Causes of pain in the right hypochondrium after eating. Pain after eating in the right hypochondrium. Pyelonephritis and flank pain

Pain in the right hypochondrium, acute or periodic, manifests itself in some form in approximately a third of the population of our planet. Very often, patients are interested in what is on the right side of a person and why there is pressure, tugging, aching or pain in the right hypochondrium. According to medical statistics, in approximately ninety percent of cases, pain is a consequence of pathological changes in internal organs. So, most often these symptoms cause diseases biliary tract And gallbladder , and the second most common place is occupied by liver pathologies and development liver edema in case of circulatory disorders.

What is under the right rib?

To determine what is located under a person’s ribs on the right side, one should turn to topographic anatomy. The right hypochondrium is part of the anterior abdominal wall, which is limited by:

Extending the lower border of this area onto the back, we see that it runs along the 12th rib and the third lumbar vertebra.

In practice, you can determine where the right hypochondrium is located in the following way: the palm of the right hand should be placed horizontally on the ribs, doing this so that the wrist is in the middle of the side, while the edge of the little finger should coincide with the edge of the ribs from below. If you leave your wrist in the same position and clasp your back with your palm, you can get a posterior projection of the right hypochondrium.

Pain may occur in this area due to damage to the following organs:

• gallbladder, liver;
• right kidney (upper part);
• large intestine (part of it is the flexure of the colon);
• peritoneal part of the right half of the diaphragm;
• adrenal.

In addition, in this area, tingling and pain can be reflected from the duodenum, pancreas, inferior vena cava, and bile ducts.

Why does pain appear in the right hypochondrium in healthy people?

Sometimes discomfort and nagging pain on the side, behind, as well as pain on the right under the ribs in front can be felt even by a completely healthy person. Such manifestations are associated with certain physiological conditions.

Pain during and due to physical activity

People who are not used to being exposed to strenuous physical activity may notice severe stabbing pain in their right side under the ribs in front after heavy work or sports. The reason for such manifestations is associated with the following process: when ejecting The tone of the bile ducts decreases, and they become stretched and become stagnant. Meanwhile, the liver is actively filling with blood, its capsule is stretching, and tingling occurs. There may even be acute pain from the back and front.

Pain after eating, especially a heavy meal, almost always appears in the hypochondrium during physical activity. If there is pain in the right side under the ribs in front, you should pay attention to the fact that after eating it is especially not recommended to run or do push-ups.

In addition, it is known that it can cause dull pain in the right hypochondrium in front and spasm of the diaphragm. A person feels it when he sighs, sometimes when he inhales and exhales. The same sensations can occur when coughing. But such pain is usually short-lived. Sometimes it becomes dull when pressed. As a rule, if breathing evens out after exercise, this symptom disappears.

However, explanations for why the ribs on the right side hurt are not always true. Sometimes why aching pain appears during exercise, some sources explain the expansion of the inferior vena cava due to the influence of adrenaline and its pressure on the liver. Before determining what hurts in the right side under the rib, you should take into account that under the influence of adrenaline, vasoconstriction occurs, and there are no pain receptors in the liver.

Pain in women

In the last days of the monthly cycle, a certain part of women may develop a sharp hormonal imbalance . As a result, a spasm of the biliary tract develops, and a sharp pain appears, radiating to the back in some cases. Therefore, the explanation for what hurts in the right hypochondrium is sometimes precisely the characteristics of the female body.

In some cases the course premenstrual syndrome worsens when taken hormonal contraceptives . In this case, both stabbing and dull pain, as well as burning, appear due to a violation of the passage of bile.

During pregnancy

What hurts under the right rib in the front is explained by the physiology of the expectant mother’s body.

At And Crohn's disease spasmodic pain develops not only in the hypochondrium, but also in all lower abdomen. At the same time, bloating is also noted. People with this diagnosis may develop bleeding, mucus and pus are detected in the stool, the condition is sometimes complicated by intestinal obstruction, intestinal necrosis .

In the case of tumor development, intestinal obstruction is most often observed, there is a picture of an acute abdomen, signs of peritoneal irritation, pressure drops, pallor and cold sweat are observed.

At attack of appendicitis the pain begins to develop in the epigastrium, after which it gradually spreads to the right hypochondrium and descends to the iliac region on the right.

Manifestation of pain in the right hypochondrium behind

If the patient complains that there is pain in the back under the right shoulder blade, the causes of this phenomenon may be associated with injuries to the lower ribs, damage to the intercostal nerves. Pain appears from behind under the right shoulder blade from the back and with lesions of the right kidney and adrenal gland. The causes of back pain may also be associated with diseases of the inferior vena cava.

For urolithiasis

Burning and severe pain may bother people with urolithiasis . When moving, stones or sand scratch the renal pelvis, and later the ureter. Consequently, with renal colic there is pain in both the lateral abdomen and the lower back. Painful attacks are observed, spasms radiate to the genitals, to the thigh, and is felt in the groin. If you hit the lower back a little with the edge of your palm, it hurts even more, and blood may appear in the urine. Sometimes vomiting occurs.

For pyelonephritis

Development acute infectious inflammation of the kidney accompanied by pain in the kidney area, intoxication, and fever. It also hurts when urinating, periodic false urges are noted, and swelling appears on the face.

With apostematous pyelonephritis, purulent inflammation develops in the kidneys. I am concerned about prolonged nagging pain, the temperature increases, and the amount of urine excreted per day decreases.

With necrosis of the renal papillae

This phenomenon becomes a consequence of oxygen starvation of the kidney tissue if the vessels become clogged. Constant pain is accompanied by the appearance of blood in the urine. There is a possibility of death from septic shock.

For acute upper paranephritis

The inflammatory process of fatty tissue in the area of ​​the upper part of the kidney manifests itself as a consequence of infection from carious teeth, tonsils, etc. First, the patient’s temperature rises and there is moderate pain in the lower back. After a few days, there is already pain in the right hypochondrium, the pain intensifies with a deep sigh, the condition worsens and physical efforts - pain is noted when moving, walking, sharply straightening the body.

For kidney cancer

This condition may not appear for a long time. Mild pain and bleeding appear already in the last stages of the disease. Sometimes the tumor interferes with the flow of urine, and then there is acute pain.

Pain in the hypochondrium area also appears when tumors of the right adrenal gland , provided that the tumor is large.

For intercostal neuralgia

The reason why a person’s right side feels tight and goes numb in the hypochondrium area may be intercostal neuralgia . In this state, sometimes there is a pulling from the back, the ribs hurt on both sides in front. With neuralgia, there is a strong tingling sensation in different areas, even to the point of limited mobility. The pain becomes stronger when bending or turning. Also, the reason for a sudden tingling sensation in the pit of the stomach or twitching on both sides can be when a person’s muscles are inflamed.

For bruised ribs

Severe aching pain, aggravated by coughing, pressing, bending, sighing, occurs with bruises of the posterior segments of the ribs. At rib fractures a characteristic crunch is felt.

For osteochondrosis of the lumbar region

If there is muscle tightness, limited mobility, signs of tension, pain in the right shoulder, in the arm, then the reasons for this condition may be related to lumbar region . Painful sensations can have different intensities, be both aching and shooting in nature, and appear above and below.

For shingles

In this case, there appear herpetic rashes along the nerve in the form of bubbles with a cloudy liquid, the skin turns red. Itching, burning, and pain develop at the site of the lesion. This means that you need to see a dermatologist.

With thrombosis of the vena cava

If thrombus comes from the iliac veins, after which it clogs the trunk of the vein, pain in the lower back on the right side of the back. The clinical picture is similar to that of a late-stage kidney tumor. If it happens thrombosis of the hepatic segment , bursting intense pain occurs in the front in the right hypochondrium and radiates under the scapula on the right. Jaundice also develops and fluid accumulates in the abdominal cavity.

Acute pain

The sensation of acute pain in the right lobe of the hypochondrium is associated with the development of acute surgical conditions - the so-called “acute abdomen”. In particular, severe pain is observed in the following diseases and conditions:

• damaged internal organs (injury of the kidney, colon, kidney, damage to the gallbladder, hematoma of the kidney, liver);
• intestinal perforation, rupture of diverticula ;
• acute inflammatory processes of the gallbladder, acute pancreatitis ;
• initial stage appendicitis ;
• bile duct blockage , intestinal obstruction ;
• thrombosis of veins and arteries , through which internal organs are nourished.

In such conditions, very intense pain develops, which leads to the development of painful shock, loss of consciousness, decreased blood pressure, and disruption of the functioning of internal organs.

With an acute abdomen, the abdominal muscles are tense, sometimes the pain is girdling, sometimes it’s pinpoint pain, but very often it’s unbearable.

Sharp, squeezing pain also occurs when abdominal form of myocardial infarction , renal colic , sometimes - with nonspecific ulcerative colitis , rib fractures .

Dull pain

Dull pain very often indicates the development of an inflammatory process. They manifest themselves in the following pathologies:

Heaviness in the right side

Heaviness in the right side and lower abdomen, as well as in the upper abdomen, develops with various diseases. Often, heaviness in the right side under the ribs in front develops with an edematous liver. In addition, the causes of heaviness in the right hypochondrium may be associated with the development hepatitis A , fatty liver disease , chronic cholecystitis , hypomotor biliary dyskinesia .

After meal

Many people note that they have a tingling sensation in their right side after eating, heaviness in the epigastrium and rumbling develop. Often expectant mothers are also interested in why it hurts in the right side during pregnancy. After eating food, the process of secretion and movement of bile in the body accelerates, the liver fills with blood, and peristalsis is activated. Therefore, with chronic diseases of the liver, intestines, and gall bladder, pain in the lower and upper abdomen often appears after eating. Such manifestations can have a different character: a person feels sick, belches, diarrhea, and his stomach growls.

Dull pain after eating is observed when cholecystitis , sharp – at colitis And dysbacteriosis , piercing – with cholelithiasis And biliary dyskinesia . Often the pain becomes more intense after heavy drinking or heavy smoking.

After load

Unpleasant sensations in the form of nagging or stabbing pain occur after physical exertion in people with hepatitis , cirrhosis , congestive liver . After shaking or physical exertion, an attack may occur calculous cholecystitis . Also, periodic pain during exercise appears in patients myositis , intercostal neuralgia , osteochondrosis , rib fracture , thrombosis of the vena cava .

How to proceed?

You should ask a specialist about what to do if your gallbladder hurts, your liver hurts, and other diseases appear that cause pain in your right side. Under no circumstances should you decide on your own what to drink for liver pain or seek advice on the forum. After all, even mild pain requires the attention of a doctor. Self-treatment with painkillers can smooth out the overall picture of symptoms in an adult and a child. As a result, the doctor will not be able to make the correct diagnosis.

Pain under the right rib after exercise

Therefore, you should remember that you do not need to take medications and folk remedies for pain in the liver before consulting a doctor. You cannot give painkillers to relieve pain.

The use of non-steroidal anti-inflammatory drugs and the use of a heating pad are contraindicated, as these methods can cause internal bleeding.

Painkillers should not be given to children. When there is colic in infants, it is recommended to breastfeed the baby - sometimes this is enough for the baby to calm down.

If a person initially has a stabbing pain in his side, but later develops a sharp pain, he should immediately call an ambulance. After all, only a doctor can adequately assess the entire spectrum of symptoms in this case and make the right decision. It is important to see a doctor immediately if a lump or lump appears on the right side under the ribs.

In the clinic, initially, if you complain about such a symptom, you should contact a therapist, who will determine which specialist the patient needs to see next.

If a person often experiences pain, heaviness, throbbing and bursting in the hypochondrium, radiating to the shoulder blade, forearm, back, then this condition should not be tolerated under any circumstances. Both men and women should realize that timely consultation with a doctor will help prevent serious problems.

The human body is a unique system that has the ability to self-heal. However, if you “wear out” the body with unhealthy foods (fried foods, smoked meats, pickles, etc.), bad addictions (alcohol, tobacco, drugs), then it will begin to malfunction, which manifests itself primarily as painful sensations in the area of ​​the right hypochondrium after eating.
If this symptom is ignored by a person, the occasional pain will become permanent, which will indicate the development of serious pathologies, the treatment of which can be very, very difficult.

As a rule, it hurts under the ribs on the right due to pathologies in the liver or gall bladder. Sometimes the symptom indicates problems with the head of the pancreas and the gastrointestinal tract.

Hepatitis

Hepatitis- a general name for pathologies characterized by inflammation of tissues

Based on the causes of the disease, hepatitis is classified into:

• viral (A, B, C, D, E, F, G);
• toxic (causes of development: exposure to alcohol, medications, toxic substances);
• autoimmune;
• radiation (reasons for development - exposure to radiation).

According to the nature of the flow diseases are divided into acute and chronic hepatitis.

According to clinical manifestations pathology is divided into icteric, anicteric and subclinical forms.

A characteristic feature of this liver pathology is a long absence from the clinic. Only with the development of the disease do the first signs appear, such as a dull nagging pain in the right hypochondrium that occurs after eating, intolerance to fatty foods and an increase in liver volume.

In addition to pain felt in the right side under the ribs, patients often note:

• acquisition of a bright yellow tint by the skin and sclera of the eyes (in icteric and subclinical forms);
• severe skin itching;
• a feeling of nausea that accompanies belching with a bitter aftertaste;
• darkening of urine;
• lightening of stool;
• increase in low-grade fever;
• weakness and fatigue.

With a more severe course of the pathology, the symptoms become brighter; pain in the right side in the hypochondrium occurs not only after eating, but also during physical activity.

If a nagging pain appears in the side, in particular in the right hypochondrium, especially when other symptoms of hepatitis appear, a person should seek advice from a therapist, who, based on the results of a personal examination and clinical tests, will determine further tactics for managing the patient. Most often, the patient is referred for further treatment to an infectious disease specialist, gastroenterologist and hepatologist.

It is possible to confirm the presence of hepatitis using:

• clinical blood tests;
• blood test for hepatitis markers;
• Ultrasound of the liver;
• liver biopsy.

Treatment of acute hepatitis should be carried out only in a hospital setting! Alcohol and medications that have a toxic effect on the liver should also be avoided.

Hepatoprotective drugs are also prescribed such as:

• Legalon;
• Karsil;
• Ceanidalone;
• Essentiale etc.

Autoimmune hepatitis is also treated with corticosteroids and immunosuppressants.

Gilbert's syndrome

Another name for this pathology is constitutional liver dysfunction or familial non-hemolytic jaundice. This disease is hereditary and congenital. Characterized by high levels of bilirubin in the blood.

Most often, the course of the disease is asymptomatic or it manifests itself with minor signs, such as a slight yellow discoloration of the skin, mucous membranes and sclera. Often, when the disease manifests itself, the patient complains of pain in the front under the right ribs, especially after eating fatty or spicy foods.

Other manifestations of the syndrome include:

• asthenia, dizziness;
• sleep disturbance;
• loss of appetite;
• bitter taste in the mouth;
• belching that occurs after eating and has a bitter aftertaste;
• burning sensation in the chest area;
• a feeling of nausea, sometimes ending in vomiting;
• disorders of intestinal functions (constipation, diarrhea);
• flatulence;
• liver enlargement.

Diagnostics:

• inspection;
• palpation;
• blood tests (clinical, biochemical);
• DNA analysis of the gene that is responsible for the appearance of pathologies;
• analysis for hepatitis markers;
• liver biopsy;
• elastography.

Treatment of the pathology includes complete cessation of smoking and consumption of alcoholic beverages, adherence to a special diet that excludes fatty, fried, smoked and spicy foods.

• barbiturates;
• choleretic;
• hepatoprotectors;
• enterosorbents.

Medicines are often prescribed that normalize the function of the gallbladder.

To destroy bilirubin, they resort to phototherapy, which is most often carried out using blue lamps.

Cholecystitis

The disease is characterized by inflammation of the gallbladder followed by the formation of stones in it. The main symptoms are pain in the abdomen, in the side, mainly in the right hypochondrium. Pain in the side, most often, after eating fatty and fried foods, as well as smoked foods. In addition, there is an increase in low-grade fever and weakness.

Additional signs of cholecystitis development include:

• skin itching;
• functional bowel disorders;
• headache;
• taste of bitterness and metal in the mouth;
• belching;
• increased gas formation and.

Diagnosis of cholecystitis includes:

• clinical blood tests;
• microscopic examination of bile;
• cholecystography;
• Ultrasound of the gallbladder;
• endovideoscopy.

Treatment cholecystitis should only be dealt with by a gastroenterologist. Therapy consists of maintaining a special diet for the patient, excluding fatty and spicy foods from the diet, and maintaining bed rest. The patient is also prescribed antibacterial drugs, antispasmodics and choleretic agents, and medications that help normalize the motor functions of the gallbladder.

During the period of remission in chronic pathology, it is often recommended to carry out thermal physiotherapy in the hypochondrium area.

If treatment fails, emergency resection of the gallbladder is performed.

Cholelithiasis

It is a pathology characterized by the formation of stones in the gall bladder and/or bile ducts.

The disease is classified into the following forms:

• latent, asymptomatic;
• chronic pain;
• chronic recurrent, in which there is a periodic occurrence of sharp pain in the right side (in the hypochondrium), nausea, bitter belching;
• dyspeptic;
• angina, in which pain is localized in the sternum in the region of the heart.

According to the severity of the disease, they are divided into:

• a mild form, in which attacks of colic occur no more than 5 times a year, while the rest of the time the patient’s well-being is assessed as satisfactory;
• moderate form, in which the number of colic attacks is 6-12 times a year;
• severe form, characterized by the occurrence of attacks of biliary colic every 4-7 days.

Often the only sign of the disease is yellowing of the sclera of the eyes, mucous membranes and skin.

Typical of the disease is colic, the symptoms of which are:

• sudden pain in the epigastric region and in the right hypochondrium;
• aching pain in the side, which intensifies after eating, mainly when eating spicy, fatty foods and smoked foods. This symptom is characteristic of the chronic form of the pathology;
• hypertonicity of the abdominal muscles, pain when touching the abdomen;
• flatulence, feeling of nausea, frequent belching;
• profuse, frequent and uncontrollable vomiting;
• weakness;
• increase in low-grade fever to 38°C;
• skin itching;
• stool disorder in the form of frequent diarrhea (up to 10-12 times a day).

Diagnosis of the disease consists of studying personal and family history and examining the patient. A number of laboratory and instrumental diagnostic methods are also carried out:

• blood chemistry;
• analysis for hepatitis markers;
• Analysis of urine;
• radiography;
• retrograde cholangiopancreatography;
• cholecystoangiography;
• CT and MRI.

The pathology is treated by a gastroenterologist, who, based on the diagnostic results, determines the treatment tactics. As a rule, the following methods are used for treatment:

• dietary prescription;
• prescription of bile acids;
• the use of medications that help nourish and protect liver tissue;
• therapy with antibacterial drugs;
• surgical intervention.

Pancreatitis

Inflammation of the pancreas.

It hurts in the right side under the ribs only with pancreatitis, which has developed in the head of the pancreas.

The first symptom of the development of pancreatitis in the head of the pancreas is pain in the right side. The nature of the pain syndrome is completely different: from nagging, dull to acute, constant. Most often, patients note that pain occurs 1.5-3 hours after eating, but it happens that the disease manifests itself immediately after eating.

Other manifestations of pancreatitis include:

• a sharp decrease in appetite;
• gas formation and bloating;
• profuse and frequent diarrhea or persistent constipation;
• fetid odor;
• sudden weight loss;
• feeling of thirst;
• dryness of the oral mucosa.

In order to determine the presence of pancreatitis, first of all, differential diagnosis is carried out with oncological diseases, cholelithiasis, stomach ulcers, duodenal ulcers, enteritis and other pathologies of the gastrointestinal tract.

Diagnosis of pathology also includes:

• clinical blood test;
• general urine analysis;
• echotomography;
• gastroscopy;
• duodenoradiography;
• radioisotope scanning.

Pathology is treated using the following methods:

• compliance with dietary nutrition;
• taking analgesics and antispasmodics;
• therapy with enzyme preparations and vitamin complexes.

Rarely resort to surgical intervention.

Stomach ulcer

A chronic disease characterized by the formation of ulcerative defects on the mucous membrane. When an ulcer forms on the right side of the stomach, the pathology manifests itself as pain in the right side of the abdomen, mainly under the ribs in front. The pain is aching, dull in nature. The reasons for increased pain are physical activity, eating spicy foods or alcohol.

In addition to pain, patients note the following symptoms:

• heartburn;
• nausea;
• decreased or complete lack of appetite;
• flatulence;
• belching with a bitter or sour taste;
• intestinal disorders;
• coating on the tongue;
• intense sweating, especially in the palms.

Diagnosis of an ulcer is made using:

• general analysis of blood, urine, feces;
• FEGDS;
• ultrasound examinations of the liver, gallbladder and pancreas;
• radiography;
• monitoring the pH of gastric juice during the day and pH-metry.

A gastroenterologist treats stomach ulcers. Most often, therapy is carried out using:

• antibiotics;
• drugs that increase the protection of the gastric mucosa;
• antisecretory drugs;
• antispasmodics;
• probiotics.

In case of complications and ineffectiveness of drug therapy, surgical intervention is performed.

A disease characterized by inflammation of the duodenal mucosa, namely its bulb.

Bulbit is divided into types:

• catarrhal;
• hyperplastic;
• atrophic;
• erosive;
• surface;
• focal;
• diffuse;
• ulcerative;
• hemorrhagic.

The main sign of the inflammatory process is a dull or sharp pain localized in the epigastric region and radiating to the hypochondrium, side or navel. As a rule, this area hurts 1.5-2 hours after eating, as well as at night.

Other manifestations of pathology include:

• bitterness in the mouth;
• belching after eating;
• nausea;
• excessive fatigue;
• headache;
• sleep disorder;
• increased sweating;
• nervous disorders.

The presence of pathology can only be determined using fibrogastroduodenoscopy.

Treatment of bulbitis is determined by a gastroenterologist and includes:

• dietary food;
• taking antibiotics;
• normalization of lifestyle;
• taking medications that help normalize the functions of the stomach and duodenum.

Irritable bowel syndrome

A disorder of bowel function, in which discomfort and pain are associated with bowel movements and changes in stool.

Pathology is classified into:

• IBS with diarrhea, in which the release of liquid stool predominates;
• IBS with constipation, in which very hard stools account for more than a quarter of all bowel movements;
• mixed look.

The disease is characterized by pain in the abdomen, including in the right hypochondrium. As a rule, the pain goes away after a bowel movement, but not for long. Often the pain syndrome is accompanied by flatulence, persistent constipation or diarrhea.

Other manifestations of the disease include:

• feeling of a lump in the throat;
• epigastric pain;
• cardiopalmus;
• frequent urination;
• weight loss;
• dry mouth;
• weakness, fatigue.

Sometimes patients complain that they have headaches, as well as muscles and joints.

Diagnosis of pathology is made using:

• laboratory tests of blood and feces;
• EGDS;
• Ultrasound of the pelvic and abdominal organs;
• colonoscopy;
• irrigoscopy;
• electrogastroenterography;
• manometry.

Treatment IBS includes drug therapy, diet, normalization of lifestyle, and sometimes psychotherapy.

The causes of pain in the right hypochondrium described above (and the list of diseases is far from complete) suggests that this symptom indicates the need to seek medical help as soon as possible. Only timely contact with a specialist, accurate diagnosis and adequate treatment will help avoid the development of complications that can cause colossal harm to the body.

30% of the world's inhabitants have experienced pain in the right hypochondrium at least once in their lives. Disturbances in the functioning of internal organs cause these painful sensations.

It is very important to pay attention to the symptoms that occur in the human body. It is necessary to determine what diseases can cause this condition and what needs to be done.

After the onset of painful sensations, it is necessary to consult a doctor to establish a diagnosis and determine methods of rehabilitation therapy.

Pain on the right side in front under the ribs

The manifestation of pain in this place is very common. This can be a symptom of a number of diseases.

However, sometimes this may turn out to be a seemingly uninvolved reason:

1. Inflammatory process in the appendix, in particular with its atypical location;
2. Stomach or duodenal ulcer;
3. Gynecological diseases in women.

Reaction to drugs

The use of a large number of drugs “backfires”, or rather, can cause pain on the right side under the ribs, especially if their prescription is unfounded.

At the same time, symptoms such as nausea, vomiting, diarrhea, jaundice, rash, headaches, and discomfort in the abdominal area, especially after eating, may occur.

Pain radiates to the lower back

Painful sensations that arise in the right hypochondrium and radiate to the back most often arise due to problems in the gastrointestinal tract, and especially with a stomach or duodenal ulcer.

They become stronger during palpation or when the person is lying on his stomach. And they are able to weaken on the side and tightly pressing the legs to the stomach.

Unpleasant aching pain

Pain that does not go away over a long period of time is a signal of the following diseases:

1. An inflammatory process that is associated with impaired functioning of internal organs, in particular the gastrointestinal tract. For example, it could be pancreatitis, cholecystitis, hepatitis, gastritis, esophagitis or duodenitis.
2. Hepatitis also causes prolonged pain in the right hypochondrium. In fact, painful sensations in the liver in the initial stages of the disease rarely occur. They most often appear when the liver increases in size, stretches and begins to put pressure on the nerve fibers of the ribs and other nearby organs.
3. Cirrhosis of the liver. Pain occurs at an advanced stage, when tissue transformation is already occurring and the organ cannot function normally. It is worth remembering that cirrhosis cannot be cured, but it is very important and quite possible to prevent further deterioration.
4. Oncological liver disease.

Causes of pain in the right hypochondrium from the back

The occurrence of pain under the ribs may also indicate the development of thoracic osteochondrosis.

Painful sensations arise due to compression of the nerve roots in the thoracic region and the appearance of intercostal neuralgia.

The pain may increase with turning the body, raising the arms, coughing, sneezing and taking a deep breath.

This symptom can also occur when the heart is malfunctioning or myocardial infarction occurs. Additionally, with this problem, pain radiates to the shoulder blade, neck and upper limb.

Pain when taking a deep breath

Why does pain appear in the right hypochondrium and intensify with a deep breath?

1. Rib injury or fracture with possible complications such as hydrothorax, hemothorax;
2. Renal colic;
3. Intercostal neuralgia;
4. Pneumonia with involvement of the pleura in the inflammatory process;
5. Pyelonephritis of the right kidney.

The appearance of acute pain in the right hypochondrium

Severe and intense pain in the right hypochondrium is associated in most cases with the appearance of hepatitis.

This acute damage to liver cells is often of viral etiology. You can become infected with it when:

• failure to comply with personal hygiene rules (hepatitis A, E);
• sexual contact, contact with blood (hepatitis B, C, D)

Additionally, a person experiences symptoms such as general weakness, lack of appetite, nausea, vomiting, followed by a rise in temperature, jaundice, urine darkens, and stool becomes lighter.

In parallel, an inflammatory process occurs in the liver tissues and the general response of the body’s immune system to microorganisms, and after a while, cell death (necrosis) occurs, which is the cause of painful sensations.

Another reason may lead to pain in the right hypochondrium. This is cholecystitis.

The main symptom of this disease is the appearance of pain at night. The more advanced the stage of the appearance of the inflammatory process in the gallbladder, the greater the rate of contractions.

Particularly intense pain occurs after consuming spicy, smoked, fatty foods and alcohol in inadequate amounts.

The appearance of pain in the right and left hypochondrium

The occurrence of pain on both sides of the ribs can be caused by several reasons. For example, if a person had injured ribs on both sides. Or as a manifestation of thoracic osteochondrosis.

Nerve fibers are pinched near the spine and the pain seems to “encircle” the human body.

Another cause of pain on both sides under the ribs may signal the appearance of an inflammatory process in the stomach or intestines.

Pain accompanied by heaviness and nausea

The most important cause of these symptoms is the presence of a stomach or duodenal ulcer. Stitching and sharp painful sensations occur.

The larger the cyst, the greater the pain. The neoplasm compresses blood vessels, nerve fibers and leads to pain, heaviness and discomfort.

At an advanced stage, the disease is also dangerous because it can lead to cyst rupture or the formation of a purulent sac.

Pain after eating

The gastrointestinal tract is a very complex mechanism in which all internal organs must work perfectly.

When food enters the esophagus and then into the stomach, it is processed by enzymes from the pancreas, liver and gall bladder.

When these internal organs are organically damaged, their functioning is also disrupted, which becomes more pronounced after eating food.

Also, problems with the intestines can lead to pain in the right hypochondrium.

Pulling or stabbing in the right hypochondrium while moving

Intense stabbing pain, which intensifies with movement, can occur due to such disturbances in the functioning of the body as:

1. Inflammatory processes in the muscles of the right hypochondrium;
2. Inflammation of the liver;
3. Osteochondrosis;
4. Injury or broken ribs;
5. Intercostal neuralgia;
6. Appendicitis, with a certain localization of the appendix.

Pregnancy

During pregnancy, a woman's uterus increases in size, especially in the last trimester, and as the fetus grows, the pressure on the organs increases, which leads to their displacement upwards and to the sides.

In this case, the tension of the fixing devices (liver, intestines and gall bladder) leads to pain.

In this regard, sharp and stabbing pains occur in the right and left hypochondrium. At the same time, a woman at this stage of pregnancy releases the hormone progesterone, which expands the pathways for the release of bile.

Bladder disease

The inflammatory process in the kidneys and the presence of stones in them can cause intense pain.

If sand or stone begins to move through the urinary canal, it begins to damage (scratch) it; this symptom can manifest itself in the appearance of blood in the urine and turning it red.

In this regard, pain occurs not only in the hypochondrium, but also in the lumbar region and genitals.

The pain is very intense and in the form of shooting. When urinating, the pain may intensify, making it difficult for urine to flow out. Some people additionally experience nausea and vomiting.

Pyelonephritis

The inflammatory process in the kidneys is caused by an infection. There is general weakness, fever, pain when urinating and the appearance of false urges. Puffiness appears, often under the eyes in the morning.

Oncological kidney disease

The biggest problem with cancer is that pain does not appear in the initial stages of the disease.

In the final stages, vomiting and intense bleeding additionally appear. The tumor can compress the ureters and obstruct the flow of urine.

Adrenal diseases

Pain in the hypochondrium can occur in the presence of adrenal tumors. At the same time, there is an increase in blood pressure and an abnormal heart rhythm.

Pain after drinking or overeating

Why does a person experience acute pain in the morning after drinking a large amount of alcohol? The reasons are the following factors:

1. The liver helps cleanse the body of waste and toxins. After drinking alcohol, this organ takes on toxic substances. However, with its increased amount, the liver does not always cope, which leads to its damage.
2. If it was overeating i.e. eating large amounts of fried, fatty, salty or sweet foods.
3. Medicines taken for other pathologies (infections, hypertension) also put additional stress on the liver.

Vena cava thrombosis

This reason is rare, but still occurs. Thrombosis of the inferior vena cava may be accompanied by painful sensations in the hypochondrium on the back. The pain appears constant and aching.

When a blockage of the liver segment occurs, pain appears in the hypochondrium area in front.

Pain in women

During the last days of the menstrual cycle, an imbalance occurs between high estrogen levels and low progesterone levels. This leads to a spasm of the pathways for removing bile from the body.

Treatment with the use of hormonal drugs only aggravates the acute condition.

Shingles

Herpes is a virus that resides in the body of every person for a long time without any symptoms. But everything changes when the immune system weakens.

A series of bubbles appear along the nerve, resembling a blow from a belt. Pain, itching and burning appear in this place.

Help with pain in the right hypochondrium

If pain occurs, you must follow these rules:

1. If pain in the right hypochondrium occurs with a certain frequency, then it is necessary to consult a doctor as soon as possible. Taking painkillers helps eliminate the acute condition, but they cannot cure a person from this disease. Moreover, the advanced stage of the disease is very difficult to eliminate.
2. Until the cause of the disease is determined, painkillers and heating pads should not be used. They can lead to internal bleeding.
3. If acute pain appears in the right hypochondrium, you must urgently call an ambulance. If there are no reasons for special concern, the surgeon on duty will redirect the patient to a specialist.
4. If the patient goes to the clinic on his own, he must first make an appointment with a therapist, and then undergo an examination by a surgeon, neurologist, endocrinologist, gastroenterologist and endocrinologist.
5. You cannot prescribe restorative therapy on your own or on the advice of friends. At best, they simply won’t help, at worst, they can even do harm.

Pain can also occur in a healthy person

Sometimes painful sensations can occur in healthy people after physical activity. This occurs due to disruption of the liver and increased tension in the abdominal wall due to physical activity.

Compression of the organ provokes a violation of the outflow of blood, the organ increases in size, which leads to the appearance of painful sensations in the liver.

Such painful sensations can occur in people who exercise intensively.

Also, the appearance of this symptom can occur in people who love to eat tasty and plentiful food. Especially if the liver is overloaded, a disturbance in its functioning occurs.

The pain may worsen after eating large amounts of food.

Useful video

Any pain that occurs after eating, especially if it occurs regularly or is of high intensity, is a reason for a comprehensive diagnosis. If a person’s right side hurts after eating, the reasons may be associated with inflammatory processes in the digestive organs (tail of the pancreas, right lobe of the liver parenchyma, gall bladder), diseases of certain parts of the intestine (duodenum and colon), as well as emergency surgical pathologies, for example, appendicitis.

More often, pain occurs due to inflammatory processes in the gastrointestinal tract

Diagnostic measures are also aimed at excluding pathologies of the respiratory and genitourinary systems, which can manifest themselves as painful sensations in the right hypochondrium, aggravated after eating, fast walking, strength load and exposure to other provoking factors.

Painful sensations can occur against the background of pathologies of other systems, for example, the urinary

In healthy people who do not suffer from diseases of the digestive system, such pain may be a consequence of eating disorders. One of the main causes of pressing and bursting pain is overeating. The stomach is a hollow organ, that is, there is an empty space inside it that is filled with the food eaten. The volume of an empty stomach in a person weighing 60-70 kg is about 500-600 ml.

After eating, these numbers increase 2-3 times. If a person suffers from increased appetite (hyperrexia) or periodically experiences a feeling of psychological hunger (bulimia), he consumes more food than is required to satisfy physiological needs.

In obese people prone to overeating, the volume of the stomach after eating can reach up to 3 liters (in people with stage 4 obesity - up to 4 liters). This pathology is called acute dilatation of the stomach and is accompanied by dull, bursting pain in the abdomen, which significantly intensifies after eating. For correction, the patient is usually prescribed a split diet with seven meals a day, increased physical activity to normalize the tone of the gastric walls and prevent gastric atony.

If pain after eating is accompanied by vomiting, intestinal obstruction, or dehydration, mechanical removal of gastric contents is performed using a gastric tube. In case of severe dehydration, infusion of saline solutions and glucose solution is prescribed.

Overeating is not the only possible cause of pain in the right side. If pain occurs regularly, some pathologies should be excluded.

Pathologies that cause pain.

It is equally important in what mood a person eats food. It has been proven that stress and emotional tension negatively affect digestive function and contribute to the appearance of unspecified pain in the epigastric and epigastric region. Prevention of abdominal pain in neurosis is the correction of psycho-emotional status (sedatives, long walks, exercise therapy, refusal to watch TV and read magazines while eating). If you can’t cope with a bad mood, or the person is in a depressed, depressed state, it is better to refuse to eat altogether and postpone it for a couple of hours.

Exacerbation of biliary diseases

Cholecystitis is a biliary pathology (associated with the bile excretory organs), characterized by a violation of the movement of bile into the bile ducts and inflammation developing against this background. Experts believe that one of the factors in the development of cholecystitis is the growth of pathogenic microflora, the conditions for which are created by prolonged stagnation of bile and weakening of the peristaltic activity of the walls of the gallbladder.

Other causes of the disease may also be:

Pain in cholecystitis is constant, localized in the epigastric region on the right, aching or dull in nature, and its intensity largely depends on body position, food intake and strength loads. During the period of exacerbation, the pain syndrome manifests itself as severe pain in the right side, intensifying after stimulating the stomach with food.

With exacerbation of cholecystitis, pain intensifies every time after eating

At the same time, the patient may complain of nausea, vomiting, and lack of appetite. If bile pigments accumulate in the blood (usually this occurs when the ducts are blocked by stones), the skin and mucous membranes acquire a yellowish or lemon tint. Specific signs of inflammation of the gallbladder are darkening of the urine and lightening of the feces.

Important! Hepatic colic (one of the main complications of cholecystitis and cholelithiasis) may have the same symptoms as exacerbation of cholecystitis. The main difference is the time of onset of pain: with colic, they occur mainly at rest (at night) or immediately after waking up and do not depend on food intake. The intensity of pain with hepatic colic is much higher.

Duodenal pathologies and diseases of the colon

The appearance of pain localized in the right side can be provoked by diseases of the duodenum and colon, segments of which are located on the right side of the peritoneum.

The table below lists intestinal pathologies in which patients may complain of painful sensations (heaviness, squeezing, tingling, distension) that arise or significantly intensify after eating.

Table. The nature of the pain and its relationship with other symptoms

For diagnosing intestinal pathologies, endoscopic examination (colonoscopy, duodenoscopy) is considered the most informative and reliable method.

Ultrasound and radiography with contrast (irrigoscopy) can be used as auxiliary methods.

Liver pathologies

The liver is one of the most important organs involved in regulating the vital functions of the human body. It is necessary for the neutralization of various foreign substances, the removal from the body of excess amounts of hormones and metabolic and breakdown products (ammonia, acetone, etc.), and the metabolism of vital vitamins. The liver also synthesizes somatomedin and other insulin-like growth factors (hormones), phospholipids, cholesterol, bilirubin and bile acids necessary for normal digestion.

The right lobe of the liver, which makes up about 70% of the mass and volume of the entire organ, is located in the upper right part of the peritoneum, so diseases of the hepatic system almost always manifest themselves as pain in the right side. Increased pain is observed after eating, drinking alcohol, smoking or taking certain medications orally (in particular, non-steroidal anti-inflammatory drugs based on ibuprofen and ketorolac).

Liver diseases that can give such a clinical picture.

Important! Liver cirrhosis, one of the most dangerous liver diseases with a high risk of mortality, may not cause pain at an early stage (except for moderate discomfort and heaviness in the abdomen after eating). Patients who are at risk for pathologies of the hepatic system need to pay attention to other possible symptoms (increase in abdominal size, portal hypertension, asthenic syndrome, causeless weight loss), and if they appear, immediately seek medical help.

Unusual reasons

Not only digestive pathologies, but also diseases of other organs located in the right upper and lower quadrant can cause pain in the right side. In some cases, the pain may radiate to the right side of the peritoneum, so only a specialist can accurately determine the cause after hardware and laboratory diagnostics, as well as a physical examination of the patient.

Pneumonia and pleurisy

Acute pain in the upper abdomen on the right may indicate inflammation of the pleura (pleurisy) or alveoli (pneumonia) of the right lung with a predominant accumulation of exudate in the interstitial tissue.

In most cases, these pathologies are caused by infectious pathogens, but sometimes they can develop against the background of exposure to chemical or thermal factors (for example, when inhaling very hot air or toxic fumes). Signs indicating possible damage to the lower respiratory tract are:

For treatment, antibiotics or antiviral drugs, mucolytics, expectorant syrups and tablets, inhalations (at normal body temperature) are prescribed. To speed up the healing of inflamed mucous membranes, the doctor may recommend Methyluracil tablets, but they are not included in the standard therapy for pneumonia and pleurisy of the lungs.

Pathologies of the right kidney

Pain in the right side can also be a symptom of kidney disease. The patient may complain of dysuric disorders (pain during urination, impaired daily diuresis), darkening of urine, the appearance of traces of blood in the urine, sediment in the form of a thick suspension or flakes, and mucous streaks.

In acute inflammatory processes, intoxication develops, manifested by febrile fever, headaches and increased weakness.

A similar clinical picture may indicate the following kidney diseases:

Treatment may include diuretics, antibacterial and antimicrobial drugs, non-steroidal anti-inflammatory drugs, antispasmodics, as well as herbal preparations with complex effects (for example, Canephron).

What to do

If you experience pain in the right side associated with eating, you should consult a gastroenterologist. Self-medication without identifying the cause can lead to serious complications. For example, an attack of appendicitis (inflammation of the vermiform appendage of the cecum) can also manifest itself as sudden sharp pain after eating and in between meals, and if the patient takes an anesthetic drug, the doctor will not be able to assess the exact clinical picture of the pathology. This is dangerous because the appendix ruptures and the peritoneum fills with purulent exudate.

Peritonitis if medical care is not provided in a timely manner can lead to irreversible consequences (including the death of the patient), so you can take any medications only after examination by a doctor.

For diagnosed pathologies of the stomach and intestines, treatment may include the following groups of drugs:

• antibiotics (“Amoxicillin”, “Clarithromycin”);

  

• antimicrobial agents (“Metronidazole”);

  

• enterosorbents (“Smecta”, “Enterosgel”);

  

• antacids (“Rennie”, “Maalox”);

  

• proton pump inhibitors (Rabeprazole, Omeprazole);

  

• bismuth preparations (“De-Nol”, “Bismofalk”).

  

For any diseases of the gastrointestinal tract, patients are advised to follow a diet in accordance with the identified pathology and associated complications (therapeutic and preventive tables according to Pevzner).

Drugs in this group have an increased degree of toxicity, so they cannot be taken for prophylaxis. To improve the functioning of the liver system during dystrophic and degenerative changes in its parenchyma, the use of hepatoprotectors (Essentiale Forte-N, Phosphogliv) is indicated.

If the pain is caused by stagnation of bile in the gallbladder and its ducts, duodenal intubation is performed, followed by therapy with choleretic drugs (Allochol, Holosas) and the drug ursodeoxycholic acid (Ursodez).

"Allohol" is an effective remedy for the treatment of the gallbladder

Pain in the right side is a pathological sign that can be a manifestation of many diseases. If such pain occurs, you should not self-medicate - this can lead to the progression of existing abnormalities and the development of new complications, some of which require surgical intervention.

Video - Right side hurts after eating

Quite often, when going to see a therapist, people complain of an aching, dull pain in the right hypochondrium.

The “right hypochondrium” syndrome is an indicator of a large number of different diseases, but it happens that discomfort in the right side of the body bothers even completely healthy people.

This area contains such important organs as the kidney, pancreas, gallbladder, liver, and diaphragm. Now we will talk about what can cause pain in the back, right hypochondrium and right side.

Possible causes of pain

Pain in the right hypochondrium can be the result of certain diseases:

• gallbladder (maybe stagnation of bile);
• pancreas (tumors and);
• diaphragm (diaphragmatitis, tumor, hernia);
• liver (such as - and);
• intestines (,);
• right kidney (, urolithiasis);
• heart diseases ( , );
• diseases of the right lung (, lung cancer);
• tumors of all listed organs;
• injuries to the listed organs;

If you look at the statistics, the majority of people complain of pain in the right hypochondrium due to gallbladder diseases.

Pain in the right hypochondrium in front

If it hurts on the right side under the rib in front, the cause may be diseases of such organs as:

• hepatitis, cirrhosis, bile stagnation;
• acute or chronic cholecystitis, cholelithiasis;
• pancreatitis, pancreatic cancer;
• duodenal ulcer and appendicitis;
• diaphragmatic hernia;
• myocardial infarction or angina pectoris;
• shingles;
• pleurisy, pneumonia;
• , amoebiasis, .

Pain in the right hypochondrium behind

In this area, injuries to 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;
• thrombosis of the vena cava.

Most often, pain in this area is associated with pathology of the right kidney - pyelonephritis (chronic or acute).

Pain in the right hypochondrium radiating to the back

If the pain radiates to the back, then the reasons may be as follows:

1. The liver is inflamed, with viral hepatitis and other abnormalities in the functioning of the organ;
2. For injuries to the intestines, gall bladder and right side of the diaphragm;
3. For spinal hernia, osteochondrosis, arthrosis of the intervertebral joints;
4. With inflammation of the gallbladder and;
5. For pancreatitis, ulcers and other pathologies of the pancreas;
6. For renal pathology, abscesses, ulcers and kidney stones.

Aching, dull pain in the right hypochondrium

Dull aching pain is a common sign of chronic inflammation. This is the nature of pain in the following pathologies.

Pain during exercise

Very often, pain in the right hypochondrium occurs during physical activity (running, fast walking), which can be tingling or aching in nature. 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 flow of blood is directed to the liver, causing stretching of its capsule, and reflexively manifests itself as pain.

Acute cholecystitis

The most dangerous form of the disease develops rapidly and is accompanied by pronounced symptoms:

• severe paroxysmal pain in the gallbladder area;
• deterioration of health;
• nausea and repeated vomiting;
• increased body temperature;
• lack of appetite;
• digestive disorders (constipation, diarrhea, increased gas formation 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 occasionally experiences 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.

Gallstone disease

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 passes into the bile ducts, then at this moment an attack of cholelithiasis (biliary colic) occurs.

Acute pyelonephritis

The clinical picture of pyelonephritis is typically characterized by three main symptoms:

• fever up to 38-40°C and chills;
• urinary disorders;
• lower back pain.

Other general symptoms: weakness, malaise, loss of appetite, nausea, vomiting, headache, muscle and joint pain, profuse sweating.

Pain in the lumbar region in the first days does not have a clear localization, then it is precisely determined at the level of the diseased kidney. The pain can radiate to the hypochondrium, groin, and genitals. The pain intensifies with movement, coughing, and at night. Urination becomes frequent 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 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 go to the toilet,
• changes in urine color, cloudiness,
• the appearance of an uncharacteristic unpleasant odor in the urine.

The clinical picture of the disease depends on the presence of concomitant urological diseases and its pathogenesis.

Common symptoms of hepatitis C

In general, hepatitis C is an asymptomatic disease and is often diagnosed incidentally when people are being tested for other diseases. Therefore, tests are important in timely diagnosis.

The most common symptoms are asthenia, weakness, and fatigue. But these symptoms are very nonspecific (their presence alone does not allow us to talk 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 there is pain on the right side under the ribs, the therapist usually prescribes a consultation with the following specialists:

1. Gastroenterologist;
2. Infectious disease specialist;
3. Cardiologist;
4. Gynecologist;
5. Surgeon;
6. Traumatologist;
7. Endocrinologist;
8. Neuropathologist.

Without establishing an accurate diagnosis in a medical institution, it is forbidden to self-medicate. If acute pain occurs, it is recommended to call an ambulance and apply cold (if this helps relieve pain).

In this case, you should not take painkillers, so as not to distort the clinical symptoms and complicate the correct diagnosis.