Pain under the right hypochondrium behind. Pain in the right side from the back. Self-diagnosis to aid diagnosis

Pain in the right side from the back can be for various reasons. Most often with illness respiratory organs, urinary tract, circulatory, reproductive system. Only after a thorough diagnosis can an accurate diagnosis be made.

Types of pain in the right side from the back

Unpleasant sensations will be localized where problem area. Pain indicates a pathological process. Sometimes it gives to a certain part of the body. Pain can be different:

1. Cramping pains occur due to the fact that the muscles in the hollow organs are sharply reduced.

2. Constant pain appear when the outer shell is stretched in the parenchymal structure.

3. Increasing pain indicates an inflammatory process.

4. A sharp dagger indicates that some formation has been torn, a vessel has clogged, internal bleeding has suddenly occurred.

5. Pain-lumbago is typical for diseases of the spinal cord, pathology of the nervous system.

6. Pulling, dull, It's a dull pain.

7. Long and short.

Please note that each pain is very dangerous, it signals that there are serious disorders in the body.

When to call an ambulance for pain in the right side of the back?

In some situations, to get rid of pain, you need to urgently call ambulance to save a person. An ambulance is called if a person has the following symptoms:

1. The pain is sharp and sudden, for a long time does not pass, is localized on the right side.

2. Strong unbearable pain arose under the ribs, the person loses consciousness, his head is spinning, he is weakening.

Causes of pain on the right side of the back

When making a diagnosis, it is important to pay attention to the nature, localization of pain. Only the attending physician can clarify the diagnosis. It is important to consider the following factors:

1. Back pain in the center on the right, this indicates a serious kidney disease.

2. under the shoulder blade on the right. This symptom is characterized neurological disease, he says that the nerve is pinched. When the back hurts on the right under the shoulder blade, it means that a person has a serious lung disease- cancer of the lungs, bronchi, pneumonia, pleurisy.

3. Pain under the rib on the right side characterizes a serious hepatic pathology or diseases of the gallbladder, pancreas. When the pain is prolonged, it is necessary to examine the liver. If the pain does not go away for a long time, while there is a feverish state, vomiting, nausea, muscles are tense, then a person has cholecystitis. In such a situation, pain can be given to the shoulder blade, shoulder, chest.

4. Pain in the lower back on the right indicates a pathological process in the spine, intervertebral hernia, problems with the urinary system. It is possible to alleviate the condition only after the person takes a different position.

5. Your back hurts in the morning because of muscular dystrophy if a person has chosen the wrong mattress.

Treatment of pain in the right side from the back

You can not immediately use a lot of medicines, you first need to find out the opinion of the attending doctor, do not self-medicate. On the right side are the organs that are important for a full life. To relieve pain, you need to take painkillers medicine. The pain will go away after the exact cause is identified.

Please note that symptoms may indicate various diseases. In this situation, it is very important to consult a specialist, so you can protect yourself from complications in time.

When does severe pain occur in the right side from the back?

1. Diseases of the respiratory organs - during pneumonia, with a malignant tumor in the bronchi, lungs.

2. Diseases of the digestive system - with acute cholecystitis, intestinal colic, appendicitis.

3. Diseases urinary tract- with hydronephrosis, retroperitoneal hematoma, pyelonephritis, glomerulonephritis, kidney abscess.

4. For problems with the spinal cord, spine. When a person has osteochondrosis, intervertebral hernia, spondylosis.

Features of pain in diseases of the respiratory organs

With pleurisy, a sharp pain worries. Purulent form accompanied severe pain, poor breathing. Attacks of pain that increase when a person coughs, moves, speak of a dry form of pleurisy.

With inflammation of the lungs, in addition to pain, the body temperature rises sharply, there is coughing wheezing, intense pain. Pneumothorax is characterized by sudden pain that radiates to the shoulder blade.

Features of pain in diseases of the digestive system

The pain is localized behind in the right side, most often speaks of acute cholecystitis, gives to the shoulder girdle, right intercostal space, shoulder, shoulder blade. Sometimes it burns a lot lumbar region. An attack can last several hours or days. The temperature rises sharply, severe vomiting worries.

Pain is often characterized intestinal colic, in this case it is necessary to take No-shpu. It is dangerous when the pain occurs when acute appendicitis, it is localized in the right side, gives back. The symptom is rare, only when the appendicular process is located behind the caecum, it has big sizes, swells.

Characteristics of the pain of the urinary system

Pain in the right side from behind can indicate a serious kidney disease - an abscess, hydronephrosis. Unpleasant sensations can be different, often disturbed by pulling, dull, sharp pains, which can increase when pressure is applied to the lumbar region. When the pain is acute, the symptom also indicates thrombosis of the renal artery.

So, the right side from the back can hurt for various reasons. It should be borne in mind that in addition to diseases of the internal organs, the symptoms indicate an intervertebral hernia, spondylosis, osteochondrosis, and a pinched nerve. Often the pain is sharp, giving to the right in the back. In order to distinguish the pathology in the spine and diseases of the internal organs in time, you need to pay attention to other symptoms - pain during movement, stiffness, numbness.

Pains of a different nature arise and torment us different reasons. They all point to different kind violations or serious illness, and by additional signs they can be diagnosed if you consult a doctor in a timely manner. For example, the causes of pain in the right side from the back are quite diverse, but they should not be ignored in any case in order to avoid aggravating the situation and developing complex diseases.

The right side can hurt from behind in men and women, but some pains are characteristic certain sex. Among the simplest and least dangerous reasons, a heavy dinner shortly before bedtime or a banal overeating is distinguished. In this case, it can get sick from the right back even at night during sleep, and people in such cases often take Mezim, No-shpu or others. similar preparations. There are more serious reasons, on which the right side hurts at the level of the lower back on the right.

Features of pain

Usually, pains on the right at the waist level from behind are localized in the area where the problem organ is located, but the so-called radiating pains that occur in the most unexpected places cannot be ruled out. All pains in the right side behind at the level of the waist are divided into:

  • cramping (usually occurs as a result of a sharp muscle contraction);
  • permanent (may be due to stretching of parenchymal structures);
  • intensifying (it's in inflammation);
  • acute (indicate dangerous damage to organs, intra-abdominal bleeding etc.);
  • shooting (occur with disorders in the spinal cord);
  • long-term or short-term;
  • pulling and dull.

Regardless of the nature of pain in the right back of the back, this is not the norm, so it is better to consult a specialist in a timely manner. For the first time, you can drink a painkiller, but if the pain returns, we do not recommend starting treatment. In some cases, you should even call an ambulance, for example, when a sharp pain appears suddenly and does not go away.

Common causes of pain in the right back

There are a surprising number of diseases that temporarily or permanently hurt the right side from the back. Some of them are especially dangerous and require urgent examination and diagnosis. Consider what could be the matter if the right side behind is sick:

  1. There was a deformation of the vertebrae, or the spinal cord was damaged.
  2. Pulsating pain in the right side from the back sometimes signals pathologies of the urinary tract.
  3. Respiratory disorders.
  4. Damage to the digestive organs.
  5. endocrine abnormalities.
  6. Gynecological disorders.

All these reasons why the right lower back in the waist area can get sick indicate various kinds of diseases that will not disappear without treatment. Next, we will analyze in more detail several common situations that cause the above pains.

Respiratory diseases

Pain in the side on the right side of the back refers to various violations respiratory organs. For example, the cause may be in pleurisy, which is divided into dry and exudative. In this case, a sharp pain during breathing is not ruled out, especially in the morning. The dry form is accompanied by cutting pains that appear when coughing or general mobility of the body.

Right-sided pneumonia is another reason why it hurts in the side on the right side. Additionally, wheezing occurs in the lungs, a cough appears and the body temperature rises. The intensity of pain is different. most dangerous cause, along which the right side constantly hurts from behind, is a cancerous lesion of the bronchi or lungs. With this disease, the pains are mainly pulling, and can also be given to right shoulder or spatula. The syndrome is exacerbated by the growth of the tumor, as well as by coughing or mobility.

Digestive disorders

In diseases affecting the digestive organs, it also often hurts on the right, behind, closer to the lower back. Among them is cholecystitis in an acute form, in which pain is localized in the lower part, but can be given to the shoulder blade or shoulder. right hand. Sometimes there is a burning sensation in the lumbar region. The attack can last a couple of hours or several days, and in addition, the patient appears vomiting and the temperature rises.

Intestinal colic is also one of the causes of pain in the side from the back on the right. To eliminate the root cause, you need to take No-shpu or other similar drugs. In the right side from the back in the waist area, acute appendicitis can also cause pain.

Renal pathologies

Sometimes the right side hurts below or above the lower back, and the pains are aching and dull in nature, probably because of the diseased kidney. In this case, the pain is exacerbated by pressure or movement. Often it's all about acute pyelonephritis. The pain does not radiate, but the patient has a fever, chills and a constant desire to go to the toilet.

With pyelonephritis, back pain in the back on the right is usually aching and rather weak. It is markedly aggravated by hypothermia, and among the additional symptoms, subfebrile temperature and frequent urges to the toilet. At the beginning of the disease, there may be no additional signs, with the exception of soreness.

Acute stabbing pains, blood in the urine and a general deterioration in well-being accompany. You can't slow down here. internal bleeding very dangerous.

Periodically manifested dull pain in the right side, which occurs during movement or after exercise posterior right may indicate a misalignment of the kidney, called nephroptosis. The peculiarity of the pathology is that pain occurs only when vertical position body, but gradually disappear when a person takes lying position. With the development of the disease without treatment, the pain will increase.

When a sharp pain appears, and the attacks resemble contractions, and the soreness radiates into lower part abdomen, it is almost certainly renal colic. The patient's temperature rises, vomiting occurs and the abdomen swells. In this case, it is better to drink an antispasmodic and call an ambulance.

Back pain in women

All of the above reasons why it hurts on the right side are found in men and women, but there are violations that are characteristic only of the latter. When pulling the right side from the back of women, this alarm signal about inflammatory processes affecting reproductive system. Developing cysts, pathologies of the pelvic organs, as well as dangerous tumors on the ovaries.

Sharp pains on the right side in the back are quite insidious, since usually women do not give it special significance. Gradually, the pain subsides, and the woman gets used to it without visiting a doctor. This is very undesirable, since in this case the disease will develop and become more complicated.

Causes of pain in men

Pain that occurs on the right side of the back in men can also signal various diseases and pathologies, including stones formed inside prostate. They usually appear in the background. chronic prostatitis or other illnesses. With this deviation in men, the right side is pulled from behind after a watermelon or heavy drinking.

To get sick in the right side behind a man can be due to prostatitis, which is quite dangerous for the stronger sex. It suggests swelling due to inflammation of the prostate gland. The disease is classified into congestive, bacterial and calculous.

The most common reasons why it hurts and pulls in the right side behind a man include prostate adenoma. A disorder develops due to the growth of tissues and tumors that are benign in nature. The formations grow slowly and compress the urinary canal, against which pain occurs and urination is difficult.

When is an emergency needed?

Sometimes, because of pain in the right side from behind, you need to urgently call an ambulance. In some situations, even urgent surgery on which the patient's life may depend. Be sure to call an ambulance if you have an unexpected and sharp pain on the right side of the back in the side, if it does not go away for a long time. Also, you should not hesitate if a person develops dizziness, weakness, or fainting occurs. If - immediately call a doctor.

Self-treatment in similar situations may be ineffective or even dangerous. First, a thorough medical examination is required and diagnostic examination which only specialized clinics and hospitals can provide.

Pain in the side under the ribs on the right is a symptom that even a perfectly healthy person has encountered at least once in his life. The tight contact of the right hypochondrium with the internal organs, as well as their dense structure, greatly complicates the definition of a clear diagnosis, therefore, during painful symptoms of any nature under the ribs on the right, you do not need to postpone going to the doctor.

Why does it hurt under the ribs on the right in the side?

Right hypochondrium is reliable protection for many internal organs. First of all, pain on the right indicates illness:

But in order to correctly identify cause of painful symptoms in the right hypochondrium or back, attention should be paid to the localization of pain, as well as its nature.

Symptoms

Pain in the right side under the ribs can have a different character:

  • sharp;
  • stabbing;
  • strong;
  • pulling, dull aching;
  • sharp.

Subject to nature pain sensations and accompanying symptoms the affected internal organ can be identified.

Strong pain

Strong and unbearable pain in right side characteristic of diseases of the kidneys, liver and gallbladder.

Diseases of the gallbladder. Strong pain sensations on the right force the patient to seek for himself comfortable position. In addition, there may be such symptoms:

  • nausea;
  • fever;
  • yellowing of the whites of the eyes and skin in the area;
  • frequent vomiting bringing no relief.

hepatic colic- sharp and strong pain in the back, subsiding while taking antispasmodics. In diseases of the liver, yellowed whites and eyelids are characteristic.

Liver injury. Pain becomes stronger if a person takes horizontal position. You can observe signs of blood loss (at low pressure, the pulse quickens, pallor of the mucous membranes and skin, dizziness and weakness).

kidneys. The pains are so intense that the patient tosses about trying to find a comfortable position. As a rule, pain is explained by urolithiasis, therefore, taking into account the location of the stone, the pain is localized in the lower or upper part of the hypochondrium on the right side. In addition, there may be the following symptoms:

acute pain

"Dagger" or spicy pain comes on unexpectedly and is usually a symptom of stomach ulcers. With acute pain, a person, as a rule, takes a recumbent position with his legs tucked up to his stomach.

In addition, he is often tormented by:

  • sour belching, heartburn;
  • constipation or diarrhea;
  • vomiting and nausea.

Sharp pain

Herpes zoster and sharp pain is the first sign developing acute pancreatitis. The reason for the exacerbation of this disease may be the use of excessive amounts of alcoholic beverages with sweet and fatty foods. Sharp pain sensations acute pancreatitis characterized by their intensity - the pain does not subside during a change in body position or coughing. Pancreatitis has the following symptoms:

  • severe intoxication ( small hemorrhages around the navel and on the sides, marble skin on the abdomen, cyanosis of the body and face);
  • frequent vomiting;
  • nausea.

Sharp pain in the right hypochondrium in the region of the collarbone and scapula appears during the accumulation of pus behind the diaphragm. Pain gets worse when breathing sudden movements, sneezing and coughing. Relief comes in the supine position, being on the right side. Possible symptoms diseases:

  • intoxication of the body;
  • fever.

Sharp pain between the ribs, which begin to be felt with any, even a small touch to the skin, as a rule, are characteristic of herpes zoster, which is viral disease, appearing in the form painful rashes on the skin along the nerve endings infected with the virus (usually in the intercostal region). Before the appearance of a rash, a person may feel weakness, aching pain in the left or right hypochondrium, high fever.

Drawing, dull aching pain

Aching dull, pulling pain in the right hypochondrium can talk about chronic liver diseases that provoke its increase in size (hepatitis). In addition, it can be a symptom of the development of benign and malignant tumors.

In addition to pulling and dull pain, there may be:

In this case, dull and aching pain can be a sign of such diseases:

  • malignant tumors of the gallbladder, lung, pancreas, kidney;
  • in women, inflammation of the appendages;
  • polycystic kidney on the right side;
  • intestinal inflammation;
  • an increase in the size of the spleen.

stabbing pain

stabbing pain on the right under the ribs, which become stronger with deep breath and coughing are a sign right sided pneumonia. Very often the pain diverges completely on the right side, and exact time its appearance is rather difficult to determine. Associated signs:

  • shortness of breath;
  • heat;
  • herpetic eruption on the right side;
  • diarrhea and constipation;
  • blue or pale nasolabial triangle.

back pain

Pain on the right behind the ribs, indicate problems with the pancreas and kidney.

During inflammation of the kidneys in humans, Pasternatsky's syndrome can be observed: sharp pain even with a small blow palm behind lower rib. During renal colic, pain on the right in the hypochondrium is paroxysmal and intense, and can torment to such an extent that the patient cannot be at rest and changes his position all the time. During urolithiasis pain symptoms extend to the waist along the entire spine.

Pain under right rib inflammatory process of the pancreas(pancreatitis) appears unexpectedly, its intensity does not change and has a shingles character. The causes of the inflammatory process of the pancreas may be the abuse of fatty foods and alcohol, exacerbation chronic diseases, complications after operations, violation of metabolic processes.

Pain on the right under the ribs in front

When it hurts under the rib right side front, then this is a symptom of diseases:

  • Gallbladder (chronic or acute cholecystitis).
  • Lungs (inflammation, pneumonia).
  • stomach and duodenum(gastritis, peptic ulcer, erosion).
  • Liver (fatty degeneration of cells, hepatitis, tumors, cirrhosis).

During lung injury pain in the right hypochondrium stabbing, which is aggravated by coughing or inhaling, will also be a concomitant phenomenon typical signs fever (weakness, temperature), which distinguishes it from other pathologies of the internal organs in the right hypochondrium.

During inflammation of the gallbladder strong pain sensations are felt in the right shoulder blade and in epigastric region. In acute cholecystitis, pain symptoms move down the right hypochondrium.

When under the right rib pain is dull or aching, this indicates liver damage. Most often, it is accompanied by symptoms of jaundice (yellowish color of the whites of the eyes and skin), with the exception of only benign tumors.

During ulcers of the duodenum and stomach pain is present in front of the left and right hypochondrium, passing into the lower back and back. Painful sensations slightly dull during pressure, so the person begins to feel relief squatting or lying on his stomach.

Pain in the right hypochondrium from below

Pain below the ribs on the right are signs of an inflammatory process.:

Besides right side pain under ribs may appear in absolutely healthy person during movement. This happens when a person is exposed to loads unusual for his body. In the vena cava, located under the right lower ribs, the blood flow increases and it increases. Also, pain can appear with sharp turns and tilts, if the costal bones are in contact with the internal organs.

Diagnostics

Regardless of type b oli on the right under the ribs, install accurate diagnosis can only experienced specialist. It is necessary to conduct examinations at the local therapist, who, if necessary, will refer the patient for an additional examination to another doctor.

Diagnosis of pain in the right hypochondrium has several stages:

How to treat pain under the ribs on the right?

The hypochondrium on the right side is a protection for such internal organs as the pancreas, liver, intestines, gallbladder. These organs are quite close to each other. Therefore, it is often very difficult to determine the cause of pain on your own. The first principle of treatment is timely appeal to a specialist (gastroenterologist, local therapist, surgeon, oncologist).

You can reduce pain on your own with the help of antispasmodics:

  • subcutaneously: 1 ml of promedol and 1 ml of 0.1% suspension of atropine; 2 ml of no-shpy and 5 ml of baralgin;
  • nitroglycerin (3 drops per sugar cube or one tablet under the tongue);
  • no-shpa (2 tablets no more than 3 times a day).

Without a specific diagnosis, you do not need to use hot compresses, you can apply ice to the affected area, but only if it can create an analgesic effect.

We must not forget that if severe pain is accompanied by symptoms such as vomiting and nausea, then need to call an ambulance immediately b. Often, with a list of diseases accompanied by acute pain in the right hypochondrium, emergency surgical intervention is necessary (with inflammation of the gallbladder, urolithiasis, severe injuries liver).

When already diagnosed by a doctor, then, apart from medications, can be used folk ways treatment:

Prevention

So that the pain on the right under the ribs does not turn into nightmare on the operating table enough to use pretty simple rules prevention:

  • At the first sensation of pain and accompanying signs contact a doctor immediately.
  • Do not abuse alcohol, heavy, salty, fatty foods.
  • Conduct a complete annual medical research and perform ultrasound of organs to find out your chronic diseases, their treatment options and condition.

is pretty dangerous symptom , which all the time signals a serious illness of internal organs, therefore, at the first collision with it, you need to seek professional medical help from a doctor.

Pain in the right side is a signal of the body about the development of serious processes that require outside participation. In order to correctly diagnose the disease, the doctor takes into account a number of indirect symptoms and the nature of sensations, obtaining a complete clinical picture.

What can hurt

In this region of the upper quadrant of the abdomen are such vital organs: the gallbladder, liver, right kidney, pancreas. Partially enters the duodenum, small intestine, aperture. In view of such wide range, it is obvious that the list possible problems also impressive.

Pain under the right rib provoke following states body:

  • Cholecystitis associated with impaired patency of the biliary tract. Sudden discomfort disturbs, as a rule, at night. Among the factors provoking the disease include physiological disorders, stress, nervous strain.
    A sharp pain spasm in the hypochondrium is due to the movement of stones emerging from the gallbladder that get stuck in excretory duct by activating inflammation.
  • The defeat of the duodenum in the form of ulcerative duodenitis. Sensations in this case are stabbing, which is due to the development of a pathological process on the mucosa. digestive organ. At night, cramps can be sharp and unbearable due to the lack of food in the stomach that needs to be digested.
  • Renal colic. It is not possible to get rid of such pain even by changing the position of the body. Any movement only exacerbates the condition. The cause of discomfort is stones moving along the urinary system.
  • Pancreatitis. The disease is characterized by a sensation of intense painful pulsation on the right under the ribs due to inflammation of the pancreas.

Due to the similarity of the symptoms of pathologies of various organs, one must be able to classify unpleasant sensations according to their projection, as well as by nature.


In the picture you can see the location of the internal organs of a person.

Pain in front

In such situations, doctors pay primary attention to the organs that are directly adjacent to the wall of the peritoneum.

gallbladder

The diagnosis with such a symptom is an acutely developing inflammatory process. Cutting spasms are localized in the abdominal muscle area and are due to the formation of crystalline formations in the ducts or neck or activity bacterial microflora.

Such pain under the ribs in front can be given to the shoulder, accompanied by vomiting of green bile masses, nausea, belching, bitterness in the mouth. With cholecystitis, bloating, legibility in food, yellowing of the whites of the eyes join.

Liver

It hurts in front in the hypochondrium and as a result of structural deformations it is vital important body when the death of cells is accompanied by the formation of nodes that compress the vessels and bile ducts. The discomfort is permanent. This condition is observed in cirrhosis, hepatocellular cancer.


The problem may lie in the pathology colon, inflammation, including with the development of granulomatous processes, when tissue necrosis is observed. Pain associated with pain can also project into the right upper quadrant of the abdomen cancerous tumors.

Another option is the presence of gastritis, in which any deviation from the diet, even with nutrition homemade food fraught with deterioration.

The cardiovascular system

Unpleasant sensations at the top under the ribs are due to circulatory disorders in a closed area and subsequent edematous processes, VSD phenomena. In addition to heart failure, pressing spasm, but with a burning sensation, provokes myocardial infarction.

Complementing the listed causes of pain is another option - the development of a pathological process in appendix.

Pain under the ribs at the back

Similar sign accompanies the pathology of the adrenal gland, the great vena cava, intercostal neuralgia and mechanical injury bone apparatus. Doctors include in the list of possible diseases:

  1. Pyelonephritis associated with the development of an acute infectious inflammatory process, carbuncle or abscess in the kidney.
  2. Damage to stones that have moved from their place, sand to the cavity of the ureter. In such a situation, it can hurt not only behind, but also in the side.
  3. Renal infarction or papillary necrosis. severe discomfort is maintained permanently, development is not ruled out septic shock.
  4. Inflammatory processes in adipose tissue. Unpleasant sensations are aggravated by deep breathing, active movements.
  5. Spinal osteochondrosis.
  6. Tumors of the adrenal gland, the formation of disrupting the outflow of urine malignant formations. The lower back can ache constantly, sometimes it is possible to reduce the intensity of pain by tilting the torso.

If there is discomfort not only in the hypochondrium on the right, but also under the scapula, it is also necessary to exclude thrombosis of the hollow inferior vein.

When the right side hurts

The following options are available here:

  • If spasms are accompanied by nausea, acute or chronic pancreatitis with inflammation of the head of the pancreas. Sometimes it hurts not only Right side but also the back. Additional symptoms are general weakness, indigestion.
  • Inflammation of the liver. The sensations are blunted, and are accompanied by pallor, yellowing of the skin, dyspepsia, loss of appetite.
  • Duodenitis. Unpleasant pulling sensations extend simultaneously to the back and shoulder blade.

For people susceptible to pain, spasms are not limited only to the side, so a feeling of discomfort at the top of the right shoulder is possible.

The nature of pain

In addition to the above classification of spasms in the hypochondrium, you need to remember some of the nuances associated with the type of discomfort that has arisen. This indicator is often decisive for setting correct diagnosis.

Pressure and heaviness in the side

A similar symptom often accompanies the late stages of pregnancy, when the growing baby is already too crowded in the stomach and any movement of the arm or leg, active coups cause the woman significant discomfort.

Pressing under the ribs from the side can also be due to the following conditions:

  1. Thoracic osteochondrosis, in which it hurts to move, breathe and move your arms.
  2. Pathology of the liver, gallbladder, urinary system. You can suspect the disease by joining the soreness of vomiting, nausea. Patients with such diseases tend to lie more, as any shifts, including walking and just a strong breath, provoke an increase in spasm.

stabbing pain

She is often complained about after a long run. To exclude the cause in the form of stretching of the liver capsule against the background of diaphragm dysfunction and low blood outflow, it is important for both women and men to plan the load only after a preliminary warm-up.

Help to avoid tingling and following tips:

  • Breathing is always done through the nose. It is important that it be deep.
  • Exhale - through the mouth and only slowly.
  • While running, they breathe exclusively with their stomachs.

Stab in the side above the center of the peritoneum can also be with right-sided pneumonia. The defeat of the lung is accompanied by shortness of breath, dyspepsia, fever and blue discoloration of the tissues that form the nasolabial triangle.

Blunt pain

Smoothed, but persistent discomfort is characteristic of a number of chronic pathologies:

  • Cholecystitis. Increased spasm occurs after consumption fatty foods. Additional features- Vomiting, bloating. As the disease progresses, ulcers form on the thickened walls of the gallbladder.
  • Pancreatitis. As a result of the replacement of the correct anatomical structure connective tissue the production of enzymes and the hormone insulin is disrupted. Dull pain can be present both on the right and on the left under the ribs. It is supplemented by signs of dyspepsia: belching, bloating, diarrhea, nausea, heartburn, vomiting.
  • Pyelonephritis. With inflammation in the pyelocaliceal system, spasm may spread to opposite side, its strengthening on the background of physical activity. Additional signs: unreasonable fever and chills, rapid urine outflow, growth blood pressure, migraine, chronic fatigue.
  • Hepatitis. The causes of discomfort that does not go away with time are incorrectly performed treatment, the lack of a healing effect. The disease is accompanied by decreased appetite, regular nausea, flatulence, intolerance to fatty foods, alcohol. On palpation of the hypochondrium and pressure on the liver, a characteristic aching spasm occurs.
  • Duodenitis. The pain on the right is supplemented by heartburn, poor appetite, regular diarrhea, vomiting with bile.

A sharp attack

If there is a feeling that the pain is not easily squeezing, but sharply penetrating, causing unbearable discomfort, the following conditions that require immediate treatment should be excluded.

Abdominal form of myocardial infarction with necrosis of a section of the heart muscle

The spasm is present simultaneously under the ribs and in the epigastric region and seems to burn from the inside. Taking heart medications does not give the desired effect, so you should go to the hospital immediately.
Characteristic features in addition to pain

  • dry, irritating cough (in the absence of a history of smoking);
  • dyspnea;
  • weakness.

Acute appendicitis

The appendix is ​​responsible for immune defense digestive system, is characterized by a changeable position, so the localization of pain is different, including with its spread to the right side. Requiring surgical intervention pathology is recognized by such signs:

  • Diffuse spasm in the navel.
  • Increased discomfort when walking or turning over to the left side, its weakening when moving to the opposite side.

Additionally, you must comply following conditions: pronounced indigestion, fever, localization of pain in the right upper quadrant for more than 3 hours.

Shingles

Pathology initiated by one of the varieties of herpevirus affects the intercostal nerve endings. Along with pain in the right hypochondrium occurs severe itching, swelling, redness, replaced by fluid-filled vesicles. Sometimes, after recovery, postherpetic neuralgia is diagnosed, which is extremely difficult to treat.

Helminthiasis

Pain in the right hypochondrium occurs in the second stage of ascariasis. Additional symptoms diseases: symptoms of dyspepsia, overexcitability, decreased intelligence, development of asthenia.

It's a dull pain

Add to list possible causes pathologies of the liver include:

  • Mild discomfort indicates the beginning of the inflammatory process, therefore, such a “bell” cannot be ignored. Often extended in time and quite tolerable spasm accompanies viral hepatitis, which can only be determined by laboratory tests to the corresponding markers.
  • Cirrhosis. A life-critical condition proceeds with aching pain, when the process passes to the final stages and the therapy is ineffective.
  • Oncology. One has to think about such a disappointing diagnosis when an insignificant pain syndrome accompanied by weight loss, chronic fatigue, persistent subfebrile temperature, an increase in body size.

As you can see, it is quite difficult to independently determine the cause of discomfort. Therefore, it is better not to delay a visit to the doctor, passing routine tests and conducting examinations that reveal the picture of the disease.

Anatomically in this part of the abdomen, except for the organs chest, the following systems are located:

  • Gallbladder.
  • Diaphragm segment.
  • 12 - duodenum.
  • Small intestine.
  • Liver.
  • Right kidney.
  • Stomach and pancreas.

Inflammation or injury can cause pain. This protective function human body helps to detect pathology in time.

What can hurt in the right side

In most women and men, after a long walk or physical activity a tingling sensation is felt in the side. As a rule, this is a normal physiological reaction. After all, when moving, the blood flow increases and the organs expand, which provokes discomfort. Such a symptom is not the cause of the disease and does not need treatment.

When pain in the right side is accompanied by nausea, this indicates pancreatitis.

The inconvenience caused by pathological processes in the pancreas goes far beyond the location of this organ. Pain and discomfort extend even to the back. When this happens, a person feels bad, quickly gets tired. His intestines are upset and there are unpleasant sensations in the anus.

Possible Factors

Pain under the right rib, according to doctors, arises from such reasons:

  1. From the gastrointestinal tract (cholecystitis, gastritis, hepatic colic, pathology of the pancreas and duodenum 12).
  2. Enlargement of the spleen.
  3. Hematoma in the peritoneum.
  4. Diseases of the lungs.
  5. Osteocondritis of the spine.
  6. Violations in the genitourinary system.
  7. Myocardial infarction.
  8. Abscess of the subdiaphragmatic region.
  9. Failures in neuro-endocrine regulation.
  10. Injuries of the liver and spleen of various etiologies.

Whatever the causes of pain, they all require a doctor's consultation.

Medical examination

You can't make a diagnosis based on symptoms alone. Be sure to contact the medical institution, where they will conduct an examination and prescribe adequate treatment.

For an accurate picture, even before passing the tests, you need to collect an anamnesis. It is important at the appointment to inform the doctor about the presence of chronic diseases and those that were transferred in the past (tuberculosis, hepatitis, cancer). It is desirable to exclude the fact of injury to any organ. Be sure to remember the diet for the last few days and physical activity on the body.

The doctor carefully examines skin for integrity and bruising. The inflamed liver is palpable through abdominal wall. If there are problems, it greatly exceeds its size.

Painful palpation of the area under the ribs indicates the pathology of the gallbladder. Helminthiasis also appears unpleasant sensations on right. He is accompanied poor appetite, nausea, bloating and impaired stool.

Then the doctor examines the eyes, oral mucosa, and skin. In diseases of the pancreas or gallbladder, a coating of white or yellow color respectively.

Pain in the right side under the ribs in front

Often the reason is cholelithiasis or swelling and poor blood supply liver. In case of injury to organs abdominal cavity there is a strong sharp pain under the ribs in front and not every person is able to withstand it. Additional severe symptoms:

  • The heart beats fast, the rhythm is broken.
  • Profuse sweating.
  • The skin on the hands and feet is cold.
  • Hypotension.

If a person lies down, the pain only intensifies.

Acute processes, such as appendicitis, pancreatitis, inflammation of the gallbladder, are accompanied by active cutting pain radiating to right shoulder blade and epigastrium. They are accompanied by:

  • Excessive perspiration.
  • Reflex reaction of the abdominal muscles in the form of tension.
  • Hyperthermia.
  • Vomit.

Cutting intense pain is evidence of intestinal obstruction or blockage of the gallbladder ducts and is accompanied by the following symptoms:

  • Fainting.
  • Dyspnea, weak pulse, pallor of the skin and mucous membranes, hypotension.
  • Exudate in the abdominal cavity.

With thrombosis of the liver vessels, there is acute pain, which can radiate to the shoulder blade.

Inflammation in the lungs is accompanied by unpleasant sensations under the rib on the right, when inhaling the pain is aggravated and it is difficult to lie on this side. Additional symptoms:

  • Elevated temperature.
  • Cough.
  • Weakness.

If in the region of the stomach, in front under the ribs, there is pain and radiates to the lower back, and when pressed, relief is felt, there may be a stomach ulcer.

Pain in the right side under the ribs on the side

This localization indicates problems with gallbladder, heart and lungs. This is what appendicitis looks like. Doctors advise you to go to a medical facility for an examination if it hurts on the upper right for more than half an hour and this is not associated with an injury.

Often there is such a condition in pregnant women when the fetus presses on internal organs. Pain in the right side is permanent or sometimes manifests itself with varying degrees of strength.

During menopause and PMS ( premenstrual syndrome) there are jumps in the production of sex hormones, and this causes spasm, stagnation of bile and can stab in the hypochondrium.

Pain in the right side under the ribs behind

It's all the fault of pathological processes in the pancreas or kidney. With pancreatitis, the presence of girdle pain is characteristic. It is felt not only from behind, but also from the front and side.

A positive Pasternatsky symptom helps to identify the presence of a kidney problem. Painful sensations are caused by the following manipulations: in a standing position, you need to sharply, but slightly beat the side of the palm along the lower ribs from behind.

It's a dull pain

This is how the liver often signals for help. Most people do not pay attention to them, but in vain. It is important to listen to the body and respond even to signs that are insignificant at first glance.

hepatitis virus

Reveal for more later dates for lack of bright severe symptoms. The diagnosis is confirmed:

  • Fast fatiguability.
  • Temperature jumps.

Cirrhosis of the liver

Aching pain manifests itself already on final stages the development of the disease. The organ does not cope with its functions due to the transformation of cells into connective tissue.

malignant tumor

The pain is accompanied by a sharp weight loss, constant feeling fatigue, liver enlargement. With such symptoms, you should immediately consult an oncologist.

Each inflammatory process in the organ is accompanied by discomfort under the ribs on the side.

Do not forget that the liver has the ability to quickly regenerate, but only in cases where the disease was diagnosed on time. Therefore, a visit to the doctor should not be delayed.

Sharp pain

In such cases, it is better to immediately contact a medical institution. The presence of acute pain indicates possible conditions:

  • Cholecystitis. Sudden and sharp pain, if it occurs in the middle of the night, signals an obstruction of the biliary tract. The sensations are sharp, short-term and provoked by nervous strain.
  • Exacerbation of an ulcer. Stitching pains occur more often at night, relief occurs after food enters digestive system. Complemented by symptoms such as bloating and heaviness, hyperthermia and malaise, there is an acute abdomen.
  • Blockage of bile ducts by stones. Stagnation of bile is formed, which is accompanied by pain, nausea, vomiting and hyperthermia of the right hand.
  • Gynecological anomalies. sudden pain in women against the background of amenorrhea indicates ectopic pregnancy. If the causes of pain are inflammation of the appendages and torsion of the ovarian cyst, urgent hospitalization is recommended.
  • Renal colic. In this case, the person needs an emergency medical care, because violent attack can only be removed complex preparations, treatment with antispasmodics and painkillers.
  • Pancreatitis. Discomfort begins with throbbing pain, which gradually surrounds and does not give rest in any position of the body. In this case, urgent medical advice is required.

Blunt pain

Often people suffer from pathological processes in the upper abdomen. They do a lot of harm and are accompanied dull pain, the causes of which are associated with chronic and sharp forms diseases.

Inflammation of the gallbladder

It occurs due to damage to the walls of the organ by stones. In their place, scars and thickenings form, bile is excreted worse. Associated symptoms:

  • Bitterness in the mouth.
  • Nausea.
  • Vomit.
  • Bloating.

With this pathology, it is worth adhering to special diet, excluding fried, spicy, bitter, fatty, as well as bad habits(alcohol, smoking).

Inflammation of the pancreas

The production of insulin and digestive enzymes is disrupted, and after eating food, there is a feeling of heaviness in the stomach, bloating and pressing pain left.

Pyelonephritis

Often the place opposite to the inflamed kidney hurts. Pulling sensation aggravated after physical exertion (for example, running or lifting weights). Perhaps the appearance of chills, are also manifested VVD symptoms (vegetative dystonia), preceded by the following states:

  • Protracted depression.
  • Attention Deficit Syndrome.
  • Increased irritability.

chronic hepatitis

Patients complain about drawing pains in the right hypochondrium. The condition is also accompanied by nausea and vomiting, loss of appetite, aversion to meat, fatty foods and alcoholic beverages. On palpation, the organ is enlarged, and when pressed, it causes pain.

Chronic duodenitis

With inflammation of the duodenum, aching pain occurs in the right side. In this case, there are symptoms such as nausea, vomiting, burning, frequent heartburn and diarrhea.

Thoracic osteochondrosis

With such a disease, girdle pain is felt, which can sometimes squeeze. It hurts to breathe, to do deep breath, exhale, tilt and raise your hands up.

Necessary measures

Can't wait that the pain will pass itself, because the condition can only worsen. Help at home is as follows:

  • First you need to call an ambulance.
  • Do not drink pills that distort the picture of the course of the disease.
  • Do not use heating pads or compresses.

You need to carefully monitor your condition in order to provide maximum information to doctors later.

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