease, ulcerative colitis, pain torments the patient not only in the right side, but also in the lower abdomen, accompanied by bloating.
Tumors of the adrenal glands give rise to constant exhausting pain.
Such pains can accompany an inflammatory process in the lungs.
With an infectious lesion of the right lung due to pneumonia and pleurisy, a stabbing pain on the right may appear. When inhaling, laughing, or coughing, it gets stronger.
This is usually accompanied by:
temperature increase; severe general weakness; dry or wet cough (even rare); reduction of discomfort when lying on the right side.
If the patient suffers from gastric ulcer on the right side, as a rule, the pain is concentrated on the right, covering the back and lumbar region. When you press on the painful area, the pain is slightly reduced, therefore, squatting or lying on the stomach, the person feels better.
With cholecystitis, hepatitis, when the liver is enlarged, when you press on it, the pain under the ribs on the right side in front will intensify, becoming more intense and acute.
Pain in the right side from above can be a sign of not only pathological conditions, but also appear for natural reasons.
Many complain that stitching pains occur in the right hypochondrium when running or walking fast. If such symptoms appear infrequently, then it is similar to the physiological tension of the ligaments of the liver during stress and shaking. With frequent repetitions of such pains, it is necessary to undergo an examination for possible development gallstone disease.
During pregnancy, healthy young women may also experience painful sensations on the right side of the liver. This is due to the rapidly growing uterus, which puts pressure on all the organs around it, tightening gall bladder.
If at the same time there is no nausea, bitterness in the mouth, bloating, heaviness, then this phenomenon is mechanical and not dangerous. But the constant appearance of such symptoms can signal a dysfunction of bile secretion.
First of all, when acute pain occurs, it is necessary:
immediately call an ambulance team; not trying to cope with pain by taking antispasmodics or analgesics that smooth clinical picture conditions requiring immediate surgical care or intensive care in a hospital; under no circumstances use warming compresses and heating pads, which can lead to internal bleeding or rupture of a suppurative abscess (for example, with appendicitis),
If there are no indications for immediate hospitalization of the patient, the ambulance doctor will simply transfer the patient under the supervision of a polyclinic therapist to diagnose and select a treatment regimen.
To understand why pain occurs in the right hypochondrium, one should observe their nature, dynamics and place of concentration. The main thing is to help yourself in a timely manner by seeking advice from a therapist and to carry out all the necessary examinations.
What can hurt in the right hypochondrium, learn from the video:
Acute or recurrent pain in the right hypochondrium suffers in one form or another about thirty percent of the adult population of the planet. Pathological changes in internal organs cause almost ninety percent of these pains.
Doctors have calculated that most often this type of pain is caused by:
1st place: diseases of the gallbladder and biliary tract 2nd in frequency: hepatic pathologies and liver edema with circulatory failure.
Where is the right hypochondrium located?
In topographic anatomy, the right hypochondrium is understood as a section of the anterior abdominal wall, limited by: 
from above - by the projection of the diaphragm (5 edge) from below - by the lower edge of the costal arch from the inside - by a line passing vertically through the lowest point of the ribs from the outside - by a line running vertically from the upper protruding pelvic bone (iliac crest) if the lower border of the region is extended to the back, then it will pass through the 12th rib and the third lumbar vertebra.
To find in practice right hypochondrium, you need to put the palm of your right hand horizontally on the ribs so that the wrist is located in the middle of the side, and the edge of the little finger coincides with the lower edge of the ribs. If, without changing the position of the wrist, clasp your back with your palm, you get a posterior projection of the right hypochondrium.
Shadows from such internal organs, how: 
liver, gallbladder bend of the colon (part of the large intestine) the upper part of the right kidney adrenal gland and the peritoneal part of the right half of the diaphragm separating the chest and abdominal cavity sometimes pains from the pancreas are reflected here, duodenum, bile ducts, inferior vena cava.
Pain under the right hypochondrium in healthy people
In a number of physiological conditions, even a healthy person may experience discomfort or pain in the right side.
Pain on exertion
An untrained person taking on hard work or sports activities may experience stabbing pains in the right hypochondrium. The fact is that, on the one hand, the release of adrenaline reduces the tone of the bile ducts and promotes their stretching with stagnant bile. At the same time, the filling of the liver with blood increases, its capsule stretches and begins to prick in the hypochondrium.
If you start exercising after a hearty lunch, then sooner or later pain in the hypochondrium will almost certainly arise. Long-distance running and push-ups are especially not recommended after meals. Untrained breathing can also lead to a spasm of the diaphragm (the muscle that separates the chest and abdominal cavity), which can also cause short-term pain until breathing evens out after exertion.
But the story about the expansion of the inferior vena cava under the influence of adrenaline, which begins to put pressure on the liver during exercise, is somewhat fantastic. Although this theory is published by some medical websites, it is sad to state that adrenaline narrows the vessels (both arteries and veins), and the liver does not have pain receptors and only responds with pain to the stretching of the capsule from the inside.
Pregnancy
In pregnant women in the third trimester, the uterus is colossally stretched and presses on all organs with which it comes into contact, displacing the intestines, pressing the stump and gallbladder. Therefore, for healthy pregnant women, stitching or pressing pains in the right hypochondrium are quite common. In addition, progesterone, which preserves late pregnancy, expands the biliary tract and stimulates bile stagnation. And if you give physical activity with such a belly, then some discomfort can be felt with a high probability.
Pain in women
At the end of the menstrual cycle, some women experience a sharp imbalance between low progesterone and high estrogen, which leads to spasm of the biliary tract and can also cause colic in the right hypochondrium.
Taking hormonal contraceptives can worsen the course of premenstrual syndrome and increase the frequency of stabbing pains due to a violation of the passage of bile (see the pros and cons of oral contraceptives).
Causes of pain in the right hypochondrium
If pain in the right upper quadrant in front
Pain in the area of the right hypochondrium is given by those organs that are most closely adjacent to this area.
Liver disease
They give prolonged dull or bursting pains, a feeling of heaviness due to the plethora and edema of the organ stretching its capsule, in which there are pain receptors. And the right hypochondrium is projected by the large right lobe of the organ.
Hepatitis
Viral, alcoholic or toxic hepatitis gives a picture of intoxication (weakness, lethargy, disability) and dyspepsia (nausea, loss of appetite, vomiting). At the height of the disease, jaundice with a lemon tint of the skin and whites of the eyes joins. During the same period, urine acquires the color of beer, and feces - the color of clay due to disturbances in the exchange of bile pigments.
Cirrhosis of the liver
This is the death of its cells and restructuring with the formation of nodes that compress the bile ducts and blood vessels. This disease can be the outcome of chronic hepatitis; cardiac cirrhosis is also known against the background of disorders of the blood supply to the liver. With cirrhosis, pain in the right hypochondrium occurs almost at the very beginning of the disease, and is persistent. They are combined with enlargement of the liver and spleen, jaundice, itchy skin, insomnia, redness of the palms. Overflow of blood to the portal vein system leads to varicose veins of the esophagus, the risk of bleeding from it, the accumulation of fluid in abdominal cavity... In the later stages, the liver decreases in size, its performance decreases, the patient may die against the background of a hepatic coma.
Echinococcosis
These are cysts with a liquid content, which are caused by the worm echinococcus. Cysts are most often located in the right lobe of the liver and, as they grow, squeeze the capillaries and intrahepatic bile ducts, causing severe severity in the hypochondrium and uneven enlargement of the liver. If the cyst festers, then a cavity filled with pus develops - a liver abscess. In this case, the pain intensifies, the body temperature rises and inflammation of the peritoneum or even blood poisoning may develop.
Hepatocellular carcinoma is masked for a long time as cirrhosis and is clarified only by examination of liver tissue.
Congestive heart failure
It leads to a deterioration in blood circulation in a large circle, which leads to an increase in the liver, edema in the legs and the anterior abdominal wall, accumulation of fluid in the abdominal cavity. At the same time, heaviness is felt in the right hypochondrium. If heart failure goes into an irreversible phase, the liver may change, as in cirrhosis.
The abdominal variant of myocardial infarction is characterized by very severe burning or pressing pains in the epigastrium, in the right hypochondrium. Sometimes the pain begins like a knife blow: it is sharp and intense, it can radiate to the right shoulder blade or to the sternum. This variant of pain is characteristic of heart attacks of the posterior wall of the heart muscle. Also, these pains can be wavy in nature (decrease and increase after 30-60 minutes), may be accompanied by rhythm disturbances, a drop in pressure, pallor and shock.
Colon
It gives pain the more, the more it stretches. So, any bowel disease, accompanied by flatulence, will give a sharp, almost unbearable pain. In this case, the pain from inflammation of the intestine or its destruction will be less pronounced until the peritoneum is included in the process, the irritation of which can lead to painful shock (injury to the intestine). Since the bend of the colon, which is located in the right hypochondrium, is only a part of the intestine, the pain will spread to the umbilical region and to the entire right side to the groin.
Colitis gives severe spastic pain and stool disturbances (constipation with a spastic variant or diarrhea with an infectious one), flatulence and malabsorption. Ulcerative colitis (in 20% of cases) and Crohn's disease can cause inflammation of the entire intestine, severe bleeding, stools with pus and mucus and be complicated by intestinal obstruction, suppuration or intestinal necrosis. Pain in this case is characteristic not only of the hypochondrium, but also of all the lower abdomen, has the character of spasms and is combined with bloating. Tumors most often give a clinic of intestinal obstruction and a picture of an acute abdomen, diffuse pain, symptoms of irritation of the peritoneum, pallor, cold sweat, and a drop in pressure. With appendicitis, pains, starting in the epigastrium, gradually descend through the area of the right hypochondrium into the right iliac region.
Gallbladder disease
They give the highest percentage of intense and sharp (cutting or stabbing pains), which are characteristic of acute inflammation. In this case, a displaced stone that closes the lumen of the neck of the bladder or bile duct or bacterial flora may be to blame for the inflammation. Pain in acute inflammation occurs at the point between the rectus abdominis muscle on the right and the costal arch. They are cramping, strong, radiating to the right shoulder or left hypochondrium. There may be bitterness in the mouth, belching of air, nausea and vomiting of bile. Sometimes the body temperature rises. For calculous cholecystitis, the development of obstructive jaundice with a yellow-green tint of the skin and mucous membranes is typical.
For chronic cholecystitis, aching dull pains, sometimes radiating to the shoulder blade, morning bitterness in the mouth, moderate nausea, appetite disorders, bloating, intolerance to fatty and fried, a slight yellowish tint of the whites of the eyes and skin are more common.
Pain in the right hypochondrium behind
In this area, injuries of the lower ribs, intercostal nerves, right kidney, adrenal gland, and inferior vena cava most often hurt.
Urolithiasis disease
Diseases of the right kidney and, first of all, urolithiasis can cause intense pain. The stone or sand, which began the journey from the renal pelvis, scratches it, and then the ureter, so pain in renal colic will be not only in the projection of the lower ribs, but also in the lower back and in the lateral abdomen. The pain is paroxysmal and severe. She gives to the thigh, genitals. When tapping the edge of the palm along the lower back, the pain intensifies and can radiate to the groin. In this case, traces of blood may appear in the urine. In some patients, renal colic is accompanied by vomiting.
Pyelonephritis
Acute infectious inflammation of the kidney - pyelonephritis - a process in which there is pain in the kidney area, fever, intoxication.
There may be pain at the end of urination, frequent urination (including at night) and false urge. In some cases, edema appears on the face.
Apostematous pyelonephritis is a formation of purulent inflammation in the kidney, which can be limited (abscess or carbuncle) or diffuse.
In this case, the pains acquire a constant pulling character, the temperature rises and there may be a decrease in daily urine output (up to a complete cessation of urination).
Renal papillary necrosis
It can be a consequence of oxygen starvation of the renal tissue when the vessels that feed it are blocked (by infectious agents or in diabetes mellitus). In this case, the pain is constant, combined with blood in the urine. The patient may die from septic shock.
Acute upper paranephritis
This is an inflammation of the fatty tissue in the upper part of the kidney against the background of infection from the tonsils, carious teeth or other foci of inflammation. First, there is a temperature up to 38, moderate lower back pain on the affected side. After 2-3 days, the pain moves to the right hypochondrium, intensifies with a deep breath. Lower back pain worsens with a sharp straightening of the body and when walking.
Kidney cancer
If a tumor develops in the kidney, then for a long time it does not manifest itself. In the later stages, bleeding and constant non-intense pain in the projection of the kidneys appear. If the tumor interferes with the outflow of urine, then acute pain and episodes of acute urinary retention may occur.
Right adrenal gland
most often gives pain in large tumors. Pheochromocytoma is accompanied by a persistent increase in blood pressure, myocardial dystrophies, disorders heart rate... Aldosteromas change the body's water balance, corticosteromas disrupt metabolism, corticoestromes contribute to the feminization of men, corticoandosteromas form secondary male characteristics in women.
Rib bruises
Contusions of the posterior segments of the 10th, 11th and 12th ribs give pronounced constant aching-gnawing pains, accompanied by a characteristic crunch in fractures. The pain is aggravated by deep breaths, coughing, or bending in a healthy direction.
Intercostal neuralgia
In the right hypochondrium behind, intercostal neuralgia (severe stabbing pain that restricts mobility and intensifies when turning, bending, deep inhalation) or muscle inflammation (myositis) may appear.
Osteochondrosis of the lumbar spine
It gives pains of varying intensity, which are accompanied by limited mobility, muscle tightness and tension symptoms. Pain in this case can be from aching to shooting of varying degrees of intensity.
Shingles
Herpetic eruptions along the nerve, in which there is a row of vesicles with cloudy contents against the background of a reddened strip of skin, reminiscent of a belt strike. At the site of the lesion there is a strong burning sensation, itching of the skin and pain.
Vena cava thrombosis
A rare variant of thrombosis of the inferior vena cava (when a thrombus comes from the iliac veins and clogs the main vein trunk) gives pain in the lower back (right hypochondrium from the back) and a clinic similar to the late stage of kidney tumors. If the hepatic segment is thrombosed, then intense pain will arise in the right hypochondrium in front and will be given under the right scapula. This will cause fluid accumulation in the abdominal cavity and jaundice.
Sharp pain
Acute pain in the right hypochondrium is characteristic of urgent surgical conditions, united by the concept of “acute abdomen”.
Injury to internal organs (injuries to the liver, kidney, colon, ruptures of the liver, gallbladder or kidney, hematomas of the liver and kidney). Acute inflammation of the gallbladder, acute pancreatitis, appendicitis at the beginning of the inflammation. Bowel perforation (duodenal, colon), diverticulum rupture. Intestinal obstruction, blockage of the bile ducts. Thrombosis of arteries and veins feeding internal organs and leading to organ necrosis.
At the same time, the pain is very intense, it can lead to painful shock, a drop in blood pressure, loss of consciousness, disruption of the kidneys and heart. The blockage of the hollow organs often results in cramping pain. Bleeding is accompanied by acute anemia and can lead to hemorrhagic shock. In patients with an acute abdomen, the muscles of the abdominal wall are tense, which are trying to protect the right hypochondrium. The pain can be diffuse or punctate, but in any case it is quite intense and sometimes becomes unbearable.
Acute compressive pain in the form of a prolonged attack is also characteristic of the abdominal form of myocardial infarction. Simulates an acute abdomen and renal colic, sometimes intestinal infections, ulcerative colitis. Sharp enough and severe pain happen with fractures of the ribs.
Dull pain in the right hypochondrium
Dull aching pain is a common symptom of chronic inflammation. This is the nature of the pain in the following pathologies.
Heaviness in the right hypochondrium
The feeling of heaviness under the right costal arch accompanies the edematous liver against the background of congestive heart failure, hepatitis, fatty hepatosis, hypomotor dyskinesia of the biliary tract, part of chronic cholecystitis.
Pain after eating
Food intake accelerates the secretion and movement of bile, increases blood circulation in the liver and stimulates intestinal peristalsis. Therefore, food provokes pain in pathologies of the liver, gallbladder, intestines. In this case, the nature of the pain can be different: nausea and dull pain are characteristic of cholecystitis, sharp pain of a spastic nature accompanies colitis and intestinal dysbiosis, stitching pains accompany biliary dyskinesia or cholelithiasis.
Pain after exercise
Stitching or pulling pain occurs after physical exertion with congested liver, with hepatitis or cirrhosis. An attack of calculous cholecystitis can be provoked by both physical activity or exercise, and shaking driving.
But with hypomotor dyskinesia of the biliary tract, the load somewhat improves the passage of bile and the discomfort may even pass.
They provoke stress and deterioration in intercostal neuralgia, myositis, osteochondrosis, rib fractures, vena cava thrombosis.
What to do?
When pain in the right hypochondrium is concerned, you should consult a doctor. Independent attempts to cope with pain with the help of antispasmodics, such as drotaverine or no-shpa, can smooth out the picture of many acute conditions of internal organs, and this can lead to untimely assistance and a poorer prognosis for the patient.
Heating pads or painkillers containing non-steroidal anti-inflammatory drugs are generally contraindicated until the cause of the pain is clarified, as they can be very harmful (for example, provoke internal bleeding).
For any acute abdominal pain, it is advisable to call an ambulance station or contact the surgeon on duty at the nearest hospital on your own. If there are no indications for hospitalization and emergency treatment, doctors will refer the patient to colleagues at the clinic to clarify the diagnosis and select treatment.
Contacting a polyclinic should start with a visit to a therapist, who, if necessary, will appoint a consultation with a surgeon, neuropathologist, cardiologist, endocrinologist.
Remember that abdominal pain is impractical and often life-threatening. The sooner the patient is examined by a specialist, the more chances he has to get out of the situation with pain in the hypochondrium with the least loss.
Pain in the right side under the ribs can be a symptom of a wide range of diseases, since this quadrant of the abdomen contains a large number of vital organs: liver, kidney, gallbladder, duodenum and pancreas.
In some cases, pain from the diaphragm or small intestine... Due to the fact that the hypochondrium is permeated with many nerve endings and muscle fibers, the pain sensations are intense and harsh. To make an accurate diagnosis, it is necessary to describe the symptoms in as much detail as possible and indicate the exact location of the pain.
Localization and nature of pain
At the initial examination, the therapist determines the possible disease using two-handed palpation of the abdomen. Depending on the location and nature of the pain, the doctor may suggest which internal organ is damaged and requires additional diagnostics. To do this, the patient must indicate the place of the most intense pain sensations: in front, on the side or behind.
Front and side under the ribs
Liver disease
Liver pathologies are most often the cause of pain in the right side, since this organ occupies almost the entire cavity in the right hypochondrium. The liver is a vital organ that acts as a filter to cleanse the body of harmful substances. The most common liver diseases that are characterized by pain in the right side include the following:
Hepatitis
Infectious liver disease caused by hepatitis A, B, C, D viruses. Infection occurs parenterally (through the blood), mainly when using syringes with infected needles. Hepatitis is also transmitted during childbirth from mother to child and through sexual intercourse.
This pathology can occur in both acute and chronic forms. Pain in hepatitis is dull, aching, pressing in nature and is localized in front of the right side under the ribs. They intensify with a sharp breath, bending forward, or pressing on the abdomen.
In addition to pain, hepatitis has a number of characteristic symptoms:
jaundice of the skin, constant nausea, general weakness and dizziness, lack of appetite.
It is possible to determine the presence of the hepatitis virus in the body using a blood test. Hepatologists (in the chronic form) and infectious disease specialists (in the acute course of the disease) are engaged in the treatment of the liver. Treatment for hepatitis should focus on killing the virus and repairing liver tissue (preventing cirrhosis). Antiviral therapy is carried out using drugs based on nucleosides and interferons. Long-term neglect of symptoms and lack of treatment can lead to advanced cirrhosis, and, as a result, to the need for a liver transplant.
Liver diseases are treated only under the supervision of a specialist.
Cirrhosis
Inflammatory liver disease of a chronic nature, in which there is an irreversible change in the epithelium of the organ, as a result of the replacement of parenchymal tissue with connective fibers (scars). The volume of healthy tissue decreases and the liver stops working normally.
The reasons for the development of cirrhosis include:
viral hepatitis, long-term alcohol use, Budd-Chiari syndrome, severe chemical poisoning, advanced pathologies of the bile ducts.
Pain in cirrhosis is strong and has a pulsating, sharp character. Strengthened with exercise, deep breaths and changes in the position of the trunk. In addition to pain in the side on the right, cirrhosis is characterized by a feeling of bitterness in the mouth, yellowness of the skin, a sharp decrease in weight, and impaired stool (diarrhea and flatulence).
It is possible to diagnose cirrhosis of the liver using a comprehensive examination, which includes:
biochemical blood test, ultrasound, tissue biopsy, coagulogram, CT.
Treatment is prescribed by a physician hepatologist and consists in eliminating the cause of the disease, following a strict diet and avoiding alcohol. The advanced stages of cirrhosis require urgent transplantation of the donor organ, otherwise the liver will completely lose its efficiency and death will occur.
If the treatment of cirrhosis is started on time, then the likelihood of a favorable outcome increases several times.
Gallbladder disease
The gallbladder is a small organ in the digestive system located under the liver. The main function of this organ is to accumulate and excrete bile (a liquid that promotes the absorption of fats and the movement of food through the digestive tract). Diseases of the gallbladder, which are characterized by pain in the hypochondrium on the right, include:
Dyskinesia of the gallbladder
Disease of the gallbladder, in which the contractility of the walls of the organ decreases and the processes of excretion of bile are disrupted. As a result, there is an accumulation of bile in the body.
The causes of dyskinesia include:
improper diet (predominance of fatty / fried foods, egg yolks), chronic diseases Gastrointestinal tract, stress, menopause in women, hormonal imbalance.
There are two forms of this disease:
hyperkinetic (an increase in the frequency of organ contractions); hypokinetic (a decrease in the frequency of organ contractions).
Pain with dyskinesia of the gallbladder is of a short-term and pulsating character. Increased after eating fatty or spicy foods. In addition to severe pain in the right hypochondrium, dyskinesia is characterized by the appearance of a bitter taste in the mouth, nausea, loss of energy, diarrhea and flatulence.
You can diagnose gallbladder dyskinesia using:
biochemical blood test, ultrasound, duodenal intubation.
Treatment is prescribed by a gastroenterologist and consists in adherence to a diet, the use of choleretic drugs, antispasmodics and physiotherapy procedures. If the disease is not treated, complications may arise, incl. leading to the removal of the organ.
Cholelithiasis
A disease in which stones form in the gallbladder and bile ducts. The main causes of gallstone disease include prolonged accumulation of bile in the cavity of the organ and an increase in the concentration of mineral salts in the composition of bile due to metabolic disturbances in the body. Stones form from large particles of bile that cannot leave the gallbladder on their own.
Pain in gallstone disease is characterized by periodic bouts of colic, which are accompanied by a sharp throbbing pain in the right abdomen. They intensify after eating fatty or spicy foods, pressing, bending forward and to the sides. In addition to severe pain in the front in the right hypochondrium, gallstone disease is manifested by nausea, diarrhea, indigestion, flatulence.
biochemical blood test, ultrasound, cholecystocholangiography.
Treatment is prescribed by a gastroenterologist and consists of removing or destroying stones, following a strict diet, and taking anti-inflammatory drugs. Stones can be removed with lithotripsy, acid dissolution of the stones, and surgery. Lack of treatment can lead to increased pain and inflammation of the gallbladder, followed by removal of the organ.
Acute cholecystitis
An acute disease of the gallbladder, in which a rapid inflammation of the walls of the organ develops. The main causes of acute cholecystitis are blockage of the bile ducts with stones and infection that causes inflammation (streptococcal, intestinal, staphylococcal).
Severe pain with cholecystitis occurs in the right hypochondrium and has a constant, pressing character. They intensify with a sharp breath and after eating fried or fatty foods, egg yolks.
Besides characteristic pain cholecystitis is accompanied by:
nausea, stool disorder (diarrhea or constipation), flatulence, belching, bitter taste in the mouth, fever.
This disease can be diagnosed using a biochemical blood test, ultrasound of the gallbladder and ducts. Treatment is prescribed by a gastroenterologist and consists in relieving inflammation, cleansing the stomach and intestines, taking antispasmodics, and following a strict diet. In some cases, a cholecystectomy is performed (a needle is inserted into the gallbladder through which stagnant bile is removed).
Launched cholecystitis can lead to increased pain and subsequent removal of the organ.
Diaphragm diseases
The diaphragm is a muscular septum that separates the abdominal organs from the chest. The diaphragm is located under the ribs (below the lungs) and participates in the breathing process, expanding with inhalation. Pain on the right in the hypochondrium can cause the following pathologies of the diaphragm:
Hernia of the diaphragm
A disease in which internal organs penetrate from the chest into the abdominal cavity and vice versa. The causes of a hernia include a congenital or acquired defect of internal organs: a short esophagus, weakness of the diaphragm muscles. When the hernia reaches a large size (up to 5 cm), pain occurs in the area of the solar plexus, which is given to the area of the right hypochondrium. The pain has a periodic, pressing character. It intensifies with a sharp breath, bending forward and pressing on the area under the ribs.
In addition to pain, in the right hypochondrium may occur:
shortness of breath, heaviness after eating, bloating, lack of oxygen.
It is possible to diagnose a hernia of the diaphragm using ultrasound and MRI. The surgeon is involved in the treatment of this disease. The defect can be eliminated only by surgery.
If the disease is not treated, then the hernia will reach enormous sizes and interfere with the functioning of neighboring organs.
Diaphragmatitis
A disease in which the outer membrane of the diaphragm, the pleura, becomes inflamed. The source of inflammation is an abdominal abscess, peritonitis, or other inflammatory diseases Gastrointestinal tract. Pain with diaphragmatitis occurs when breathing (inhale / exhale) and has an aching character. It intensifies with a change in the position of the body (turns to the sides).
In addition to pain, the following symptoms may be present:
fever, pulmonary edema, bloating, difficulty breathing (it is impossible to breathe in deeply).
Treatment is prescribed by the surgeon and consists of anti-inflammatory therapy and removal of edema. Lack of treatment can lead to suffocation.
Diseases of the duodenum
The duodenum is located between the stomach and small intestine. In the cavity of this intestine, food is broken down into proteins, fats and carbohydrates with the help of enzymes secreted by the pancreas. Pain in the area of the right hypochondrium in front can be caused by the following pathologies of the duodenum:
Ulcer
A disease in which wounds or ulcers form in the walls of the intestine. The culprit for the weakening of the protective functions of the duodenum are the microbes Helicobacter pylori, which destroy the mucous membrane, forming ulcers. This microbe can be found in every second inhabitant of the planet, but peptic ulcer disease affects not everyone.
The reasons for the activation of the microbe include:
unhealthy diet, stress, alcohol abuse, fatty / fried foods, hereditary predisposition.
Severe pain in peptic ulcer disease is localized in the hypochondrium and has a constant and aching character. It increases with pressure and after drinking alcohol.
In addition to severe pain in the right hypochondrium, the ulcer causes:
nausea, loss of appetite, weight loss, stool problems.
Ulcer treatment is prescribed by a gastroenterologist and consists in restoring the intestinal walls, killing bacteria and following a diet. If the ulcer is left untreated, there is a risk of perforation and peritonitis.
Chronic duodenitis
A disease in which inflammation of the duodenum occurs. Duodenitis can occur in both acute and chronic form. The causes of this disease include unhealthy diet (excess of fried and fatty foods) and alcohol abuse. Pain with duodenitis is localized in the area of the right hypochondrium in front and has a bursting, paroxysmal character. Strengthens when turning and tilting the body to the sides.
In addition to the characteristic pain in the hypochondrium, duodenitis causes:
constant nausea, indigestion, stool disturbance (diarrhea and flatulence).
Treatment of duodenitis is prescribed by a gastroenterologist and consists in following a strict diet, restoring intestinal microflora and normalizing digestion processes. If duodenitis is left untreated, an ulcer may occur.
Diseases of the pancreas
The pancreas is an organ in the digestive tract that is involved in the production of digestive enzymes that help the body absorb food. In addition to actively participating in digestion processes, this organ produces the hormone insulin, on which the blood sugar level depends.
Pancreatitis
A disease in which the pancreas becomes inflamed. The disease can occur in both acute and chronic forms.
The causes of pancreatitis include:
diseases of the duodenum, abdominal trauma, helminthic invasions, hepatitis, mumps, hereditary predisposition.
Pain in pancreatitis is localized in the left hypochondrium, with the exception of inflammation of the pancreatic head, since in this situation the pain radiates to the right.
The pain is shingles and sharp. Also, pancreatitis is accompanied by:
nausea, diarrhea, vomiting, general weakness, dizziness.
Diagnostics is carried out using ultrasound, two-handed palpation, blood and feces analysis. Treatment of pancreatitis is prescribed by a gastroenterologist and consists in eliminating the primary disease, following a diet, restoring intestinal microflora and normalizing digestion.
If pancreatitis is left untreated, cholecystitis, ulcers, or peritonitis will occur.
Pain due to helminths
Ascariasis
A disease in which the intestines are affected by the largest helminths ascaris. The maximum length of these worms can reach 15 cm. They live in the small intestine, do not cause symptoms in the anus. Infection occurs when the larvae or eggs of ascaris enter the body.
The main causes of ascariasis include the consumption of unwashed vegetables and fruits that have come into contact with animal feces.
Pain in this disease is localized in the right hypochondrium in front, and has a constant, aching character.
In addition to pain, ascariasis is characterized by:
increased appetite, weight loss, nausea, diarrhea.
Diagnosed by stool analysis and biochemical blood tests. Treatment is carried out medications... If ascariasis is not treated, the helminths will penetrate into the organs and disrupt their work.
Giardiasis
Pain with giardiasis is localized in the upper abdomen, radiating to the right hypochondrium. The pain syndrome increases with inflammation and acute giardiasis.
Also, this disease is accompanied by:
vomiting, nausea, skin rash, drastic weight loss.
Giardiasis is diagnosed with a stool test. Treatment consists in adherence to a diet, the use of medications, and restoration of the intestinal microflora. Why lamblia settled in the small intestine, only the doctor can answer after the examination.
Below the edges
Diseases of the small intestine
In the small intestine, there is a process of splitting complex substances into simpler ones and their subsequent absorption into the blood. The walls of the small intestine absorb useful minerals, vitamins and salts from food, which are the main building blocks for the human body.
Chronic enteritis
Inflammatory disease of the small intestine, in which there is a dysfunction of the digestive system. The main cause of inflammation is pathogens infectious diseases intestines (rotaviruses, dysentery, yersinia, salmonella).
The chronic process develops after an acute infection, when the pathogen is defeated. Pain in chronic enteritis occurs in the area of the right side below the ribs and has a pulsating, pressing character. Aggravated by inhalation and after eating fatty / fried foods.
In addition to the characteristic pain, enteritis is accompanied by:
bloating, problems with stool (diarrhea, constipation, flatulence), sharp weight loss, deterioration of potency in men.
You can diagnose chronic enteritis using:
coprograms, absorption tests, bacteriological analysis of feces, biochemical blood analysis, endoscopic examination.
Treatment is prescribed by a gastroenterologist and consists in eliminating the infection, restoring intestinal functions (treating dysbiosis), following a diet.
If enteritis is left untreated, intestinal obstruction and peritonitis will occur.
Gluten Enteropathy (Celiac Disease)
Congenital disease in which there is an insufficient production of the enzyme peptidase, which is involved in the breakdown of gluten. As a result of this disease, a toxic effect is exerted on the walls of the small intestine from uncleaved enzymes, the intestinal lining becomes thinner and damaged, disrupting the digestion processes.
Pain in celiac disease occurs in the right side below the ribs and is aching, constant. They intensify with a sharp breath, leaning forward and after eating foods containing gluten (pasta, bakery and other products containing cereals). In addition to the characteristic pain, enteropathy is accompanied by constant nausea and severe diarrhea.
You can diagnose this disease using:
Ultrasound, biochemical blood test, absorption tests.
Treatment is prescribed by a gastroenterologist and consists in restoring bowel function and following a strict gluten-free diet. If the disease is left untreated, peritonitis will develop.
Appendicitis
Chronic appendicitis
A disease in which the appendix periodically becomes inflamed under the influence of external or internal factors.
The causes of chronic appendicitis include:
sluggish infection, adhesions and scars on the walls of the organ, unhealthy diet, alcohol and smoking abuse.
The pain is aching, pressing in nature and is localized in the area of the right side below the ribs, radiating to the hypochondrium. Pain sensations intensify after physical exercise, tilts left / right.
Diagnostics is carried out using X-ray, ultrasound, blood tests. The treatment is carried out by a gastroenterologist and a surgeon. As a rule, with a long chronic process, the appendix is removed.
Acute appendicitis
A disease in which acute inflammation of the appendix occurs. The pain has a cutting, paroxysmal character and is localized in the lower abdomen on the right, giving to the hypochondrium. In addition to pain in the hypochondrium, acute appendicitis is accompanied by:
increased body temperature, nausea, vomiting, diarrhea, loss of consciousness.
Diagnostics is carried out using two-handed palpation, blood tests and ultrasound. Acute appendicitis can only be treated by removing the inflamed appendix. Why the appendix is inflamed, only a doctor can tell after an examination.
Lack of timely medical care can lead to peritonitis, internal bleeding and death.
Female and male diseases
Pain in the right hypochondrium can occur due to gynecological problems in women and urological problems in men. Diseases of the female genital area that cause this symptom include ovarian cysts, ectopic pregnancy, and tumors of the appendages. Diseases of the male genital area include adenoma prostate, prostatitis, inflammation or rupture of the testicle. As a rule, pain in these diseases is localized in the lower abdomen, but can spread throughout the abdomen, radiating to the area of the right hypochondrium.
If there is a suspicion of diseases of the genital area, women need to contact a gynecologist, and men - to a urologist.
Behind
Pain in the right side of the back appears also is a fairly frequent guest and can be caused by diseases of the lungs, musculoskeletal system, kidneys and urinary system. Pain in the right hypochondrium in case of lung pathology (tuberculosis, bronchitis, inflammation) is distinguished by a return to the chest area. An increase in pain can be seen with coughing fits and deep breathing. Pain syndrome with osteochondrosis occurs when the body bends and turns. Increased pain can be seen when a vertebra or nerve endings are pinched in the right rib area. In case of kidney pathology (pyelonephritis), the pain is of a girdle nature and radiates to the coccyx area.
This article discusses only a small part of the diseases in which pain appears in the right side under the rib, but even this small list shows that it is not worth joking with these signals from the body. For any similar symptoms, it is necessary to urgently consult a doctor, since delay can lead to irreversible consequences, for example, the need to remove the organ, and, as a result, a sharp deterioration in the quality of life, disability, and the obligation to use drugs for the rest of your life.
Do you still feel that it is difficult to heal your stomach and intestines?
Judging by the fact that you are now reading these lines, victory in the fight against diseases of the gastrointestinal tract is not yet on your side ...
Have you already thought about surgery? This 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 disorder ... All these symptoms are familiar to you firsthand.
But perhaps it is more correct to treat not the effect, but the cause? Here is the story of Galina Savina, about how she got rid of all these unpleasant symptoms ... Read the article >>>
Quite often, when going to see a therapist, people complain of aching, dull pain in the right hypochondrium.
Right hypochondrium syndrome is an indicator a large number various diseases, however, it so happens that discomfort in the right side of the body worries and quite healthy people.
In this area are located such important organs as the kidney, pancreas, gallbladder, liver, diaphragm. Now we will talk about what can cause pain in the back, right upper quadrant and right side.
Possible causes of pain
Pain in the right hypochondrium can be the result of certain diseases:
- gallbladder (maybe - bile stasis);
- pancreas (tumors and);
- diaphragm (diaphragmatitis, tumor, hernia);
- liver (such as - and);
- intestine (,);
- right kidney (, urolithiasis);
- heart diseases ( , );
- right lung disease (, lung cancer);
- tumors of all of these organs;
- trauma to the listed organs;
If you look at the statistics, then the bulk of people complain of pain in the right hypochondrium due to diseases of the gallbladder.
Pain in the right hypochondrium in front
If it hurts on the right under the rib in front, the cause may be diseases of such organs as:
- hepatitis, cirrhosis, bile stasis;
- acute or chronic cholecystitis, cholelithiasis;
- pancreatitis, pancreatic cancer;
- duodenal ulcer and appendicitis;
- diaphragmatic hernia;
- myocardial infarction or with angina pectoris;
- shingles;
- pleurisy, pneumonia;
- , amoebiasis,.
Pain in the right hypochondrium behind
In this area, injuries of the lower ribs, intercostal nerves, right kidney, adrenal gland, and inferior vena cava most often hurt.
- urolithiasis disease;
- pyelonephritis;
- necrosis of the renal papillae;
- acute upper paranephritis;
- kidney cancer;
- right adrenal gland;
- bruised ribs;
- shingles;
- vena cava thrombosis.
Most often, pain in this area is associated with the pathology of the right kidney - pyelonephritis (chronic or acute).
Pain in the right hypochondrium radiating to the back
If pain is given to the back, then the reasons may be as follows:
- The liver is inflamed, with viral hepatitis and other abnormalities in the work of the organ;
- With injuries to the intestines, gallbladder and the right side of the diaphragm;
- With a hernia of the spine, osteochondrosis, arthrosis of the intervertebral joints;
- With inflammation of the gallbladder and;
- With pancreatitis, ulcers and other pathologies of the pancreas;
- With renal pathology, abscesses, abscesses and kidney stones.
Aching, dull pain in the right hypochondrium
Dull aching pain is a common symptom of chronic inflammation. This is the nature of the pain in the following pathologies.
Pain during exercise
Very often, pain in the right hypochondrium occurs during physical activity (running, brisk walking), which can be tingling or aching. As a rule, the reason arises if this load began abruptly and at a high rate.
Accordingly, with such a load, blood flow increases, and a large blood flow is directed to the liver, causing stretching of its capsule, and reflexively manifests itself in pain.
Acute cholecystitis
The most dangerous form of the disease develops rapidly, accompanied by pronounced symptoms:
- severe paroxysmal pain in the gallbladder;
- deterioration in health;
- nausea and repeated vomiting;
- an increase in body temperature;
- lack of appetite;
- indigestion (constipation, diarrhea, increased gas production in the intestines).
Chronic cholecystitis
The main symptom of chronic cholecystitis is pain in the right hypochondrium - prolonged or paroxysmal, radiating to the scapula and right shoulder. It can spread to a fairly wide area of the chest and back. Sometimes the pain is accompanied by weakness, cardialgia, fever, and other symptoms.
Outside of exacerbations, the patient from time to time experience a dull pain in the epigastric region and in the right hypochondrium. During exacerbations, the symptoms of chronic cholecystitis are similar to those of the acute form of the disease.
Cholelithiasis
While the stones are in the gallbladder, the patient may not even be aware of his illness. A person can suspect this disease only during the first warning signs: bitterness in the mouth, discomfort in the right hypochondrium, heartburn, belching and nausea.
If a stone from the gallbladder enters the bile ducts, then at this moment an attack of gallstone disease (biliary colic) occurs.
Acute pyelonephritis
The clinical picture of pyelonephritis is characterized in typical cases by three main symptoms:
- temperature rise to 38-40 ° C and chills;
- disorders of urination;
- back pain.
Other common symptoms: weakness, malaise, decreased appetite, nausea, vomiting, headache, muscle and joint pain, profuse sweating.
Lumbar pain in the early days does not have a clear localization, then they are precisely defined at the level of the diseased kidney. The pain can be given to the hypochondrium, groin, genitals. The pain is worse when moving, coughing, and at night. Urination becomes rapid and painful.
Chronic pyelonephritis
Despite the non-specificity of the symptoms of the disease, there are some signs of chronic pyelonephritis that should be paid attention to.
- an unreasonable increase in temperature in the evening up to 38 ° C and above,
- fatigue, weakness,
- frequent headaches
- feeling that the lower back is constantly freezing,
- the occurrence of pain in the lumbar region, especially when walking,
- frequent urge to use the toilet,
- changes in the color of urine, its clouding,
- the appearance of an uncharacteristic unpleasant odor in urine.
The clinical picture of the disease depends on the presence of concomitant urological diseases and on its pathogenesis.
Common symptoms of hepatitis C
In general, hepatitis C is an asymptomatic disease, diagnosed more often by accident when people are examined for other diseases. Therefore, analyzes are important in timely diagnosis.
More often than other symptoms, asthenia, weakness, and fatigue are noted. But these symptoms are very nonspecific (their presence alone does not allow talking about hepatitis C). With cirrhosis of the liver, jaundice may appear, the abdomen increases in volume (ascites), spider veins appear, and weakness increases.
Treatment
If it hurts under the ribs on the right, the therapist usually prescribes a consultation with the following specialists:
- Gastroenterologist;
- Infectionist;
- Cardiologist;
- Gynecologist;
- Surgeon;
- Traumatologist;
- Endocrinologist;
- Neuropathologist.
Without establishing an accurate diagnosis in a medical institution, it is forbidden to self-medicate. In the event of acute pain, it is recommended to call an ambulance, apply cold (if it helps relieve pain).
In this case, you cannot take painkillers, so as not to distort the clinical symptoms and not complicate the correct diagnosis.
Pain in the right side under the ribs indicates a malfunction of the digestive system, diseases of the gynecological sphere, discomfort can be caused by pathologies of the heart, musculoskeletal system. Unpleasant sensations are different in nature and duration, accompanied by certain signs.
There can be many reasons for pain in the right side under the ribs.
Causes of pain in the right side under the ribs
In the right upper abdomen is the liver, gallbladder, duodenum, kidney, part of the diaphragm. The cause of pain in this zone can be female diseases osteochondrosis, heart attack, angina pectoris, pathology of the lung, pancreas, shingles.
Why does it hurt right in front
In case of malfunctions in the liver, gallbladder, stomach, pathological processes in the lungs and diaphragm, heart disease, discomfort is localized in the anterior right hypochondrium of the abdomen.
Major diseases:
- tumors and cirrhosis of the liver, various forms of hepatitis;
- cholecystitis, gallstones;
- dysfunction of the pancreas;
- diaphragmatic hernia;
- inflammation of the appendix;
- heart attack, angina pectoris;
- right-sided inflammation of the lungs - the pain syndrome manifests itself brighter during coughing, with a deep breath;
- shingles.
If pain appears under the ribs on the right in front, then this may indicate a diaphragmatic hernia.
The reasons for the appearance of discomfort under the ribs in the back on the right
If the pain syndrome from the right ribs spreads back, this is a sign of the presence of pathologies in the organs of the urinary system.
Why does pain appear in the back under the right ribs:
- with pyelonephritis, paroxysmal pain, radiates to the lumbar region;
- urolithiasis - the severity of the pain syndrome depends on the size of the stone;
- acute attack of pancreatitis;
- lumbar osteochondrosis, intervertebral hernia- the pain is sharp or muted, it manifests itself more intensely when moving, it is difficult for a person to sit.
Dagger pain in the right back often appears after back injuries, worsening when walking - such symptoms indicate the formation of a hematoma behind the peritoneum.
Dull pain under the ribs is a sign of pancreatitis
Pain in the area of the right hypochondrium at night, early in the morning or immediately after eating is a sign of a duodenal ulcer. The disease is accompanied by vomiting, bloating.
Aching pain on the right
Constant aching pain in the area of the right hypochondrium is one of the main signs of hepatic pathologies.
Why pulls in the right side:
- Viral hepatitis - the disease can proceed for a long time without special symptoms, the development of pathology is evidenced by periodic tingling, pulling pains under the right lower rib, severe fatigue, the skin becomes yellowish, urine becomes cloudy.
- Cirrhosis of the liver - a aching pain syndrome occurs at a late stage in the development of pathology, indicating the death of a large number of cells.
- Liver tumors of a malignant nature - periodic pain, pressing, while the person dramatically loses weight, complains of severe fatigue, low-grade fever.
Acute or dull pain without other signs of inflammation, problems with the digestive system often has a psychosomatic origin, occurs with vegetative-vascular dystonia.
Aching pain on the right indicates cirrhosis of the liver.
Sharp pain in the right side
Pain syndrome of an intense, burning character is a sign of a strong inflammatory process, exacerbation of chronic gastrointestinal pathologies.
As evidenced by severe pain:
- Cholecystitis - an attack begins unexpectedly, more often at night, accompanied by a burning throbbing pain, the stomach is cramping. In the acute form, the pain radiates to the arm, bothering with frequent bouts of vomiting.
- Ulcerative duodenitis of the duodenum - the pain has a stabbing, dagger character, aggravated during sleep, discomfort, burning sensation decrease after eating. The disease is accompanied by flatulence, vomiting, weakness.
- Renal colic - occurs when the stones move, the pain is sharp, severe, when the position of the body changes, the condition does not improve.
- Pancreatitis - shoots in the side, the pain is pulsating, encircling, rumbles in the abdomen, spasms occur.
- Shingles is a viral disease, the initial stage is accompanied by a sharp constant pain on the right or left side, after a few days bubbles appear, they are located in the places where nerve endings pass.
Acute dagger pain in the right side, a rapid rise in temperature, vomiting is a clinical picture of appendicitis, the process is located in the iliac zone, but the pain often radiates under the ribs, in the leg, and in the pubic zone.
Before the appearance of shingles, a sharp pain appears on the right side
Pain under the right rib - gynecological problems
In women, an ectopic pregnancy, problems of the pelvic organs can provoke the appearance of discomfort in the right side.
Main reasons:
- Ectopic pregnancy - there is no menstruation, but there are spotting bloody issues against the background of pulling pain, colitis in the side, a sharp increase in discomfort indicates stretching or a violation of the integrity of the fallopian tube.
- Adnexitis - with inflammation of the appendages, the abdomen hurts below, discomfort occurs in the area of the right hypochondrium. Appear vaginal discharge interspersed with pus, nausea, the process of urination is disrupted.
- Torsion of the ovarian cyst is a severe pathology, which is accompanied by pain in the lower abdomen and right side, bleeding, fever, signs of intoxication.
Adnexitis - inflammation of the female appendages
Pain in the right side in men
Discomfort in the right hypochondrium in men occurs with alcohol abuse, often urological pathologies are the cause of unpleasant sensations.
Major diseases:
- Cavernitis - the inflammatory process is localized in the cavernous body of the penis, erectile dysfunction develops intensively. The acute stage is accompanied by high fever, swelling of the inguinal lymph nodes, tingling pain in the right side. In the chronic form, the discomfort is mild, manifests itself during emptying Bladder, during sex.
- Prostatitis - inflammation, swelling of the prostate gland, the clinical picture depends on the form of the disease. Pain from the lower abdomen can radiate to the lower back, under the ribs, to the groin area, erection worsens, urination.
- Adenoma of the prostate gland - hyperplasia of a benign nature, accompanied by a feeling of fullness, pressing pain in the lower abdomen, which radiates to the back, groin, side, a lump is felt at the base of the penis.
Severe pain can be caused by stones in the prostate gland.
Unpleasant sensations in the right hypochondrium in healthy people
Discomfort between the ribs on the right does not always indicate the presence of serious diseases; healthy people can periodically ache in this area.
Causes of pain below the ribs on the right:
- physical activity - it hurts and twitches in the right side, discomfort occurs in people who lead a sedentary lifestyle;
- during pregnancy - discomfort appears in the second trimester against the background of intensive fetal growth, which presses on the internal organs;
- PMS - discomfort occurs when the level of estrogen is high, which cause spasms of the biliary tract.
Which doctor should I go to?
If the pain in the area of the ribs is of a prolonged nature, it is necessary. After carrying out the initial diagnosis, he can write out a direction,.
Diagnosis of pain in the right hypochondrium
The doctor makes a preliminary diagnosis after examining the patient, taking anamnesis, studying the medical history; during the physical examination, the specialist measures the pressure, temperature, and pulse rate. Then he prescribes a comprehensive examination to confirm the diagnosis.
Diagnostic methods:
- clinical, biochemical blood test;
- general urine analysis;
- coprogram;
- tumor marker test, biopsy;
- bacteriological analysis of a smear from the vagina or urethra;
- Ultrasound of the pelvic organs and abdominal cavity:
- cardiogram;
- X-ray with or without contrast agent;
- endoscopy;
- CT, MRI.
Call immediately ambulance it is necessary in case of a sharp, severe attack of pain, which intensifies, with a pulling or stabbing pain syndrome, which lasts longer than 30-60 minutes.
To identify the causes of pain, you need to make a cardiogram
Treatment
Based on the results of the study, the doctor selects the appropriate medications, draws up a treatment regimen. If the discomfort is caused by problems with the digestive system, then diet therapy is additionally prescribed.
Drug therapy
To eliminate pain in the right side, different groups are used. medicines, which are aimed at eliminating the inflammatory process, restoring the functions of damaged organs.
What drugs are used in therapy:
- antispasmodics - No-shpa, Baralgin;
- broad-spectrum antibiotics - Levofloxacin, Amoxicillin;
- anti-inflammatory drugs - Metronidazole;
- hepatoprotectors - Essentiale, Karsil;
- enzymes - Mezim, Creon;
- drugs to improve the outflow of bile - Allohol;
- sedatives - Relaxil, Deprim;
- heart medications - Nitroglycerin, Verapamil, Concor.
Additionally, you should take vitamin complexes, probiotics and prebiotics to strengthen the immune system and restore the balance of the intestinal microflora.
Allochol normalizes the outflow of bile
Diet
Proper nutrition can reduce the intensity of pain syndrome, prolong the stage of remission in diseases of the digestive system. The choice of diet depends on the specific disease, but there are general recommendations.
It is necessary to completely exclude from the diet all junk food - fried, spicy, fatty, smoked foods, fast food, give up alcohol and carbonated drinks, limit the consumption of salt, coffee, sweets.
Allowed Products:
- dietary meats, fish;
- boiled eggs;
- cereals;
- pasta from hard varieties wheat;
- bran;
- seasonal fruits and vegetables;
- fermented milk products of medium fat content;
- biscuit biscuits, crackers;
- herbal teas, rosehip decoction.
Bran is very beneficial for the body.
All permitted products can be eaten boiled, baked, stewed, steamed. You need to take food regularly, 4-6 times a day, preferably at regular intervals, portions should be small, it is absolutely impossible to overeat. It is imperative to observe the drinking regime - drink at least 2 liters daily pure water without gas.
It can ache on the right side due to overeating, during physical exertion. But if discomfort occurs often, accompanied by fever, dyspeptic disorders, a general deterioration in well-being, you should undergo a comprehensive examination - timely diagnosis and proper treatment will help to avoid serious complications.
Pain is defense mechanism... Its appearance signals that not everything is in order with the body. Pain in the right hypochondrium is not uncommon. Pain in this part of the body can overtake a person once by surprise or remind of himself periodically.
Causes of pain in the right hypochondrium
Under the ribs on the right of a person there are several organs: this is the liver, the gallbladder with bile ducts, part of the colon, as well as the diaphragm. Pain in the right hypochondrium can occur directly with the defeat of these organs. However, there is also the so-called reflected pain from unhealthy organs located in another part of the abdominal and even chest cavity. For example, pain in the right hypochondrium may occur with or.
Diseases of the organs of the hepatobiliary system
According to statistics, in most cases, pain in the right hypochondrium is caused by a pathology of the gallbladder, for example. As a rule, cholecystitis develops against the background of the existing one. The stone clogs the bile duct, bile stagnates, and intravesical pressure rises. This is how the feeling of pain arises.
In acute cholecystitis, pain occurs suddenly and is intense. Pain sensations are concentrated mainly in the right hypochondrium and epigastrium. Often the pain radiates to the right shoulder, back. From pain, a person literally cannot find a place for himself and he experiences some relief if he lies on his side with his legs pulled up to his stomach.
The following symptoms also testify in favor of acute cholecystitis:
- Increased body temperature;
- bitterness in the mouth;
- bile;
- Stool disorders.
Among the chronic diseases of the biliary system, occurring with pain in the right hypochondrium, it is necessary to highlight. A person with this diagnosis is periodically disturbed by moderate or severe pain in the right hypochondrium, lasting twenty minutes or more. Sometimes pain can radiate to the right side, back. There may also be bitterness in the mouth, flatulence, loosening of the stool.
Important! When a person complains to his friends about painful sensations in the right hypochondrium, it is often possible to hear the assumption that it hurts the liver. In fact, the liver does not have pain receptors, and therefore it cannot hurt. However, the liver is covered with a capsule that can cause pain when stretched. So, people with the viral can feel a certain severity, moderate bursting pain under the right rib.
Concomitant signs of hepatitis are loss of appetite, weight loss, weakness,. For the sake of fairness, it should be noted that hepatitis often occurs "latently", when the general well-being of a person does not suffer and he learns about his diagnosis by chance during appropriate research.
Diseases of the gastrointestinal tract
Pain in the right side can also occur with. With this ailment, a person is worried about a strong diffuse pain in the upper abdomen. That is, it hurts both under the left ribs and under the right ones. Often, the pain takes on a girdle character and spreads to the back. Symptoms such as nausea, vomiting, and stool disorders also testify in favor of acute pancreatitis.
Pain in the right hypochondrium can also be observed with lesions of the colon due to infectious and non-infectious bowel diseases. But pain may not be the only symptom of an existing bowel disease. Therefore, it is always necessary to take into account the complete clinical picture in order to determine the correct diagnosis.
Intercostal neuralgia
Pain in the hypochondrium is not always caused by a pathology of internal organs. So, pain in the area of the ribs can occur with diseases of the skeleton. Such a common disease as it proceeds with degeneration of the cartilage of the spine. The altered cartilage compresses the nerves, which leads to painful sensations.
At chest osteochondrosis with the defeat of the lower thoracic vertebrae of a person, pain in the region of the ribs, hypochondrium is disturbing. This phenomenon is called intercostal neuralgia. The pain often becomes shingles. Patients describe this pain as burning, excruciating. It is characteristic that the painful sensations increase significantly after movement, coughing, deep breath. That is why a person tries not to move one more time. Also, over the affected nerve can be determined by a violation of the sensitivity of the skin in the form of numbness, a feeling of "creeping".
A similar clinic is observed with. The fact is that the Herpes Zoster virus infects nerve fibers. Intercostal nerves are often affected by the virus. In the region of the ribs, the hypochondrium of a person, pain begins to torment, there is a feeling of tingling, itching of the skin. Moreover, the pain is usually concentrated in one half of the chest.
At the same time, the patient notes a certain weakness, weakness, rise in body temperature. After a couple of days, rashes appear on the skin at the site of the lesion in the form of red spots and small bubbles with serous fluid. Soon, the bubbles break open, the liquid flows out and dries into crusts. Within a couple of weeks, all skin symptoms disappear. But at the same time, postherpetic neuralgia, manifested by pain in the intercostal spaces, may persist for some time.
Rare causes of pain in the right hypochondrium
There are cases in medical practice when pain in the right hypochondrium is not at all associated with damage to the abdominal organs. So, when the inflammation is localized in the lower lobe of the right lung, a person feels pain in the area of the right hypochondrium. Fever, distinct weakness,
If you have pain in the hypochondrium, do not delay the visit to the doctor. It can be difficult even for a specialist to identify the cause of the discomfort. In the hypochondrium zone, the thoracic and abdominal cavity is separated by a powerful muscle - the diaphragm. Above the diaphragm are the heart and lungs, and below are the liver, kidneys, spleen, stomach, pancreas and gallbladder. The domed diaphragm on the sides is protected by ribs. The esophagus, blood vessels, nerve trunks communicate with the lower parts of the body, passing through the holes in the diaphragm.
Any change, injury, spasm in the internal organs of the sternum or abdominal region causes painful sensations on the left or right.
What causes pain in the hypochondrium?
Dysfunctions, trauma to organs located above or below the diaphragm are common causes of pain in the hypochondrium. Contusion, spasm, infringement of the intercostal muscle, inflammatory or adhesions occurring in the peritoneum are also the culprits of pain of various etiologies.
The most common causes of left pain are:
- pancreatitis;
- heart disease;
- diseases of the lungs and pleura (tuberculosis, pleurisy, pneumonia, oncology, etc.);
- disruption of the gastrointestinal tract;
- injury to the spleen (overstretching of the capsule, increase in size);
- intercostal neuralgia;
- inflammatory processes in the muscles (myositis);
- injury to soft tissues or ribs.
Common causes of painful sensations under the ribs on the right:
- diseases of the lungs and pleura;
- myositis, trauma, neuralgia;
- problems with the liver, biliary tract;
- hepatitis, cholecystitis, cholelithiasis;
- helminthic invasions.
Regardless of which side the pain is found on, the reason for its appearance often lies in the pathology of a nearby organ. Factors causing pain also include emotional disorders, banal overeating, and previous illnesses that have caused complications on the internal organs (for example, the flu).
Symptoms of pain in the hypochondrium
Pain arises from exposure to damaging factors as a defensive reaction. The purpose of painful sensations is a warning function about malfunctions in the body, about developing diseases... Originating in pain receptors, pain is transmitted through nerves to the spinal cord and brain. Pain by its nature is multifaceted and varied, therefore, their manifestations have varying degrees of pain, duration and localization.
By the nature of the manifestation, the symptoms of pain in the hypochondrium can be sharp, aching, dull, shooting, stabbing, burning, etc. The appearance of an acute pain syndrome on the right most often indicates an inflammatory process or injury to the liver, gallbladder. Paroxysmal, severe pain on the right is a common symptom of gallstone disease, lung diseases, renal colic or urolithiasis.
Severe pain on the left is associated with inflammatory processes in the pancreas (pancreatitis), stomach or spleen.
Aching symptoms indicate hepatitis and cholecystitis of the chronic stage, while it is important to exclude cirrhosis, liver tumor, kidney dysfunction.
Post-traumatic pain symptoms from any side are observed with bruises, injuries of internal organs, fractures of the ribs.
Back pain in the hypochondrium
The emerging pain in the hypochondrium behind may indicate impaired renal function. The diagnosis is confirmed on the basis of tests.
Local soreness in the hypochondrium on the right indicates acute cholecystitis. The pain can be given to the area of the right scapula, shoulder, chest, to the heart region. The disease proceeds with characteristic symptoms - nausea, yellowish color skin, vomiting, fever.
An attack of pancreatitis may be accompanied by pain surrounding the chest, heart area, left shoulder blade and shoulder girdle.
On the part of the respiratory system, back pain is manifested when:
- pleurisy - cutting pain on the left or right of the chest;
- pneumothorax - pain in the sternum accompanies the soreness of the scapular zone;
- pneumonia - differs in pain of various manifestations (from moderate to severe);
- cancer of the lungs, bronchi - pain syndrome can cover the chest and shoulder.
With dysfunction of cardio-vascular system note pain in the neck, back, shoulder. Angina, for example, causes soreness between the shoulder blades. Aortic aneurysm is associated with burning, shooting discomfort in the back and left shoulder.
Pain in the hypochondrium when inhaling
Increased painfulness when breathing, coughing is associated primarily with the pleura, the heart region. Localization of dull or acute pain is found on the right or left.
Exacerbation of cholecystitis is accompanied by inflammatory symptoms - chills, intoxication, neutrophilic leukocytosis. Sharp pain on the right side increases with inspiration.
The condition of renal colic is characterized by severe pain in the hypochondrium when inhaling from the right side, radiating to the right shoulder and scapula.
Respiratory disruptions cause sharp pains when breathing, moving the body, coughing.
Intercostal neuralgia is described by sharp, shooting pains that increase with inhalation.
Stiffness of movement in the chest, soreness, shallow breathing are possible due to functional disorders of the rib frame, pleural tumors, pericarditis.
A decrease in the interpleural ligament as a result of the inflammatory process is accompanied by constant coughing, stabbing pain when inhaling, running and other physical activity.
Sharp pain in the hypochondrium
Acute pancreatic disease (pancreatitis) begins with girdle pain. The attack is characterized by a sharp pain in the hypochondrium on the left. The provocateurs of painful symptoms can be - alcohol, fatty foods, excessive food intake.
A sudden, sharp, cramping pain accompanies intestinal colic. May occur along with chills and weakness. Chronic inflammation of the gallbladder (cholecystitis) often manifests itself as a dull and aching pain under the right rib. The aggravation of the condition is observed after eating fatty foods, shaking in transport. Often there is a sharp, constricting pain. Associated symptoms- bitterness in the mouth, vomiting of bile, fever.
The appearance of a sharp soreness on the right can be associated with hepatitis, liver cirrhosis. A cutting, burning sensation under the right rib occurs with a disease of the gallbladder, when the stone moves along the bile ducts.
Pain in the hypochondrium when moving
Urolithiasis is accompanied by constant or intermittent pain under the rib on the right, intensifying during movement, travel in transport and when drinking a large volume of fluid. The process of moving the stone along the urinary tract occurs with severe pain, in which a person cannot find a place for himself in any position.
Aching, dull, prolonged pain in the hypochondrium when moving on the right, radiating to the shoulder and scapula on the right, are symptoms of liver disease. The pain syndrome increases even with a change in body position, which is associated with a rapid increase in the liver.
Impaired motility of the biliary system and, as a result, spastic contraction of the gallbladder can be caused by physical or psycho-emotional overstrain. Increased pain is observed with palpation, body movement.
Pain in the hypochondrium when coughing
Pain in the hypochondrium when coughing possible reasons appearances:
- the inflammatory process in the membrane, which is lined with the cavity of the sternum from the inside, as a result of pneumonia - there is a decrease in respiratory mobility;
- dysfunction of the rib frame, pleural swelling - accompanied by stiffness of movements;
- dry pericarditis - minimal or acute pain;
- limitation of caudal displacement, reduction of the interpleural ligament - stabbing pain sensation;
- the development of intercostal neuralgia - shooting pains;
- renal colic - manifested by pain on the right, under the spoon, spreads to the entire abdomen;
- rib fracture - characterized by sharp soreness;
- inflammation of the trachea (tracheitis), as a consequence of the flu, ARVI - "scratching" sensation behind the breastbone;
- lung cancer is characterized by a variety of pains (acute, moderate, shingles, stitching, etc.);
- pneumothorax (air in the pleural cavity) - often occurs with unbearable pain syndrome, sometimes without pain.
Pain in the hypochondrium from the back
Acute pancreatitis proceeds with nausea, vomiting, and severe sweating. An attack of pancreatitis is characterized by pain in the hypochondrium from the back, aggravated by lying down. A welcome relief comes from a seated position with the torso tilted forward.
The cause of pain in the area of the right shoulder and scapula can be diseases of the liver, biliary tract. The painful focus is on the right under the rib and is characterized by varying intensity.
A patient suffering from urolithiasis describes a dull pain under the right rib on the back.
Painful sensations on the right are inherent in intercostal neuralgia, by nature they can manifest themselves weakly or sharply.
Complaints of back pain also occur with pathologies of the kidneys, peptic ulcer 12p of the intestine. As a rule, the ulcer will manifest itself as pain on the right, kidney disease can have local soreness and shingles.
Drawing pains in the hypochondrium
Violation of the diet, excessive physical activity can cause pulling pain in the hypochondrium on the right. If in the process of brisk walking, running you have similar sensations, this may indicate the presence of congestion of the biliary tract. An attack of aching pain with a spasm reaction, a burning sensation from the intestines will confirm this diagnosis. Relief comes after a bowel movement with loose stools.
Peptic ulcer 12p intestine is often accompanied by a pulling pain and bitterness in the mouth. Chronic liver problems are distinguished by a pulling or dull aching pain on the right. Pulling pains also occur as a result of chronic hepatitis, cirrhosis, and liver tumors.
Dull, pulling pain on the left may indicate an increase in the spleen with infectious lesions. The process is accompanied by fever, sore throat, swollen lymph nodes. We are talking about acute infectious mononucleosis, which poses a threat of rupture of the spleen with minor exertion, contusion or minor trauma.
Pain in the hypochondrium on the right
Disruption of work, injury to the liver, gallbladder, parts of the diaphragm and intestines cause pain in the hypochondrium on the right and in the upper abdomen. Soreness is different in nature and intensity of manifestation.
The reasons for the appearance of pain under the ribs on the right:
- liver disease - viral (types - A, B, C), alcoholic or toxic hepatitis;
- gallbladder problems (infections, liver dysfunction);
- inflammation of the pancreas (pancreatitis);
- kidney pathology - abscess, abscess, stones;
- inflammatory process in the appendix (located under the liver);
- right-sided pneumonia;
- ulcer 12p intestine;
- organ damage by cancer;
- an attack of cholecystitis;
- hepatic colic.
Pain in the hypochondrium on the left
Soreness on the left is observed with problems with the stomach, spleen, pancreas, part of the intestines and diaphragm.
Peptic ulcer and 12p intestine are characterized by cyclical pain in the hypochondrium on the left. Exacerbations appear in spring or autumn, pain occurs more often at night. Diseases reveal themselves with symptoms such as: heartburn, constipation, flatulence.
Gastritis of low acidity responds with pain under the rib on the left immediately or some time after a meal. Relief comes from vomiting. The disease is characterized by decreased appetite, diarrhea, sour or bitter belching (less often with the taste of food consumed).
An enlarged spleen is fraught with soreness under the rib on the left side.
Stomach cancer manifests itself as pain under the left rib only in its advanced stage, as a rule, the onset of the disease does not reveal itself in any way. Secondary signs help to suspect oncology:
- decrease in body weight;
- changes in eating habits (aversion to meat, pickiness);
- an icteric complexion indicates signs of anemia, early intoxication;
- decreased performance, chronic weakness;
- changes in the psycho-emotional background (depression, loss of interest in life).
Pain in both hypochondria
Most acute or chronic diseases of the peritoneal organs, trauma, postoperative conditions cause pain in both hypochondria. Frontal, local or shingles pain occurs with the following problems:
- stomach ulcer, 12p intestine - pain is like a dagger strike;
- exacerbation of pancreatitis - sudden shingles pain syndrome;
- subphrenic abscess - sharp pain in the front;
- gastralgic form of myocardial infarction - manifested by rather severe pain;
- renal colic - paroxysmal pain in the back below the ribs;
- retroperitoneal hematoma - manifested by back pain, the intensity depends on the amount of accumulated blood;
- gastritis of increased or normal acidity - pain occurs on an empty stomach;
- chronic pancreatitis - girdle pain spreading to both shoulder blades, found after eating (usually fatty, sweet);
- pancreatic cancer - the symptoms are similar to chronic pancreatitis, but without reference to food intake;
- pulmonary pathologies - intense with increased coughing, breathing;
- kidney disease;
- vegetative-vascular dystonia - acute or dull, girdle pain.
Acute pain in the hypochondrium
By the nature of the manifestation of pain, one can understand which organ requires a special examination. For example, acute pain in the hypochondrium on the right accompanied by bloody diarrhea, tachycardia, hyperthermia, manifests itself as a result of portal vein thrombosis.
Acute pain, localized on the left with hyperthermia, tachycardia and enlargement of the spleen, is a sign of splenic vein thrombosis.
Sharp and severe pains accompany perforation (through hole) of the hollow organ of the peritoneum. Acute, cutting pain is observed with perforation of the stomach, gallbladder and 12p intestine.
Acute pain syndrome accompanies gastric volvulus, peptic ulcer disease, and many chronic diseases. They occur in the presence of other symptoms: nausea, vomiting, chills, increased sweating, stool disturbances, bloating, etc.
In case of acute pain, you should immediately seek the advice of a specialist if the following symptoms are observed:
- rectal bleeding;
- vomiting blood or contents similar to coffee slurry;
- dizziness, increased heart rate;
- the skin becomes clammy and cold to the touch.