Pressing pain in the right side under the ribs. Acute type of pain. Causes of pain under the right rib

Pain in the right hypochondrium is a sign of many diseases, so put accurate diagnosis Even an experienced and qualified specialist will not be able to do this on the basis of this symptom alone.

Call pain syndrome may well harmless reasons, such as overeating or excessive exercise. But more often, discomfort in the area of ​​the right hypochondrium provokes an inflammatory process, acute and chronic diseases of the digestive system, genitourinary system, internal organs(liver, kidneys), biliary tract.

Why does it hurt right hypochondrium, in which cases this symptom does not pose a danger, and in which cases it requires immediate treatment medical care? You will find answers to all questions in our material.

Pain under the right hypochondrium in healthy people

Pain in the right hypochondrium can be caused by a variety of reasons. In some situations, discomfort appears even in quite healthy people: in this case we're talking about about the option physiological norm. However, often the problem lies in the development of pathologies of the gastrointestinal tract and other organs.

Physiological reasons why it hurts in the right hypochondrium:

1. Pregnancy. In pregnant women in the third trimester, the uterus is enormously stretched and puts pressure on all the organs it comes into contact with, displacing the intestines, pressing on the stump and gall bladder. Therefore, for healthy pregnant women, stabbing or pressing pain in the right hypochondrium is not uncommon. In addition, progesterone, which maintains pregnancy for later, expands biliary tract and stimulates bile stagnation. And if you give physical activity to such a belly, then some discomfort can be felt with a high probability.
2. Pain when physical activity. Surely many have noticed how after intense physical activity there is pain in the right side. This occurs due to excessive stretching of the liver tissue, which, in turn, is caused by a sharp flow of blood to the organ. This happens especially often after a heavy meal. This condition does not pose any danger.
3. Pain in women. At the end menstrual cycle Some women experience a sharp imbalance between low progesterone And high estrogens, which leads to spasm of the biliary tract and can also cause colic in the right hypochondrium. Reception hormonal contraceptives may worsen the course premenstrual syndrome and increase the frequency of stabbing pain due to disruption of the passage of bile.

Pathological causes of pain under the right rib

Anatomically, the upper right quadrant of the abdomen includes: the liver, gallbladder, part of the diaphragm and small intestine, duodenum, right kidney, pancreas.

Other reasons

Other diseases and pathologies, the symptoms of which may include pain of various nature in the area of ​​the lower ribs on the right side of the body, are the following:

• From the nervous system: compression nerve endings which are located in the intercostal space (intercostal neuralgia), characterized by acute pain, the appearance of rashes, itching;
• From the outside digestive system: , peptic ulcer, various inflammatory processes, intestinal obstruction, colitis, pancreatitis, spasms and pain simulating gynecological diseases, peritonitis, etc.;
• From the urinary system: predominantly affected right kidney(otherwise the pain is localized on the left side, and not in the area of ​​the lower ribs on the right), renal colic, stones;
• From the outside respiratory system: (pneumonia) either in acute or chronic course- cough provokes spasms of the respiratory organs, which are reflected in painful sensations in the right hypochondrium;
• inflammation of the uterine appendages, osteochondrosis, appendicitis, etc.
• From the liver: liver dystrophy, cirrhosis, abscess, hepatitis, C and others, accompanied by stagnation of blood in the liver, and other chronic diseases and acute inflammatory processes.

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.

1. Urolithiasis disease. Diseases of the right kidney and, first of all, urolithiasis can cause intense pain. A stone or sand that begins its journey from the renal pelvis scratches it, and then the ureter, so pain with renal colic will be not only in the projection of the lower ribs, but also in the lower back and lateral abdomen. The pain is paroxysmal and severe. It radiates to the thigh and genitals. When you tap the edge of your palm on 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 accompanied by vomiting.
2. Pyelonephritis. Development of acute infectious inflammation kidneys is 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.
3. Necrosis of the renal papillae. It may be a consequence oxygen starvation renal tissue when there is blockage of the vessels that feed it (infectious agents or diabetes). In this case, the pain is constant, combined with blood in the urine. The patient may die from septic shock.
4. Kidney cancer. This condition may not appear for a long time. Not severe pain and bleeding appears 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 also occurs with tumors of the right adrenal gland, provided that the tumor is large.
5. Acute upper paranephritis. This is inflammation of the fatty tissue at the top of the kidney due to infection from the tonsils, carious teeth or other foci of inflammation. First, there is a temperature of up to 38, moderate pain in the lower back on the affected side. After 2-3 days, the pain moves to the right hypochondrium and intensifies with a deep breath. Lower back pain increases with sudden straightening of the body and when walking.
6. Intercostal neuralgia. The reason that a person’s right side feels tight and 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 the different areas, up to restriction of mobility. The pain becomes stronger when bending or turning. Also, the cause of a sudden tingling sensation in the pit of the stomach or twitching on both sides can be myositis, when a person’s muscles are inflamed.
7. Osteochondrosis lumbar region. He gives pain different intensity which are accompanied by limited mobility, muscle tightness and tension symptoms. The pain can range from aching to shooting varying degrees intensity.
8. 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.
9. Thrombosis of the vena cava. A rare variant of thrombosis of the inferior vena cava (when a blood clot comes from the iliac veins and clogs the main trunk of the vein) causes pain in the lower back (right hypochondrium from the back) and a clinical picture similar to the late stage of kidney tumors. If the liver segment is thrombosed, then intense pain will occur in the right hypochondrium in front and will radiate under right shoulder blade. This will cause an accumulation of liquid in the abdominal cavity and jaundice.

If there is pain in the right hypochondrium in front

Tingling or sharp pain in the right side occurs due to diseases of the organs that are adjacent to this area. Some conditions are accompanied by pain from the back, sometimes it radiates to the leg, shoulder blade, kidney, etc. There may also be pain in the lungs when taking a deep breath. With some diagnoses, pain may be periodic, appearing when walking or coughing. With others - discomfort They bother me constantly.

1. Hepatitis. Viral, alcoholic or toxic hepatitis gives a picture of intoxication (weakness, lethargy, loss of ability to work) and dyspepsia (nausea, loss of appetite, vomiting). At the height of the disease, jaundice occurs with a lemon tint to the skin and whites of the eyes. During the same period, urine becomes the color of beer, and feces - the color of clay due to disturbances in the exchange of bile pigments.
2. Cirrhosis of the liver. In patients with cirrhosis, liver cell death and changes in its structure are observed. People with this diagnosis have pain in the right side at the waist level, sometimes the pain is felt in the back. With cirrhosis, a person may notice pain in the right side below the ribs, already at the very beginning of the disease. At the same time, the burning sensation in the right side is persistent. On late stages With cirrhosis, the liver shrinks, its performance decreases, and the patient develops hepatic coma, death is likely.
3. Echinococcosis. These are cysts with liquid contents, which are caused by the worm Echinococcus. Cysts are most often located in the right lobe of the liver and, as they grow, they compress the capillaries and intrahepatic bile ducts, causing severe heaviness in the hypochondrium and uneven enlargement of the liver. If the cyst festeres, 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.
4. Congestive heart failure. Why discomfort in the right hypochondrium in this case is bothersome is explained by the patient’s condition. Initially, his blood circulation deteriorates, as a result, the liver enlarges, and fluid accumulates in the abdominal cavity. Appears nagging pain in the right side, feeling of heaviness. A nagging pain is disturbing as the disease progresses. With abdominal myocardial infarction, the patient is worried about severe, burning pain in the lower part of the right hypochondrium. Sometimes the patient complains that there is pressure in the side. But in some cases the beginning pain sometimes a very sharp pain, similar to the blow of a knife, manifests itself in the shoulder blade and sternum. As a rule, this happens with the development of heart attacks. back wall heart muscle. Sometimes it seems to the patient that this painful sensation manifests itself in waves: periodically it decreases and intensifies. In this case, pallor, heart rate disturbances, and a drop in pressure may be observed.
5. Gallbladder diseases. They give the greatest 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 bladder neck or bile duct or bacterial flora may be to blame for the inflammation. Pain during acute inflammation occurs at the point between the rectus abdominis muscle on the right and the costal arch. They are cramping, strong, give in right shoulder or left hypochondrium. There may be a bitter taste in the mouth, belching of air, nausea and vomiting of bile. Sometimes the body temperature rises. For calculous cholecystitis typical development obstructive jaundice with a yellow-green tint to the skin and mucous membranes.

Pain after eating

Eating accelerates the secretion and movement of bile, increases blood supply to the liver and stimulates intestinal peristalsis. Therefore, food provokes pain in pathologies of the liver, gall bladder, and intestines.

In this case, the nature of the pain can be different: nausea and dull pain are characteristic of cholecystitis, sharp pain spastic nature accompanies colitis and intestinal dysbiosis, stabbing pain accompanies biliary dyskinesia or.

After load

Unpleasant sensations in the form of pulling or stabbing pain occur after physical exertion in people with hepatitis, cirrhosis, or congestive liver. After shaking or physical exertion, an attack may occur. Also periodic pain during exercise they appear in patients with myositis, intercostal neuralgia, osteochondrosis, rib fractures, and vena cava thrombosis.

Pain in acute appendicitis

The appendix is ​​a lymphoid organ that takes part in immune defense digestive system. Located in the area of ​​the right ilium, however, its position is quite variable. This causes difficulties in diagnosing inflammation of the appendix. Appendicitis has its own distinct stages of development, which only a surgeon can diagnose.

Are:

1. Diffuse pain in the navel and stomach;
2. The pain is localized in the right half of the abdomen for three hours;
3. Reducing pain when lying on the right side;
4. Increased pain when walking and lying on the left side;
5. Pain worsens general health, body temperature rises, vomiting and diarrhea occur.

In such cases, emergency surgical treatment in a surgical hospital.

Pain differentiation

Depending on the kind of pain felt by a patient who consults a doctor with this problem, it is possible to identify which organ disease is associated with certain painful sensations.

So, pain in the right hypochondrium, what could it be:

1. Burning pain in the right hypochondrium is often the cause of acute cholecystitis.
2. Acute pain in the right hypochondrium is most likely associated with gallbladder diseases.
3. Severe pain in the right hypochondrium is usually felt by patients suffering from hepatitis.
4. Dull pain may be a consequence of inflammatory processes in the gallbladder.
5. Aching or pressing pain can be attributed to the symptoms manifested by biliary dyskinesia.
6. Nagging pain is characteristic of chronic hepatitis.
7. A bursting type of pain can be caused chronic diseases pancreas.
8. Throbbing pain is typical for patients diagnosed with pancreatitis.
9. Stitching pain is observed in patients with problems with the right kidney.

Also, pain in the right hypochondrium can only occur in the evening or at night. As shown medical practice, constant night pain in this area is often the first sign of a duodenal ulcer.

Diagnostics

If the doctor complains of pain in the right hypochondrium, he has the right to prescribe:

• blood chemistry;
• analysis of urine samples for bilirubin;
• Abdominal ultrasound

If the results are uncertain, an MRI, CT with an emphasis on the abdominal organs, or a liver biopsy may be needed. And only after receiving all the research results, the doctor will prescribe a course of treatment and diet, and also determine the need for hospitalization.

How to relieve pain?

In order to relieve pain, you can drink no-spa, but you should not abuse the painkiller - this will not make it possible to correctly determine the cause of the discomfort.

It is necessary to immediately call an ambulance if the patient exhibits the following symptoms:

• incessant vomiting;
• fainting and presyncope;
• delay or complete inability to urinate;
• the pain is acute, unbearable, lasts more than a few minutes (not attacks - spasms, characterized by cramping pain, but constant significant discomfort);
• uterine bleeding;
• blood in vomit, feces, urine;
• significant increase in body temperature (above 38.5°C);
• diarrhea or constipation lasting several days.

If there is pain in the right hypochondrium and the causes have been clarified, the question remains of what to do. The main thing that the patient should know is that under no circumstances should you self-medicate. Taking antispasmodics, analgesics and them similar drugs significantly blurs the picture and complicates the doctor’s work.

First aid recipes widely circulated on the Internet are also ineffective, but also dangerous. Under no circumstances should you accept alcohol tinctures, putting heating pads on the stomach and the like: for unknown reasons, this can cause death. The main thing the patient should do is consult a doctor. In this case, it is not necessary to go to the local police officer. At intense pain need to contact ambulance.

Treatment is almost always medicinal and includes taking analgesics, antispasmodics, diuretics, choleretic drugs etc. These medications are prescribed exclusively by a doctor. Surgical assistance required in extreme, urgent cases, such as intestinal obstruction, perforated ulcer etc. In all other cases, conservative therapy is indicated.

Prevention

Preventive measures to prevent pain in the right hypochondrium boil down to following the following recommendations:

• reception medicines only as prescribed by a doctor;
• avoidance of stressful situations;
• compliance with personal hygiene rules;
• healthy and active image life;
• rejection of bad habits;
• proper and nutritious nutrition;
• usage barrier contraceptives during sexual intercourse, refusal of casual relationships.

Regular passage medical examination(once a year) will allow you to prevent or promptly detect any deviations in health and receive the necessary treatment.

On the right side of the body, under the ribs, the pancreas, gallbladder and liver, part of the colon, are located in humans. Bottom part lungs, muscles. Pain in this area is a complaint with which patients often come to see a doctor, and it, in turn, indicates the presence of pathologies of various forms.

Classification of pain in localization

In order to do primary analysis problems, it is necessary to determine the nature and type of pain. Sometimes the presence of discomfort on the left or right is determined as an indication for surgical treatment.

By intensity

There are two main types of pain:

Feels like

Identify the nature of the syndrome based on sensations:

Drawing pain is a painful tint and is not defined as a full-fledged symptom during diagnosis.

According to the source of manifestation

A symptom does not always indicate damage to internal organs, even if it feels that way. The focus of pathological processes is localized in different ways. It identifies types of pain:

Character Definition discomfort allows for more accurate diagnosis and make a plan for further action.

Pancreatic diseases

More often than not, discomfort on the right side indicates the presence of pancreatic diseases and complications. If they are detected, it is necessary urgent Care and hospitalization.

Acute pancreatitis

The disease is acute inflammation pancreas. If a problem is detected, hospitalization is mandatory. Pain under the ribs on the right side in front, radiates to the left and spreads to the back area. The intensity of the syndrome in men and women is high. Associated symptoms:

Possible increase in body temperature. Nausea causes vomiting, but does not improve after the procedure.

IN in rare cases the pain takes on a weak intensity and does not give the patient a reason to seek help.

Chronic pancreatitis

For chronic pancreatitis characterized by alternation of stages of acute inflammatory processes and recovery. The right side hurts under the ribs on the side, as a rule, precisely during the next attack as a result of violating the prescribed regimen. An exacerbation is characterized by pain of a girdle, bursting, stabbing nature, arising and increasing within an hour and a half after eating. Associated symptoms:

Complications

Severe acute pain on the right or left side is the result of the progression of pancreatitis, indicating the development of pancreatic necrosis, abscesses, bleeding and hematomas. Intense and dull pain is a sign of cancer last stage. Unpleasant sensations may also indicate the presence of cysts, pseudocysts and benign tumors.

Liver and gallbladder diseases

Pain itself is not the only sign of liver disease. As a rule, the syndrome is accompanied by other symptoms depending on the type of lesion.

Hepatic colic

Occurs as a result of blockage by a stone or formation in the duct. The condition requires emergency medical attention and is accompanied by symptoms:

Chronic pathologies of the gallbladder and liver

In this case, periodic pain occurs in the right side. As a rule, the syndrome increases within an hour and a half after a meal. The problem is accompanied by symptoms:

Acute disorders

For viral hepatitis, gallstone disease, cholecystitis and cirrhosis are characterized by high-intensity pain syndrome, spreading to the groin and chest. Also found:

Intestinal diseases

Bowel cancer and inflammatory processes cause pain stupid character medium intensity on the right. Symptoms are also observed:

• persistent flatulence;
• bowel dysfunction (constipation, diarrhea);
• weight loss;
• hair loss;
• bloody spots in the stool.

Severe pain on the side is accompanied by worsening general condition patient and requires hospitalization.

Appendicitis

In acute appendicitis, severe pain in the right side and groin is possible, preventing movement. Accompanying symptoms:

• temperature rise up to 39 degrees;
• chills and weakness;
• nausea and vomiting.

Acute appendicitis is a problem that requires urgent intervention. In case of prolonged discomfort, it is necessary to consult a doctor as soon as possible or call an ambulance at home.

Lung inflammation

Lower lobe pneumonia causes stabbing discomfort in the area under the right rib. At the same time, it becomes weaker when lying on one’s side and intensifies during inhalation. Associated symptoms:

These symptoms also signal the progression of dry right-sided pleurisy, in which the side hurts. Cancerous tumors in the lungs cause weight loss, as well as hemoptysis. Organ diseases require a serious approach and thorough professional diagnosis.

Acute inflammatory processes of internal organs require immediate hospitalization and diagnosis.

Muscle pathologies, neuralgia

Myositis - muscle inflammation chest and abdominal pain, characterized by shooting and cramping pain in the right side under the ribs. During movement, the pain intensifies; compactions form in the affected muscles, which can be detected by palpation. The syndrome also causes progression of the hernia and inflammation of the diaphragm. In this case, deterioration occurs during meals and deep breathing.

Intercostal neuralgia is characterized by inflammation of the nerves, causing severe acute discomfort.

The sensation intensifies when bending, moving, or inhaling.

IN severe cases redness and formation of a vesicular rash are possible in the areas where the lesion is localized. The disease is often diagnosed during pregnancy.

Pain in the right hypochondrium in a child or adult always indicates the presence of pathological processes associated with muscle tissue or internal organs. If the problem becomes long-term at high intensity, prompt hospitalization is required. At timely application Seeing a doctor can eliminate not only the pain syndrome, but also the source and main cause of the disease.

Pain in the right hypochondrium on the side indicates a disruption in the functioning of the internal organs located on this side. It may be a symptom of a pathology of infectious or other etiology. Only a doctor can accurately diagnose the cause, based on the results of clinical studies.

Pain syndrome extremely rarely develops suddenly, even if there are health disorders that give similar symptoms.

This statement does not apply to exacerbation of organ diseases:

• digestive system;
• breathing;
• internal secretion;
• genitourinary area;
• central nervous system.

Often it all starts with discomfort after eating, physical activity, or sexual intercourse.

Pain almost always comes from:

• injuries to the abdomen and chest area;
• profuse internal hemorrhages.

Chronic pathologies sharply remind themselves of themselves in the phase of exacerbations, which more often occur in spring and autumn, but can also appear after suffering stress (both physical and emotional), as well as due to changes hormonal levels. Often the cause of exacerbation and pain is a banal disregard for the advice and recommendations of the attending physician.

Features of pain localization

Discomfort on the side, in the area lower limit chest happens:

• closer to the ventral surface;
• giving back.

In the first case, this indicates pathology:

• liver and gallbladder;
• stomach;
• upper intestines.

In the second, we can talk about such conditions as:

• dysfunction of the kidneys and adrenal glands (or only the right organs);
• osteochondrosis;
• problems with the inferior vena cava;
• cracks and fractures of the lower ribs on the right.

Table 1. Relationship between the localization of pain in the right hypochondrium on the side and possible pathology

Nature of pain

Painful discomfort occurs of different nature and intensity:

• aching symptoms are typical for sluggish, chronic processes;
• dull, impulsive occur with problems with the stomach and kidneys, inflammation of the gallbladder, osteochondrosis, traumatic injuries bones, neoplasms;
• acute, which cannot be tolerated, may indicate the development of extremely dangerous pathological conditions different organs.

Occasionally, severe pain accompanied by vomiting is a sign of pseudo-abdominal syndrome when:

• gastritis and myocardial infarction;
• pyelonephritis and pneumonia.

It does not pose a risk to life and is treated conservatively.

Severe discomfort and a feeling of heaviness under the ribs on the right side is a characteristic symptom:

• liver edema, for example, with hepatitis;
• developing cardiovascular failure;
• gallbladder pathologies.

Associated symptoms

Pain in the right hypochondrium is rarely the only symptom of a health disorder. As a rule, there are others, which, together, form clinical picture pathology. These include:

• digestive disorders (nausea, vomiting and loose stools);
• signs of intoxication (hyperthermia, hyperhidrosis, decreased general tone and other manifestations);
• drowsiness and dizziness;
• changes in blood pressure;
• clouding of consciousness and fainting;
• pain and discomfort in the heart area, as well as changes in pulse;
• swelling and bleeding of mucous membranes;
• yellowing of the skin and sclera;
• painful urination;
• body hyperemia and rashes;
• copious discharge from the external genitalia;
• respiratory failure, cough and other symptoms.

What does pain in the right hypochondrium on the side mean?

Most often, it signals the development of an acute form of pathology, which often develops into emergency conditions.

Gastrointestinal problems

Dysfunctions of the digestive organs very often manifest themselves as pain in the area of ​​the right side and the lower border of the ribs.

Cholecystitis

This is an inflammation of the gallbladder caused by:

• infectious lesion;
• the presence of concretions (sand and stones) in the organ.

The pathology can be acute or discomfort and pain under the ribs on the right are strong and cramping, but more often aching. The pain radiates to iliac region. It can radiate to the lower back, right shoulder, and get worse after eating. Additionally, symptoms such as:

• bloating and constipation;
• bitterness and metallic taste in the mouth;
• belching.

Signs of intoxication soon become apparent (fever, general weakness and others).

• taking antibacterial agents;
• physiotherapy;
• sanatorium spa treatment on mineral waters.

In some cases, according to indications, it may be recommended surgery to remove stones or the entire gallbladder.

Cholelithiasis

A pathology in which stones form in the gallbladder and ducts. It can be a complication of conditions such as:

• chronic cholecystitis;
• diseases of the endocrine system;
• disorders of the nervous regulation of liver functions.

Gallstone disease is treated conservatively when the size of the stones does not exceed 1.5 cm in diameter. Most often the only thing possible method To save a person from suffering is a surgical operation. This is due to the fact that large stones, dissolved to the state of sand, can form again.

Ulcerative lesions of the stomach and duodenum

Pain in the hypochondrium on the right is typical for these pathologies. Increasing discomfort may not be caused by food intake, but may arise from:

• at night and on an empty stomach;
• after emotional and physical overload.

The clinical picture is complemented by:

• heartburn and belching;
• nausea and vomiting of acidic substances;
• hyperthermia and increased heart rate;
• bowel disorders.

The disease may be asymptomatic for some time, which makes diagnosis difficult. In advanced and complicated forms it is dangerous internal bleeding and peritonitis.

Pancreatitis

Feeling of fullness and nagging pain in the hypochondrium on the right side - typical sign inflammation of the pancreas. Other symptoms of the disease, in its chronic stage, are:

• significant decrease in body weight;
• periodic bloating;
• digestive disorders;
• high fatigue and chronic fatigue syndrome;
• discoloration skin: They may take on a bluish or yellow tint.

Pancreatitis often develops against the background diabetes mellitus and liver pathologies. To prevent the acute form from becoming chronic, special therapy is required aimed at removing painful symptoms. It involves reviewing your diet and taking medications. In order for the remission period to last as long as possible, it is important to follow all the doctor’s recommendations and, if possible, undergo a course of sanatorium treatment.

What diet should you follow for pancreatitis, read our

Hepatitis

Often pain under the ribs on the right is caused by liver pathologies. The most common of them are different types hepatitis A. They can develop as a result of:

• frequent and heavy alcoholic libations;
• taking certain medications;
• genetic predisposition;
• infectious lesions (viral, bacterial, fungal);
• other reasons.

In addition to pain in the hypochondrium, hepatitis is characterized by such phenomena as:

• itching of the skin;
• feeling of fullness in the liver area;
• problems with digestion fatty foods;
• increased body temperature;
• deterioration of general condition;
• diarrhea and constipation;
• spasmodic pain in the epigastric region;
• yellowing of the skin and sclera.

One of the signs of hepatitis is yellowing of the skin and sclera

Therapy depends on the etiology and aims to relieve inflammation. It includes:

• streamlining your lifestyle and diet;
• taking medications regularly;
• giving up bad habits.

Lack of medical care or incorrectly selected medications (as in self-medication) often cause complications such as cirrhosis and the growth of malignant tumors.

Acute appendicitis

This diagnosis is associated with pain in the right iliac region. However, in 70% of cases acute appendicitis begins to bother higher up, in the hypochondrium area. In the first few hours the sensations turn into right side lower abdomen, and the picture becomes clearer.

Signs of inflammation of appendicitis

Acute appendicitis is extremely dangerous. It is almost not caused by provoking factors, and can develop against the background of normal health. When a person goes to the operating table very late, there is a risk of rupture of the appendix and the development of peritonitis.

Helminthiasis

This is a group of pathologies caused by the presence of worms in the body. Pain and discomfort in the right hypochondrium can occur in the second (chronic) stage of the disease. Associated symptoms will be:

• loss of appetite;
• bloating and digestive disorders;
• increased nervous excitability;
• asthenic syndrome.

Women's reproductive organs located in the lower abdomen. However, the pain that accompanies the course of some pathologies can radiate to its upper parts.

Ectopic pregnancy

When a fertilized egg is not attached to the wall of the uterus, but is fixed in another place, they speak of development ectopic pregnancy. As the embryo grows and stretches fallopian tube, it can manifest itself as nagging pain in the lower abdomen, which sometimes radiates to the hypochondrium area.

Localization of ectopic pregnancy

The condition is dangerous because it progresses quickly and carries the risk of pipe rupture. Therefore, if you have such symptoms that occur against the background of a delay in menstruation, you should immediately contact a gynecologist. The problem of ectopic pregnancy is solved surgically.

Adnexit

This is an inflammation of the female appendages, of infectious etiology, which can manifest itself as pain in the lower abdomen, sometimes radiating to the right or left hypochondrium. They are often confused with signs of appendicitis.

Other symptoms of adnexitis are:

• increase in body temperature up to 40°C;
• purulent discharge from the genitals;
• menstrual irregularities;
• painful menstrual bleeding.

Therapy is based on taking antibiotics (penicillins or cephalosporins), in addition to which it includes:

• anti-inflammatory and painkillers;
• physiotherapy, which is carried out after the symptoms of inflammation have been relieved.

Adnexitis, when it is not cured on time and completely, turns into chronic stage. This significantly increases the risk of ectopic pregnancy and infertility in the future.

Video - Andexit: diagnosis and treatment

Other causes of pain in the right hypochondrium on the side

Acute pneumonia

This is an inflammation of the lower respiratory tract, infectious etiology. The pattern of pain largely depends on the location of the process. When it's concentrated at the bottom right lung, pain may radiate to the corresponding part of the chest. It is important to understand that the lungs themselves are devoid of nerve endings, and therefore cannot produce pain symptoms. Their source is the pleura, large bronchi and trachea.

On the other hand, a cough that occurs due to the need to remove phlegm is strong and frequent, leading to soreness in the muscles of the body. This is due to the accumulation of lactic acid in them.

Treatment is carried out conservatively, using:

• antibacterial and mucolytic drugs;
• immunostimulants and antihistamines;
• other medicines prescribed according to indications.

Acute right-sided pyelonephritis

So called nonspecific inflammation right kidney, due to the influence of pathogenic bacteria. One of them characteristic symptoms pathologies are considered to be pain that is usually dull, aching in nature and disturbs the lumbar region, but can also radiate to the right hypochondrium. With calculous pyelonephritis, the sensations are paroxysmal.

Other signs of pathology include the following:

• hyperthermia;
• headache and weakness;
• fast fatiguability;
• frequent urge to urinate;
• pallor and swelling, especially in the morning.

Like any inflammatory caused by exposure pathogenic flora, pyelonephritis is treated:

• antibiotics and antihistamines;
• means to strengthen the immune system;
• other drugs.

Can pain in the hypochondrium on the right be normal?

Let's just say that it does not always mean the development of acute conditions:

• when the body has pathologies of a chronic nature, pain may bother you during periods of remission, but this can very loosely be called the norm;
• Sometimes discomfort under the ribs on the right side bothers healthy people. This occurs when exposed to factors that disrupt normal course physiological processes.

When playing sports

Pain and heaviness in the hypochondrium can occur, for example, during sports, especially running. Beginners suffer the most from this. Physical activity provokes release large quantity adrenaline, which relaxes the walls of the bile ducts. This causes the liver to fill with blood and enlarge, putting pressure on its capsule, which has many nerve endings. This leads to stabbing pain.

After overeating

Discomfort in the right upper abdomen in a person who does not suffer from gastrointestinal pathologies may be a consequence of eating too much food. An abundance of food, especially fatty foods, is a serious burden on the body. In addition to discomfort:

• drowsiness comes;
• heart rate increases;
• Nausea may bother you.

Women's reasons

In women, periodic, mild pain in the liver area can be caused by:

• physiology of monthly bleeding;
• pregnancy;
• taking oral contraceptives.

In these conditions, discomfort in the hypochondrium and side does not require special treatment, and eventually disappears on its own.

Which doctor should I go to?

If you have frequent or acute pain in the right side of your abdomen, you should consult a therapist. The diagnostic results will indicate the source of the problem, and the doctor will refer you to a specialist. When it comes to children, you should start with a visit to the pediatrician.

How to relieve pain syndrome

It is important to understand that pain is a signal of trouble in the body. Her character can tell the doctor a lot about the causes of the condition. When the discomfort is tolerable, it is better to rush to the clinic, and if it worsens, call an ambulance. It is not advisable to take medications before being examined by doctors.

In case the pain causes severe suffering, and there is no way to seek medical help, there are pharmaceutical products that relieve spasms and relieve pain: No-shpa, Spazgan and others.

What not to do when you have pain

Firstly, there is an unambiguous ban on warming up in acute period, since this can lead to irreversible consequences, especially when the diagnosis has not yet been established.

And secondly, you should not abuse painkillers, so as not to provoke additional health problems.

When to call an ambulance

Signal to urgent appeal Symptoms such as:

• severe pain that does not stop for several minutes;
• profuse and frequent vomiting;
• loss of consciousness;
• increasing swelling and problems with urination;
• bleeding (uterine, gastric, intestinal);
• persistent hyperthermia (38.5°C and above);
• diarrhea or constipation for several days.

Before the doctors arrive:

• you cannot eat, move actively or warm up the body;
• It is not advisable to drink water or take medications.

The patient should be laid down and wait for the doctors to arrive.

Prevention

The following are recommended as measures to prevent the development of pathologies and symptoms mentioned above:

• timely consultation with a doctor and complete treatment of all pathologies;
• regular and balanced nutrition;
• taking care of strengthening the immune system;
• giving up bad habits.

Following these simple rules will allow you to maintain your health as much as possible and protect yourself from dangerous pathologies, and therefore from their symptoms, complications and consequences.

The manifestation of pain always indicates disturbances in the functioning of the body. Taking into account the intensity and depending on the reasons for its occurrence, appropriate measures are taken. It should be noted that identifying the exact cause of sensations without qualified diagnostic measures quite difficult.

Pain under the right rib, depending on the character, general condition of the patient, as well as his medical history, may indicate the presence of various diseases. Similar condition often indicates injuries or pathologies of internal organs.

So, if pain develops in the right side, liver function may be impaired. More often functional disorders occur as a result of penetration viral infections or as a result wrong image the patient's life. As you know, the condition of the liver is very adversely affected by drinking alcohol, smoking, as well as excessive consumption of fatty or spicy foods. provoked by individual medicines, also causes pain. Cardiac diseases have a significant impact on the liver. In this case, as a rule, pain occurs under the right rib caused by stagnation of blood. This occurs due to insufficiency of the heart muscle.

Pain under the right rib can be caused. As is known, this organ takes an active part in digestive process, carries out the breakdown of fats. When eating too fatty foods, the gallbladder releases all the bile into the intestines. In this case, when an infection develops in the organ, the person feels pain under the right rib. She signals malfunction organ and the need to follow a diet.

Paroxysmal symptoms accompanied by vomiting, nausea, and profuse sweating may indicate an inflammatory process in the pancreas. This organ, located deep in the abdominal cavity, belongs to endocrine system. His main function is the production of insulin and digestive enzymes.

Inflammatory processes in the pancreas, as a rule, are a consequence of excessive alcohol consumption, complications of cholelithiasis and other diseases of the gallbladder, consequences surgical interventions on the stomach. In rare cases, the causes may be abdominal trauma, metabolic disorders, or infections.

Pain under the right rib in the front also indicates a change in the size of the organs located under the diaphragm. This pathology is observed during pregnancy. In this case, the enlarging uterus puts pressure on the diaphragmatic dome. In addition, ailments can occur due to hernias, relaxation (thinning), and tumors.

Acute pain on the right side is often accompanied by immediate consultation with a specialist. The diagnosis is maintained until another cause is identified. It should be noted that this state is quite serious. When the diagnosis is confirmed, appendicitis is removed, since its rupture can lead to fatal outcome.

Any discomfort is a signal to seek help. It should be noted that in many cases the lack of timely assistance can provoke severe and sometimes irreversible consequences.

You can independently determine the approximate cause of the pain. In any case, you must report all your complaints to your doctor. The specialist will be able to accurately diagnose the disease and prescribe competent treatment. As practice shows, independent selection of therapy can alleviate the condition, but for a short period. Typically, symptoms get worse over time.

If pain suddenly begins to bother you on the right side under the ribs in the back, a person does not always understand which doctor he needs to see. People who do not understand medicine usually associate the occurrence of this alarming symptom with kidney pathology. But practice shows that in many cases painful manifestations on the right side of the back are provoked by others no less serious illnesses. Let's figure out what ailments may be responsible for the above-described symptom.

Pain localized in the right hypochondrium from the back has many causes. In addition to the kidney, this area contains gallbladder, intestines, pancreas, lung. Malfunctions in the functioning of any of the listed organs can manifest themselves in the form of unpleasant sensations in the lower back. Also, pain on the right side, radiating to the back, often occurs with problems with nervous system, spine and pelvic organs.

What to do if your back hurts?

You can see that the discomfort in the right hypochondrium is serious. If it occurs, a person should make an appointment with a doctor as soon as possible. The specialist will refer the patient for tests and examination and only after that will give him an accurate diagnosis and prescribe treatment. Waiting for the pain to subside on its own, or self-medicating in this case is strictly contraindicated, because similar actions may lead to deterioration of health.

So how do you know which doctor to see? To do this, you need to listen to yourself. Pain on the right under the ribs in the back is distinguished by location, degree of intensity and frequency. They can be permanent or occur from time to time, be sharp, dull or aching, concentrated in one point or spread over a large area. Depending on the type and location of pain, preliminary conclusions can be drawn about which organ can provoke it.

Pyelonephritis

Pain in the sides under the ribs in the lower back is a sign of chronic or acute pyelonephritis. If a person experiences discomfort only on the right side, pathology of the kidney located on this side should be excluded.

The acute course of pyelonephritis is accompanied by constant dull aching pain in the side, which intensifies when tapping the lower rib from the back, on the side of the affected kidney. Except painful sensations, the disease is accompanied by increased body temperature, chills, frequent urination, the appearance of edema, general loss of strength, nausea, and vomiting. Without treatment, a person's lower back pain will intensify and their health will worsen. IN running forms the disease can lead to serious consequences.

Chronic right-sided pyelonephritis is characterized by a weak aching pain, which becomes more intense when the body is hypothermic. Signs of the disease, in addition to discomfort in the lumbar region, are also a slight increase in body temperature and frequent urination. If, in addition to pain under the right hypochondrium, a person has other symptoms characteristic of acute or chronic pyelonephritis, he should immediately see a urologist.

Urolithiasis disease

You should also visit a urologist if you suspect urolithiasis. With it, pain on the right side under the ribs in the back bothers the patient if he has kidney stones on the affected side. Unpleasant sensations in the lumbar region may be varying degrees intensity. They depend on the size of the stone and its position in urinary tract. Most often, with the disease, the patient is bothered by dull pain, which intensifies with fast walking, running, riding in public transport, and also with drinking large amounts of liquid. They can be either constant or occur from time to time. An invariable companion of the disease is pain; the lower the stone is in the ureter, the more pronounced the discomfort will be.

Liver problems

If your back hurts under the ribs, organ diseases should be excluded digestive tract. C contains the gallbladder, pancreas and liver. Inflammatory process in any of these organs it is manifested by pain, radiating both to the abdomen and to the back. If there are problems in the digestive tract, a person needs to visit a gastroenterologist.

Prolonged aching pain radiating to the back on the right should be a reason for examining the liver. With diseases of this organ, discomfort increases with physical activity and becomes weaker at rest. With liver diseases, pain in the right lower back worsens after eating fatty, spicy foods and alcoholic beverages. In addition, pathological processes in the organ are indicated by nausea, heartburn, belching, fatigue, poor appetite, and bitterness in the mouth. Liver diseases are often accompanied by yellowing of the skin.

Gallstone disease and cholecystitis

Sharp pain on the right under the ribs, back and front, may indicate an attack cholelithiasis and require immediate medical attention. Exacerbation occurs due to stone blockage bile ducts and often the only way The treatment of the disease is surgical intervention. Pain during an attack can radiate to the right shoulder, shoulder blade, and neck. Sometimes it spreads to the heart, causing angina. Associated symptoms during an attack of gallstone disease are fever, discoloration feces, yellowing of the skin. Abuse of fatty and spicy food, exercise stress.

If the right hypochondrium hurts for several days and this symptom is accompanied by fever, nausea, vomiting, constipation, flatulence and tension in the abdominal muscles, then doctors first rule out an attack. This disease is characterized by constant aching pain of moderate intensity, which is sometimes accompanied by a feeling of heaviness and burning. Attacks of cholecystitis in the vast majority of cases occur in people suffering from cholelithiasis.

Pancreatitis

Intense debilitating pain radiating under the ribs (or under one of them), in the lower back and scapula area can occur with inflammation of the pancreas (pancreatitis). But not all people experience the disease only as unpleasant sensations in the described areas of the body. Often, during an exacerbation of the disease, the patient is tormented by girdling pain, immediately covering the stomach and back. They are accompanied by chills, severe vomiting, diarrhea, flatulence, fever and general loss of strength. Pain during treatment lasts up to several days and subsides only after a person starts taking medications prescribed by a gastroenterologist, so you should not postpone a visit to him. Heavy current illness requires urgent hospitalization.

Inflammation of the appendix

Pain on the right side under the ribs in the back can provoke appendicitis. For inflammation vermiform appendix characterized by constant moderate dull pain, aggravated by movement. Its localization is on the right side, but at the beginning of an attack it can occur in the navel, in the back under the rib, or cover the entire abdomen. In addition to painful sensations, appendicitis is also manifested by fever, loss of appetite, nausea, one-time vomiting, loose stools, increased heart rate. If a person experiences the symptoms described, he needs to urgently call an ambulance. Any delay can result in peritonitis and death.

Lung diseases

Constant or periodic aching may indicate pathological processes in the lung located on the affected side. This could be pneumonia, pleurisy and even malignant tumor. With the above diseases, back pain on the right is accompanied by coughing with poorly separated sputum, weakness, fever. If a person is bothered similar symptoms, he needs to see a therapist or pulmonologist.

Spinal problems

Very severe pain in the right lower back occurs due to a lumbar intervertebral hernia. They can spread from the site of inflammation to popliteal region, lower leg, on the back of the thigh. Often, people with illness complain of numbness in certain areas lower limbs, tingling and burning in the toes, paresis. The pain intensifies when walking, and becomes more tolerable in a lying position. Intervertebral hernia The lumbar region is treated by an orthopedic surgeon.

Painful sensations of varying degrees of intensity in the area of ​​the right hypochondrium can occur due to injuries to the spinal column during falls. If a person does not feel better within 1-2 days after the incident, he needs to consult a surgeon and exclude the possibility of damage to internal organs.

Other reasons

Acute or nagging pain with tingling under the right rib may appear as a result. Usually it occurs periodically and does not last long. In this case, a neurologist or psychiatrist will help the person get rid of pain.

Discomfort in the lower right part of the back may be caused by diseases of the urinary system. With them, the unpleasant sensations do not go away and do not decrease, even if the person is motionless. Representatives of the fairer sex should take into account that pain concentrated under the right rib is a sign of a number of gynecological diseases. To diagnose them, you need to contact an antenatal clinic.

But nagging pain in the lower back does not always indicate health problems. If it occurs after a night and then disappears without a trace, then its cause is an uncomfortable bed. In this case, a person simply needs to change the mattress.

If you have pain in the right lower back, it is strictly forbidden to diagnose yourself and take medications that have not been prescribed by a doctor. You should not apply a heating pad, even if its warmth makes the person feel better. It is important to remember that in the right hypochondrium there are vital important organs, therefore, if you have any complaints of pain in this area, you should immediately see a doctor. Only the right approach in treatment will help the patient become healthy.