Sharp pain in the right hypochondrium as. Causes of pain under the right rib. Inflammation of the pancreas

Pain occurs in many people, sometimes even healthy people after physical exertion. But often pain is a signal that he needs help. Without an examination, no doctor will be able to answer the question: why does it hurt in the right hypochondrium, since these sensations can be a sign of many diseases.

With liver damage, you can experience pain in the right hypochondrium.

In the region of the right hypochondrium are located:

  • gallbladder
  • Right kidney

Dysfunction of these organs due to the occurrence of inflammatory processes in them can provoke pain. In addition to lesions located near the organs, other diseases can also serve as the cause.

Cholecystitis

This disease is associated with a delay in the outflow of bile from the biliary tract. Sharp pain from the side of the right hypochondrium may indicate an attack of cholecystitis. More often this happens at night.

The muscle tone of the bladder increases, provoking its numerous contractions. The patient feels sharp and severe pain. The pain is usually short-lived, but the person experiences stress, turning into neuroses.

The disease develops as a result of cholelithiasis, slowly moving from an acute form to a chronic stage. The walls of the bladder are damaged due to the pressure of stones on it, thicken and become covered with ulcers, which later scar. There is stagnation of bile, accompanied by:

  1. Mild pain
  2. Nausea
  3. Bloating

Pain may increase with fatty or fried foods.

Stones in the gallbladder

An acute attack can cause the stones in the gallbladder to move along the excretory duct. During this process, stagnation of bile occurs and, as a result, inflammation of the gallbladder.

Ulcer

A stomach ulcer can cause pain in the right hypochondrium.

Peptic ulcer worries with regular stabbing pains in the right hypochondrium. This pain is so acute that it is called a dagger. It occurs mainly at night and continues until food enters the intestines. In addition to pain, the patient may experience:

  • Nausea
  • severity
  • Deterioration in general well-being

Renal colic

Renal colic occurs when the stones in the kidneys begin to move and touch the internal organs with their sharp edges. The pain becomes very severe when the person moves. The stones block the urinary tract, in connection with this, the pain is shifted to the groin.

pancreatitis

When the patient experiences a throbbing, girdle pain in the right hypochondrium. Such sensations indicate that an acute disease is turning into a chronic stage and requires immediate conservative treatment.

Chronic pancreatitis develops against the background of an untreated acute disease or after urolithiasis. The cells of the pancreas die, and connective tissue is formed instead, the functions of the organ are lost: an insufficient amount of digestive enzymes and the hormone insulin is produced. The patient's blood sugar rises. After eating, the patient often feels a dull pain in the right hypochondrium.

A symptom of hepatic colic may be aching pain in the left side.

Aching pain on the right is typical for. This condition is preceded by minor pain, which most patients do not attach importance to. All liver diseases in the initial stages are asymptomatic. For example, hepatitis does not manifest itself in any way, pain appears only in cases of virus activity. The patient appears:

  • Prostration
  • Loss of efficiency
  • The skin and whites of the eyes turn yellow

In the future, if this disease is not treated, aching pain is added to these.

chronic hepatitis

If hepatitis is not diagnosed and treated in time, it becomes chronic. This disease is different for every organism. Pain may or may not be present. Aching pain in the right hypochondrium in people with chronic hepatitis is accompanied by the following symptoms:

  1. Seizures
  2. Periodic vomiting
  3. Bloating
  4. Sharp bouts of pain after drinking alcohol or fatty foods

During the examination, a significant increase in the liver is found, and on palpation of this organ, the patient may experience pain.

cirrhosis

Similar symptoms are observed with. Pain begins in the last stages of the disease. First, an inflammatory process occurs in the liver cells, which subsequently leads to their death. In place of dead cells, connective tissue is formed, and the liver cannot cope with its work, reminding of itself with aching pain in the right foreshadowing.

Oncology

Aching pains can occur in the last stages of cancer of the organs located in the right hypochondrium. Pain occurs in parallel with:

  • weight loss
  • subfebrile temperature
  • General weakness

In addition, there is an increase in the diseased organ.

In chronic pyelonephritis, patients experience pain in the right side.

This is a disease in which the pyelocaliceal system of the kidney becomes inflamed. The patient may experience aching pains on the opposite side of the diseased organ, while the sensations are given to the lower back. The disease is accompanied by:

  • Rise in temperature
  • chills
  • Frequent urination
  • Weakness
  • Edema
  • Gynecological diseases

Pain in the right hypochondrium may indicate gynecological diseases, namely:

  1. Ectopic pregnancy
  2. Torsion of an ovarian cyst
  3. Adnexitis
  4. Pain in an ectopic pregnancy

If for some reason the fetal egg is fixed not in the uterine cavity, but elsewhere, an ectopic pregnancy begins to develop. With this pathology, the fetal egg continues to grow. The woman has the same symptoms as during the usual one, drawing pains are added to them in the place where the fetal egg is fixed. There are also profuse bleeding. The patient needs urgent surgical care.

Pain with torsion of the cyst

When twisting the leg of a cyst located in the ovary, the patient may experience sharp pains that radiate to the hypochondrium. Added to this symptom are:

  • Heat
  • Weakness

With inflammation of the appendix, the patient feels pain in the right side.

With inflammation of the appendix, the patient may also feel pain in the right hypochondrium. Despite the location of this organ in the region of the right ilium, pain can occur anywhere in the abdominal cavity. A patient during an attack of appendicitis may feel:

  1. Pain in the navel or
  2. Prolonged pain in the right side of the abdomen
  3. Reduced pain when turning the patient to the right side
  4. Pain worsens when turning to the left side or walking

In addition, you may experience:

  1. Vomit
  2. Temperature increase
  3. Thoracic osteochondrosis

Thoracic osteochondrosis is often accompanied by aching pains, radiating both to the right and to the left hypochondrium. Degenerative changes that occur in the spine affect neighboring organs. Pain may increase with inspiration or exhalation.

Heart diseases

With the abdominal form of myocardial infarction, the patient may experience aching pain in the right hypochondrium. This is due to the fact that tissue necrosis has developed in a certain area of ​​​​the heart muscle, due to the cessation of its blood supply. There may also be acute pain in the epigastric region. The pains are sharp and burning, not passing when taking painkillers. With these signs, the patient must be urgently hospitalized.

It is impossible to make a diagnosis with a single symptom. You can not endure pain and wait for it to pass by itself, many diseases require immediate treatment, otherwise serious complications and even death will occur. You should not try to explain to yourself the cause of the pain on your own, only a doctor can put it.

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More than 30% of people in the world have experienced discomfort and pain symptoms in the hypochondrium of the right side during their lifetime. The reason for this can be many factors.

First of all - in this area, the liver and kidney are covered with ribs, which can become inflamed, increase in size or move from their anatomical bed.

Pathologies of internal organs can provoke pain in the right side under the ribs, of varying intensity and nature. In addition, pain symptoms can be localized in various projections.

Pain in the right side under the rib in front provokes pathological processes in various organs and systems located in close proximity to the anterior wall of the peritoneum.

Acute inflammatory reactions in the gallbladder

A sharp stabbing pain symptomatology in the area of ​​​​the abdominal muscle of the abdomen, passing along the right side of its white line and costal arch, is provoked by infectious bacterial microorganisms or the occlusion of the neck or duct of the gallbladder with crystalline formations as a result of the development of choledocholithiasis.

However, they can be very intense:

  • give to the shoulder area;
  • be accompanied by belching;
  • bilious vomiting;
  • nausea and bitterness in the mouth.

The development of calculous and chronic cholecystitis is complemented by symptoms - flatulence (bloating), apathy for food, resistance to fried and fatty foods, slight yellowing of the eye proteins.

Liver disease

It is from the right side under the ribs that the right lobe of the liver is located and pain in it can cause a number of pathologies:

1) Structural changes in the liver as a result of cell death and the formation of nodes in cirrhosis. Nodular neoplasms lead to compression of blood vessels and bile ducts, causing constant pain in the side.

As a result of overflow of the portal vein with blood, varicose veins, bleeding in the esophagus, ascites (fluid in the peritoneum) develop. In the future, the liver reduces its size and reduces efficiency.

The disease is preceded by any form of manifestation of hepatitis - alcoholic, toxic, or viral.

2) Painful symptoms similar to cirrhosis, can cause the formation of liver cell carcinoma in the liver. It can only be differentiated by tissue biopsy.

Their gradual increase in size causes compression of the hepatic capillaries and ducts, uneven enlargement of the liver. Suppuration provokes the development of a hepatic abscess and increased pain.

Problems of the digestive tract


1) Pathological processes of the colon caused by various diseases or injuries cause pain in the right side from the side. While the process of inflammation does not affect the peritoneal cavity, they are weakly expressed, radiating to the umbilical and inguinal zones on the right.

2) Prolonged inflammatory processes in the intestines and the development of granulomatous inflammations in all parts of the gastrointestinal tract are the causes of obstruction and necrosis of the intestinal tissues, manifested by spasmodic pain symptoms in the hypochondrium on the right.

3) Malignant neoplasms in the intestines are similar to the symptoms of intestinal obstruction or acute abdomen, and also cause pain in the projection of the right side under the ribs.

4) A different degree of inflammatory reactions in the appendix begins in the epigastric region, gradually passing into the region of the right hypochondrium, causing pain.

Cardiac pathologies

As a result of a violation of cardiac functions, causing circulatory disorders in a closed vascular pathway, the liver increases in size. This provokes edematous processes in the abdominal wall and the accumulation of fluid in the abdominal cavity.

The irreversible stage of heart failure leads to changes in the liver similar to cirrhosis.

The result of myocardial infarction, the abdominal variant, are pains of a burning nature and a feeling of pressure in the subcostal zone of the side on the right. Sometimes they radiate to the shoulder blade or chest area.

Pain in the right side of the back under the ribs speaks of pathological changes in the kidney, diseases of the adrenal gland, disorders in the functions of the great vena cava, injuries of the ribs or intercostal neuralgia.

Diseases accompanying such symptoms are manifested due to:

1) acute infectious inflammation of the kidneys (pyelonephritis), diffuse purulent process in the organ, formation of a carbuncle or abscess (apostomatous pyelonephritis).

2) Injuries to the abdominal system of the kidney and ureter with stones or sand (with urolithiasis). It is manifested by paroxysmal pain in the lower zone of the ribs, in the lateral and lumbar region.

3) Due to papillary necrosis (ischemic infarction of the renal papillae). Such a pathology develops with diabetes or is a consequence of an infectious process. Pain symptoms are constant. A high probability of the formation of septic shock with the development of the disease.

4) Inflammation in the fatty tissue of the kidney, caused by the action of foci of infection present in the body (tonsillitis, caries). The sensation of pain intensifies with a sharp change in body position, movement, or with full breathing. Similar symptoms appear with intercostal neuralgia.

5) Due to lumbar osteochondrosis, manifested by muscle stiffness, limited mobility and varying intensity of pain manifestations in this projection.

6), fractures or lesions of the body with herpes zoster.

7) The right side hurts under the rib and radiates to the back when a malignant neoplasm blocks or disrupts the outflow of urine and with tumors of the adrenal gland.

Similar signs, but with the addition of pain radiating under the scapula, are observed with thrombosis of the inferior vena cava.

Pain on the right in the hypochondrium during movement is often manifested in people who are practically healthy. This may be due to the action of physical activity unusual for a person.

At this moment, there is an intense release of the hormone epinephrine and an acceleration of blood flow, causing the process of expansion of the organs and the vena cava, passing in the zone of the right hypochondrium - this causes pain.

Also, pain symptoms can cause sudden changes in position when walking - tilts, turns - this is due to costal contact with the organs. Such painful symptoms pass quickly.

If they are of a stabbing nature and last more than half an hour, this may indicate a possible infringement of the relevant organs, which requires urgent medical intervention.

Any pain, including hypochondrium, is a symptom of a malfunction in the body. Very important organs are localized in this area of ​​the body, and pathological changes in them can be fatal.

Severe pain symptoms in this area may be due to:

  • isolated rupture of the gallbladder and ducts;
  • organ injuries;
  • renal paraphimosis (cystic infringement);
  • rupture or prolapse of the kidney (nephroptosis).

Such pathologies require urgent surgical treatment. Long-lasting pain in the hypochondrium side on the right, require timely examination and treatment.

Self-administration of painkillers is not recommended. The symptomatology is eliminated temporarily, but the disease remains. In addition, taking medications "smoothes" the symptoms and complicates the diagnosis.

The first step is to visit a therapist - he will conduct an initial examination and diagnosis. If necessary, he will appoint a consultative examination by a neuropathologist or endocrinologist, cardiologist or surgeon.

What to do? Diagnosis and treatment of pain

Diagnosis begins with a patient questioning about the nature of pain manifestations, intensity and main localization. About their connection with the diet. The anamnesis of diseases, infections and injuries is revealed. Attention is drawn to the state of fatty tissue and the tone of the muscles of the peritoneum.

A palpation examination and general analyzes are carried out - biochemical parameters, functional tests. Diagnosis should be comprehensive, including examination of the organ and its functionality.

If there is a suspicion of pathological processes lying in this projection, the organs are assigned instrumental diagnostics, including:

  • excretory urography;
  • radioisotope renography and scintigraphy;
  • vertical aortography;
  • fluoroscopy of the gastrointestinal tract;
  • Ultrasound of the biliary tract, kidneys and liver;
  • biopsy to detect tumor processes.

There is no single protocol for the treatment of pain in the right side under the rib. After identifying the cause and establishing an accurate diagnosis, a treatment plan is drawn up corresponding to a specific pathology.

It includes a set of activities:

  • drug therapy aimed at treating the disease and relieving symptoms;
  • surgical treatment (if necessary);
  • vitamin therapy;
  • diet modification.

Regardless of what kind of pain and where it is localized, diagnosis and treatment should be the prerogative of a specialist.

Pain in the right hypochondrium is the first sign that the work of certain organs localized in this area has failed. But also the pain syndrome often manifests itself if the pathology progresses in other organs, the nerve endings of which pass to the right hypochondrium or intersect with the nerve fibers localized there. In any case, pain in the right hypochondrium is a serious reason to go to a medical institution for a complete examination (especially if the pain occurred during pregnancy).

Pain in the right hypochondrium can manifest itself in absolutely any person, regardless of his gender and age category to which he belongs. If the discomfort manifested itself once, then this does not mean that it is time to panic and immediately run to the doctor. The reason for contacting a specialist is regularly recurring attacks of pain in the right hypochondrium.

The following organs are located on the right side:

  • liver;
  • part of the small and large intestines;
  • the gallbladder and its ducts, through which bile passes;
  • part of the diaphragm.

Irradiation of painful sensations in this area can be observed in the case of progression of pathologies of the following organs:

  • heart;
  • lungs;
  • intercostal muscle structures;
  • pancreas;
  • spinal column.

Main reasons

Most often, pain in the right hypochondrium can occur due to such ailments of organs localized in this area:

  • acute form. In this case, a person has acute pain in the right hypochondrium, since the formed conglomerates from the gallbladder enter its excretory duct, injuring and expanding it. As a consequence of this, inflammation of this organ may develop against the background of stagnation of the produced bile. The pain syndrome manifests itself sharply, and often radiates to the right hand. This symptom is accompanied by nausea and vomiting. The person refuses to eat, lies in a forced position. Rarely, there is an increase in pain on inspiration;
  • . Stitching pain in the right hypochondrium is a characteristic sign of the formation of an ulcer. In this case, the pathogenic activity of the bacterium contributes to the progression of such an ailment. Sharp and acute pain manifests itself mainly at night. Many patients characterize this type of pain in the right hypochondrium as "dagger". It should be noted that the intensity of the pain syndrome may decrease somewhat after eating;
  • . Stitching pain manifests itself in the case of such a pathological condition. As the pathology progresses, the pain becomes unbearable and does not change its intensity even if the body position changes. In the right hypochondrium, it begins to hurt due to the fact that sand and formed conglomerates pass through the urinary tract;
  • throbbing pain in the right hypochondrium is characteristic of. In case of its manifestation, you should immediately contact a medical institution to clarify the diagnosis. In the case of an acute form of the disease, operable intervention is often required;
  • spicy . It is characterized by the appearance of acute pain in the right side of the abdomen. The person refuses to eat, lies on his side (the intensity of pain decreases).

Type of pain and possible ailments

Despite the fact that the causes of pain in the right hypochondrium are quite diverse, it is not difficult for an experienced clinician to determine the true cause of this symptom. For certain ailments, a certain type of pain is also characteristic.

Causes of aching (pulling) pain in the right hypochondrium:

  • aching pain is inherent in liver ailments. Usually, patients go to the doctor already when acute pains appear, radiating to the back, arm and other parts of the body. But in almost all clinical situations, they were preceded by aching pain. It is worth noting that absolutely every species proceeds with periods of manifestation of aching pains;
  • . The danger of pathology lies in the fact that the pain syndrome manifests itself in the last stages of its progression. In the first stages, there is no pain, and this is given the fact that inflammation in the organ is already progressing and leads to the death of many hepatocytes. Subsequently, the affected areas are replaced by fibrous tissue. The organ can no longer fully function. That's when the pain comes;
  • . Aching pain, which manifests itself simultaneously with increased fatigue, decreased appetite and weight loss, should serve as a serious reason for contacting an oncologist. The specified symptomatology is characteristic for oncological diseases;
  • the inflammatory process occurring in any of the organs localized in the right hypochondrium can provoke the manifestation of aching pain.

Dull pain in the right hypochondrium is manifested against the background of the following pathologies:

  • . It is noteworthy that in the case of a unilateral lesion, the pain syndrome usually radiates to the place where a healthy kidney is localized. Unpleasant sensations tend to increase with increasing physical activity;
  • . Violation of the functioning of the gallbladder leads to the appearance of dull pain. It is worth noting that the pain may increase after eating. In rare cases, discomfort manifests itself even with a strong breath;
  • . If the pathology was not treated in a timely manner, then this is fraught with the growth of connective tissue in the organ. As a result, it ceases to fully function. Pain sensations are manifested both in the right and in the left hypochondrium after eating. There is an increase in sensations when taking fatty or spicy foods;
  • chronic form of hepatitis. The presence of such a process may be indicated by dull pain on the right under the ribs, nausea, vomiting, loss of appetite. Increased discomfort after eating fatty foods, alcohol. Often given in the back;
  • chronic duodenitis. Inflammation of the epithelium of the duodenum 12 occurs against the background of dull pain on the right under the ribs or in the epigastric region. The patient's appetite decreases or he completely refuses to eat. The clinic is supplemented by heartburn, diarrhea, vomiting.

Gynecological problems and pain in the right hypochondrium

In women, pathologies of the reproductive system can provoke the appearance of unpleasant sensations in this area.

Often provokes the appearance of pain. A characteristic feature of this pregnancy is that after fertilization, the egg does not penetrate the uterine cavity, but attaches to the fallopian tube, where it begins its development. A pronounced pain syndrome manifests itself when the tube, due to such a pathological pregnancy, is overstretched and even torn. In this case, you must immediately contact a qualified doctor and terminate the pregnancy or remove the damaged tube. It is worth noting that with an ectopic pregnancy, the intensity of pain is different. Usually at the beginning of such a pathology, it is barely distinguishable, but later it becomes very strong and unbearable (in case of a rupture).

But not only such a pathological pregnancy can cause pain. Pathologies of the internal genital organs are also often accompanied by such a symptom. In particular, torsion of an ovarian cyst, as well.

With different ailments, the symptoms are different, as is the localization. Poor health haunts people with tumors, shingles, osteochondrosis, pinched spinal nerves.

In the article: A detailed list of all diseases and the main symptoms for pain in front under the ribs and at the same time on the right. Brief and clear description of each cause of pain.

On the right side at the top of the abdomen are many vital organs:

  1. gallbladder;
  2. Intestines;
  3. Pancreas;
  4. Lungs;
  5. Liver.

Rezi in the right side speaks of diseases of the above organs. Sometimes discomfort appears due to damage to the central nervous system or vascular system. When the ridge is damaged, the right side hurts under the ribs on the side, but pain usually occurs behind the back on both sides - on the right and left.

As soon as pain syndrome appears on the right side under the ribs, it is correct to immediately go to the general practitioner and undergo an examination.

Note! Diagnosis, carried out on time, helps to cure the disease at the beginning of development. It's never worth it to endure.

What hurts in the right side? Diseases, their causes

With different ailments, the symptoms are different, as is the localization. Poor health haunts people with tumors, shingles, osteochondrosis, pinched spinal nerves. With spinal injuries, it is painful to step on your feet.

Note! If there is a sharp pain without a corresponding injury, lasts more than half an hour and intensifies when walking, you should immediately call an ambulance. The victim needs to be treated as soon as possible.

Why does it hurt in front under the ribs on the right from time to time?

Everyone experiences a slight pain in the side sometimes, this is normal. Even in healthy people, it can hurt on the right side of the chest.

It hurts in the right side under the ribs in front of a teenager or child during increased growth. During pregnancy, women sometimes feel pain in the upper abdomen.

Such sensations are not dangerous. The main feature that distinguishes safe pain is short duration and low intensity.

Causes of “healthy pains”:

  1. Engagement in physical labor. Cramps in the side are found in people with hypodynamia. When walking or running fast, adrenaline is released into the blood, the blood flow accelerates, it expands the vena cava, which is located on the right under the ribs. A large vessel presses on the liver and deforms it, which causes discomfort. Soreness appears even under the armpits.
  2. The period of gestation. The third trimester of pregnancy is marked by the rapid development of the fetus, which puts pressure on nearby organs. A pregnant woman has difficulty breathing.
  3. Premenstrual syndrome in women. Estrogens are released into the blood, causing pain in the abdomen. The bile ducts are constricted by spasm.

Why does constant pain occur?

Different diseases have their own individual symptoms.

  • Liver

Cirrhosis and hepatitis most commonly affect the liver. Rezi cirrhosis appear only in advanced forms of the disease. It is pain that gets worse with movement. With hepatitis, the symptoms are not bright, the pain syndrome has a squeezing dull character, localized in the right hypochondrium. A person may feel heaviness in the stomach and in the side after eating. When pressed, the pain becomes stronger.

Cirrhosis of the liver

Liver diseases are accompanied by bitterness in the mouth, yellowness of the face and palms, rashes. These symptoms do not require an ambulance call, but it is necessary to go to the doctor for an examination.

Lying in a comfortable position, the pain becomes less noticeable.

  • Pancreas

Painful sensations in diseases of the pancreas are strong, aggravated after drinking alcohol on an empty stomach or junk food: fatty, salty, fried.

Symptoms of inflammation of the pancreas - profuse vomiting, itching, yellowing of the skin, dark urine and fever.

The soreness of the tumor of the pancreas is similar to sciatica, that is, burning, shooting. The intensity is not constant. With cholecystitis, bouts of unbearable pain are felt in the upper abdomen.

If you find signs of pancreatic disease, you should consult a doctor as soon as possible.

  • gallbladder

During cholelithiasis, it hurts strongly in the area under the chest, pain can radiate to the shoulder blade or shoulder. Symptoms become more noticeable after physical activity, stress or climate change.

gallbladder

Stitching pains on the right side under the ribs is a serious reason for a visit to the doctor. In advanced cases, the organ is excised, after removal of the gallbladder, pain disappears.

  • Lung

In a person with cancer, the lungs ache and pull for no reason when there is no cough. Pain spreads throughout the chest when inhaling. Sometimes they are confused with heart due to the proximity of these organs, but if the heart is affected, then swallowing and coughing do not cause discomfort.

Painful bouts of coughing appear with pneumonia.

Important! When coughing with bloody discharge, you need to call an ambulance.

  • Intestines

It is difficult to localize, paroxysmal pain syndrome accompanies appendicitis.

Worth knowing! If a person has a sharp sharp pain on the right, accompanied by nausea, vomiting, fever, he needs urgent medical help! These are symptoms of inflammation of the appendix.

When the duodenum becomes inflamed, there are painful sensations of a dull, pulling and pressing nature.

  • Diaphragm

Severe pains all over the body and under the ribs haunt people with hernias. A swelling of the diaphragm is accompanied by sensations of medium strength, felt throughout the body.

The stomach hurts on the left and right, it becomes difficult to breathe. When inhaling, there is a strong pressure on the right side.

  • Heart

Angina pectoris strongly compresses and squeezes a person's chest. With a heart attack, acute pain is experienced, spreading to the chest and under it.

All cardiac pathologies require urgent medical attention.

  • Bud

Feelings with urolithiasis depend on the stage. The pain is either dull or sharp. Pyelonephritis is characterized by dull periodic pain.

Important! It is better to prevent the exacerbation of urolithiasis in time and not let it progress.

  • ovaries

When the ovaries are infected, a woman may have pain under the ribs on both sides. The pain is localized in the right side of the lower abdomen next to the iliac bones, above the pubis, can give back.

With inflammation of the female appendages, stretch marks appear on the abdomen, menstruation disappears, hair falls out.

In pregnant women, discomfort may occur due to an ectopic pregnancy. If this pathology is detected, an urgent need to consult a doctor, as there is a risk of rupture of the fallopian tube.

Worth knowing! In men, pain in this area is not associated with the genitals, rather, it is intestinal infections.

What if the pain caught you by surprise?

Go get help from a specialist. Do not try to anesthetize the problem area with a hot compress - this can cause irreparable harm to health. Cold compresses are acceptable. Doctors do not recommend using painkillers or anti-spasm drugs (like no-shpa) on their own. The clinical manifestations of the disease will be erased, the task of making a diagnosis will be complicated.

When to call an ambulance:

  • Sharp pains suddenly appeared under the chest;
  • On the right side, it whines for a long time;
  • Stitching pains appeared for no reason, which last longer than 90 minutes and are aggravated by walking or running.

If the pain under the ribs is weak, but does not cease to disturb and you feel sick, you should immediately go to the doctor on the same day.

Which doctors should be contacted

First of all, you need to go to a therapist. His main task is to find out the cause of the pain syndrome, establish a preliminary diagnosis, and give a referral to a highly specialized doctor.

A surgeon and a traumatologist will help people with cracked ribs. A gastroenterologist and an infectious disease specialist will help with pathologies of the liver and intestines. The gynecologist will be able to save the patient from women's pain. An endocrinologist will help in cases where the soreness was caused by hormonal disorders. The help of a cardiologist will be needed for diseases of the cardiovascular system.

Only a highly specialized doctor should tell you what to take and what procedures to perform. Self-medication brings harm, not benefit.

The most common causes of pain

There are a number of diseases that most often cause unpleasant symptoms.

Cirrhosis of the liver

A pathology in which healthy liver cells are replaced by connective tissue. Because of this change, the whole body suffers, as the body cannot cope with blood purification and other functions.

The reasons include complications after hepatitis, disorders in the immune system, poisoning with chemicals or alcohol. Hereditary pathologies and long courses of certain medications are also causes.

In the early stages, there are no symptoms, soreness is felt only when you press on the hypochondrium. At the next stage, heaviness appears under the chest. At an advanced stage, cirrhosis makes a person's life unbearable, he has hematemesis, cerebral encephalopathy, and jaundice.

Pathology is treated individually, a therapeutic course is prescribed. A person is obliged to change his lifestyle and listen to the attending physician. Treatment with traditional medicine should be consistent with the recommendations of the physician.

Cholecystitis

Cholecystitis is a lesion of the gallbladder. The disease appears due to an unbalanced and inconsistent diet, low physical activity, the use of contraceptive pills, allergies and heredity.

The disease develops gradually, aggravated during stress and emotional overstrain. Due to overeating, soreness appears on the right side from below. Discomfort extends to the back area. The pain is manifested by attacks in the initial stages of cholecystitis.

Signs - frequent vomiting with bile, rapid pulse, weakness and bloating. An experienced doctor can immediately diagnose. Therapy is carried out with the help of antibiotics, analgesics and choleretic agents.

The gastroenterologist must deal with the selection of medications, who will take into account all the characteristics of the patient and tell you what to take.

In severe cases, the organ is excised; after removal of the gallbladder, pain no longer worries the patient. People with sudden pains should immediately consult a doctor, because timely treatment will stop the complications of cholecystitis.

Important! Cholecystitis is dangerous by rupture of the bile-producing organ, the appearance of peritonitis. These complications are often fatal.

Urolithiasis disease

This ailment leads to the appearance of stones (small stones) in the urinary tract. It is most often found in older men. The reasons lie in the wrong diet, dehydration, physical inactivity, heredity, infections. Hot climates and contaminated drinking water also cause urolithiasis. Some substances in the composition of drugs contribute to the formation of kidney stones.

Urolithiasis disease

The disease is initially asymptomatic. Often it is discovered at a random scheduled inspection. If a person does not undergo examinations, he may not know about his illness for a long time.

Some patients notice intermittent pain on the right side of the upper abdomen that gets worse with running, walking, exercising, and other movement.

A person has bloody discharge in the urine, tingling in the kidneys. With an increase in temperature and pressure, dizziness appears. In some patients, when walking, the area under the sternum hurts.

Nephrologist helps with urolithiasis. When the stones move away, it is recommended to be treated in special institutions under the supervision of doctors. A urologist will help make it easier to transfer this disease in men. Pain is relieved with analgesics and anti-inflammatory drugs. Small stones come out on their own, but large ones are crushed with ultrasound and physiotherapy, etc.

duodenal ulcer

Ulcers form in the duodenum. The disease develops due to stress, junk food, smoking, alcohol abuse.

Lying in a comfortable position, no symptoms are felt. However, when moving, the pain expands to the area under the ribs.

Gastric ulcer and 12 - duodenal ulcer


The ulcer is accompanied by heartburn and constipation, eructations with a sour smell. After drinking alcohol on an empty stomach, the symptoms worsen.

Treatment is carried out by a gastroenterologist, whose task is to reduce the acidity of the gastric environment and kill pathogens. If the patient is tormented by pain, he is prescribed antispasmodics and painkillers.

Note! If the growing pain of an ulcer is ignored, the intestines can rupture or become severely narrowed.

Lower rib fracture, bone fracture

Pain on the right side of the upper abdomen may occur due to an injury to the lower rib. A small crack will not greatly disturb a person, however, a fracture will cause severe pain and radiate to the back and shoulder blades. Blows and wounds usually result in broken ribs.

Tuberculosis of the bone or other chest infections also contribute to cracked ribs.

As we age, bones lose strength and elasticity, which makes older people more prone to accidental fractures.

Symptoms of a crack in the lower ribs first appear sharply, and then weaken. When you sit or lie in a comfortable position, no symptoms are felt. Edema indicates a fracture. Damaged ribs hurt and bulge. The patient has difficulty breathing. When pressed, a sharp pain is felt.

The diagnosis is made by the therapist, the doctor preliminarily examines the patient, prescribes X-rays and tomography. A traumatologist deals with the treatment of fractures. If the damage is not severe, the patient can be treated for the damage at home.

If bone fragments have caught the insides, then hospitalization cannot be postponed.

Diaphragm damage

The diaphragm is a muscular membrane that separates the abdominal from the chest. Being a support, it plays an important role during inhalation and exhalation.

Pathologies arise due to mechanical damage, congenital diseases or age-related changes. The muscle weakens and thins, hernias appear.

The insides move from the abdominal to the chest, causing the patient severe discomfort. The lungs are bent and wrapped.

There is pressure under the ribs. There is a feeling of heaviness, palpitations and shortness of breath. When inhaling, pain is given to the sides and even to the shoulders. It hurts on both sides when walking.

The therapist diagnoses diseases of the diaphragm using an x-ray with a developing substance. Some fractional hernias can be treated with fractional diets, drugs to reduce stomach acid. Such hernias are not infringed. People are forbidden to carry heavy things and wear too tight clothes.

Important! The remaining hernias are treated only surgically.

Conclusion. Should I be worried about pain?

Incessant pain on the right under the ribs in front is a serious reason for going to the hospital. However, remember that not strong periodic cramps in this area are normal if the cause is physical activity.

When unpleasant sensations appear, you need to carefully analyze your day. Remember what was eaten, what pills were taken. Understanding the body will help determine the time to go to the hospital.

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

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

In this area there are such important organs as the kidney, pancreas, gallbladder, liver, 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 of the listed organs;

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

Pain in the right hypochondrium in front

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

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

Pain in the right hypochondrium behind

In this area, injuries of the lower ribs, intercostal nerves, right kidney, adrenal gland, and inferior vena cava most often hurt.

  • urolithiasis disease;
  • pyelonephritis;
  • necrosis of the renal papillae;
  • acute upper paranephritis;
  • kidney cancer;
  • right adrenal gland;
  • bruised ribs;
  • shingles;
  • thrombosis of the vena cava.

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

Pain in the right hypochondrium radiating to the back

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

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

Aching, dull pain in the right hypochondrium

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

Pain during exercise

Very often, pain in the right hypochondrium occurs during physical exertion (running, brisk walking), which can be tingling or aching in nature. As a rule, the reason arises if this load began abruptly and at a high pace.

Accordingly, with such a load, blood flow increases, and a large flow of blood is sent to the liver, causing stretching of its capsule, and reflexively manifests itself in pain.

Acute cholecystitis

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

  • severe paroxysmal pain in the gallbladder;
  • deterioration in well-being;
  • nausea and repeated vomiting;
  • an increase in body temperature;
  • lack of appetite;
  • indigestion (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 from time to time 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.

cholelithiasis

While the stones are in the gallbladder, the patient may not even be aware of his illness. A person can suspect this disease only during the first warning signs: bitterness in the mouth, discomfort in the right hypochondrium, heartburn, belching and nausea.

If a stone from the gallbladder enters the bile ducts, then at this moment an attack of gallstone disease (biliary colic) occurs.

Acute pyelonephritis

The clinical picture of pyelonephritis is characterized in typical cases by three main symptoms:

  • fever up to 38-40°C and chills;
  • urination 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 do not have a clear localization, then they are accurately determined at the level of the diseased kidney. Pain can be given in the hypochondrium, groin, genitals. The pains are aggravated by movement, coughing, and also 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.

  • unreasonable increase in temperature in the evening up to 38 ° C and above,
  • fatigue, weakness,
  • frequent headaches,
  • feeling that the lower back is constantly freezing,
  • the occurrence of pain in the lumbar region, especially when walking,
  • frequent urge to the toilet,
  • changes in the color of urine, its turbidity,
  • the appearance of an uncharacteristic unpleasant odor in the urine.

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

Common symptoms of hepatitis C

In general, hepatitis C is an asymptomatic disease, diagnosed more often by chance when people are being examined for other diseases. Therefore, tests are important in timely diagnosis.

More often than other symptoms, asthenia, weakness, fatigue are noted. But these symptoms are very non-specific (their presence alone does not allow talking about hepatitis C). With cirrhosis of the liver, jaundice may appear, the abdomen (ascites) increases in volume, spider veins appear, and weakness increases.

Treatment

If it hurts on the right under the ribs, the therapist usually appoints a consultation with the following specialists:

  1. Gastroenterologist;
  2. Infectionist;
  3. Cardiologist;
  4. Gynecologist;
  5. Surgeon;
  6. Traumatologist;
  7. Endocrinologist;
  8. Neurologist.

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, apply cold (if this helps to relieve pain).

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

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